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 A
Explanation
A. describes secretive behavior, which is indicative of bulimia nervosa.
B. It suggests laxative misuse, which can be a compensatory behavior associated with bulimia nervosa. However, it does not directly address the binge-purge cycle or the emotional aspect of the behavior.
C. This describes behavior more characteristic of anorexia nervosa rather than bulimia nervosa. Anorexia nervosa involves restrictive eating behaviors and a distorted body image, whereas bulimia nervosa typically involves binge eating episodes followed by compensatory behaviors.
D. This feeling of euphoria or emotional relief during binge-purge episodes is not commonly reported by individuals with bulimia nervosa.It is mostly a complusion that bring remorse afterwards.
Correct Answer is A
Explanation
A. A serum lithium level of 1.6 mEq/L is above the therapeutic range, indicating lithium toxicity. Manifestations of lithium toxicity can include neurological symptoms such as blurred vision and jerking motor movements. Other symptoms may include nausea, vomiting, diarrhea, tremors, confusion, drowsiness, and muscle weakness.
B. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity.
C GI discomfort, such as nausea, vomiting, and diarrhea, is a common symptom of lithium toxicity. Poor coordination, along with tremors and muscle weakness, can also occur due to the effects of lithium on the central nervous system.
D. Lip smacking and tongue thrusting are repetitive and involuntary movements associated with certain types of seizures or seizure disorders, but they are not typically observed in lithium toxicity.
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