Ch. 16 : Trauma, Stressor-Related, & Dissociative Disorders

D

Dissociative identity disorder is characterized by what event?

A The inability to recall important information

B Sudden, unexpected travel away from home and inability to remember the past

C The existence of two or more subpersonalities, each with its own patterns of thinking

D Recurring feelings of detachment from one's body or mental processes

B

Empathic listening is therapeutic because it focuses on action?

A Enhancing self-esteem B Lessening feelings of isolation

C Reducing anxiety

D Encouraging resilience

A

When discussing the symptoms of post-traumatic stress disorder (PTSD), the nurse should make which statement?

A "The symptoms can occur almost immediately or can take years to manifest."

B "PTSD causes agitation and hypervigilance but rarely chronic depression."

C "When experiencing a flashback, the client generally experiences a slowing of responses."

D "PTSD is an emotional response that does not cause significant changes in brain chemistry."

B

What symptom can the nurse expect a client diagnosed with depersonalization disorder to manifest?

A Aimless wandering with confusion and disorientation

B A feeling of detachment from one's body or mental processes

C Existence of two or more personalities that take control of behavior

D Worry about having a serious disease based on symptom misinterpretation

B

A child who is able to regain mental stability after a traumatic event is said to be demonstrating what trait?

A Autonomy

B Resilience

C Maturity

D Independence

A, B, D, E

The symptoms of an adjustment disorder can include characteristics? (Select all that apply.)

A Guilt

B Social withdrawal

C Overachieving

D Anger

E Depression

A

Which statement about structural dissociation of the personality is true?

A An organic basis exists for this type of disorder.

B Nurses perceive clients with this disorder as easy to care for.

C No known link exists between this disorder and early childhood loss or trauma.

D This disorder results in a split in the personality causing a lack of integration.

D

Parents express concern when their 5-year-old child, who is receiving treatment for cancer, keeps referring to an imaginary friend, Candy. Which response should the nurse provide to best address the parent's concerns?

A Children of this age usually have imaginary friends.

B It is nothing to worry about unless the child starts to socially isolate.

C The child needs more of their one-on-one attention.

D The imaginary friend is a coping mechanism the child is using.

D

Which child is at greatest risk for developing attachment problems as a result of a neurobiological development?

A A 13-year-old male

B A 10-year-old female

C A 7-year-old male

D A 4-year-old female

C

A client diagnosed with post-traumatic stress disorder (PTSD) shows little symptom improvement after being prescribed a selective serotonin reuptake inhibitor (SSRI). The nurse expects that which medication will be prescribed next?

A Beta blocker

B Barbiturate

C Tricyclic antidepressant (TCA)

D Sedative

A

What information should the nurse give to the family of a client who has had a dissociative episode?

A Dissociation is a method for coping with severe stress.

B Dissociation suggests the possibility of early dementia.

C Brief periods of psychotic behavior may occur.

D Ways to intervene to prevent self-mutilation and suicide attempts.

C

A child who was physically and sexually abused is at great risk for demonstrating which characteristic?

A Depression

B Suicide attempts

C Bullying and abusing others

D Becoming active in a gang

B

Which behavior best supports the diagnosis of posttraumatic stress disorder (PTSD) in a 4-year-old child?

A Overeating

B Hypervigilance

C A drive to be perfect

D Passivity

C

A 4 years old is referred to the outpatient mental health clinic after being in a severe car accident during which the child mother died. The father states that the child is withdrawn, not sleeping, having nightmares, and acts out the car accident over and over again when playing. The child states, "It's my fault because I'm bad." What trauma induced disorder does this data support?

A Adjustment disorder

B Dissociative identity disorder

C Posttraumatic stress disorder (PTSD)

D Acute stress disorder (ASD)

B

Which of the following statements about dissociative disorders is true?

A Dissociative symptoms are under the person's conscious control.

B Dissociative symptoms are not under the person's conscious control.

C Dissociative symptoms are usually a cry for attention.

D Dissociative symptoms are always negative.

C

Which statement concerning syndromes seen in other cultures but not seen in our own, such as piblokto, Navajo frenzy witchcraft, and amok should be considered true?

A Dissociative disorders such as dissociative identify disorders

B Physical disorders, not mental disorders

C Culture-bound syndromes that are not dissociative disorders

D Myths, or rumors, because they have not been sufficiently studied to be classified as real.

B

Which statement, made by a client diagnosed with dissociative identity disorder, demonstrates effective understanding in response to the question, "What exactly are the 'alters'? your provider told you about?" illustrates that the education you provided has been effective?

A "So, alters are based in mysticism and religiosity, such as demons."

B "So, alters are separate personalities with their own characteristics that take over during stress."

C "So, alters are never aware of each other."

D "So, alters are just like me, but they have no memory of the trauma I went through."

C, D, E, G

Which of the following symptoms would lead a provider to suspect that a client is experiencing PTSD? (Select all that apply.)

A Visiting the scene of the accident over and over

B Talking with strangers about the events of the accident

C Flashbacks of the accident

D Hypervigilance

E Irritability

F Difficulty concentrating

G Mania