Valfre Ch 24 Dissociative Disorders

The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the childrens:

Self-concept

Following the death of his wife of 50 years, the hospice nurse notices that the surviving husbands affect is flat, he states that he has stopped attending the weekly card club he belongs to, and he voices difficulty in making decisions on a daily basis. The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:

Depersonalization disorder

The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:

Host

When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:

Integrating the personalities into one functional personality

During a home visit, the client tells the nurse that she feels that her medication is no longer helping her dissociative diagnosis of depersonalization disorder because she has noticed that she is not thinking clearly, is having difficulty with her memory and judgment, and is often disoriented to the time. The nurse knows that the doctor must be contacted and that this client most likely will be:

Admitted to the hospital for evaluation and possible adjustment of her medications

The care provider is aware that in addition to assessment, one of the first goals of therapy for the client with a dissociative disorder is:

Stabilization

Those who care for individuals with dissociative disorders must be aware that they often will try to __________ the staff members who are caring for them.

Manipulate

Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder?

Personal identity, disturbed

During assessment of a client with a dissociative disorder, the nurse notices that the client has been cutting herself on both arms. After talking with the client, the nurse, along with other members of the treatment team, decides that the best intervention at this time to prevent further self-destructive behavior would be:

Establishing a signed contract with the client to tell a team member when she is having self-destructive thoughts

A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to:

Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times.

The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Eriksons theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable:

Self-concept

A female client with a diagnosis of a dissociative disorder who attends group meetings at a community mental health clinic often voices that her boss at work frequently complains that she is working at a level below her capabilities. The client also states that she feels that she never gets anything done. Which nursing diagnosis best addresses these issues?

Self-esteem, low

What is the first nursing priority in a client with the nursing diagnosis of Personal identity, disturbed?

Assess causative and/or contributing factors.

A spell is a culturally defined mental health disorder or a dissociative state seen in African Americans, Europeans, and Americans from southern U.S. cultures. This state is characterized by:

Communication with deceased relatives or spirits that occurs during a trancelike state

The wife of a 70-year-old man is concerned that her husband refuses to participate in any activities with her since his retirement 2 years ago. He is often short tempered and sees any type of hobby as a waste of time. Which intervention or activity would help him enhance his feelings of self worth?

Get involved in a retired businessmen's group providing assistance to new companies.

A family adopts a 7-year-old boy from an international adoption agency with little information on the childs history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child?

Art therapy

A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting. What is the most appropriate nursing diagnosis for this client?

Personal identity, disturbed

Which dissociative disorder is a result of a disturbance of identity?

Dissociative identity disorder