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
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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Related Questions
Correct Answer is B
Explanation
B. This concept involves understanding how individuals respond to stressors and whether their coping strategies are effective in managing stress and promoting well-being. By assessing whether the client's responses to stress are adaptive (i.e., helpful and constructive) or maladaptive (i.e., harmful or ineffective), the nurse can tailor interventions to support the client in developing healthier coping mechanisms and managing stress more effectively.
A. Although understanding the client's perception of the stressors is important, labeling them as justified or unjustified may not fully capture the complexity of the client's experience or their individual response to stress.
C This concept involves evaluating the moral or ethical implications of the client's actions or decisions in response to stressors.
D. While assessing the client's behaviors and their impact on health and well-being is important, labeling them as inherently good or bad may oversimplify the complexity of the client's experience.
Correct Answer is B
Explanation
B Primary prevention aims to prevent the onset of a disease or health condition before it occurs. In the context of sexually transmitted infections (STIs), providing education and information about safe sex practices, condom use, and strategies for preventing STIs constitutes primary prevention efforts.
A. Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Examples include screening for STIs and providing prompt treatment to individuals who test positive.
C. Tertiary prevention focuses on managing and reducing the impact of existing disease or health conditions and preventing complications or disability. In the context of STIs, tertiary prevention efforts may include providing ongoing medical care, support, and education to individuals living with STIs
D. Quaternary prevention aims to mitigate or avoid the consequences of unnecessary or excessive healthcare interventions and to protect individuals from overmedicalization. It focuses on promoting prudent and ethical healthcare practices.
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