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Stating that an individual is malingering can cause iatrogenic harm to patients if they are actually not exaggerating or feigning. Such iatrogenic harm may consist in delaying or denying medical attention, therapies, or insurance benefits. In the U.S. military, malingering is a court-martial offense under the Uniform Code of Military Justice.
Most studies and research on malingering PTSD are concentrated in Western countries, specifically the United States. This overlooks other cultures and ethnicities. [46] Assessment tools for malingering like the MMPI-2, PAI, and other tests, vary in levels of accuracy depending on the context and population.
Malingering is the fabrication, feigning, or exaggeration of physical or psychological symptoms designed to achieve a desired outcome, such as personal gain, relief from duty or work, avoiding arrest, receiving medication, or mitigating prison sentencing.
Consequently, a practitioner may assess the patient on the remaining four categories, with two or more positive categories being considered clinically significant. [4] One or two Waddell's signs can often be found even when there is not a strong non-organic component to pain.
The Lees-Haley Fake Bad Scale (FBS) or MMPI Symptom Validity Scale is a set of 43 items in the Minnesota Multiphasic Personality Inventory (MMPI), selected by Paul R. Lees-Haley in 1991 to detect malingering for the forensic evaluation of personal injury claimants. [1]
In the context of a positive Hoover's sign, functional weakness (or "conversion disorder") is much more likely than malingering or factitious disorder. [3] Strong hip muscles can make the test difficult to interpret. [4] Efforts have been made to use the theory behind the sign to report a quantitative result. [5]
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
Cognitive-perceptual-assessment of neurological function is done to assess, check the person's ability to comprehend information; Self perception/self concept; Role relationship—This pattern should only be used if it is appropriate for the patient's age and specific situation. Sexual reproductivity; Coping-stress tolerance; Value-Belief Pattern