A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

Dissociative amnesia

Depersonalization/derealization

Dissociative identity disorder

Factitious disorder

Answer and Explanation

The Correct Answer is A

A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.

B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.

C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.

D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.

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Correct Answer is A

Explanation

A. Social cognition refers to the ability to understand and interpret social cues, including emotions, intentions, and interpersonal interactions. Asking the client to identify emotions on faces depicted on cards assesses their ability to recognize and interpret facial expressions, which is a fundamental aspect of social cognition.

B. Repeating a list of words primarily assesses verbal memory and recall, which may be impaired in dementia but does not specifically target social cognition.

C. Interpreting a sequence of pictures may assess aspects of visual processing, memory, and problem-solving abilities but does not specifically target social cognition.

D. Imitating gestures of learned movements may assess motor skills and imitation abilities but does not specifically target social cognition.

A. Health equity B. Social determinants of health C. Treatment protocols D. Unconscious bias

Correct Answer is B

Explanation

B. Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These determinants include factors such as socioeconomic status, education, employment, housing, and access to healthcare.

A. Health equity refers to the absence of disparities in health and healthcare among different populations. However, this option does not specifically address the client's situation of unemployment and homelessness.

C. Treatment protocols are important for guiding clinical practice but they do not directly address the social determinants of health impacting the client's situation.

D. Unconscious bias refers to implicit attitudes or stereotypes that influence judgments and behaviors in a subconscious manner but do not directly address the social determinants of health impacting the client's situation of unemployment and homelessness.

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A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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