A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

"Nursing interventions for this diagnosis are very limited, regardless of age."

"Assessing for thoughts of self-harm is important, regardless of age."

"Usually, older clients have better treatment outcomes."

"Usually, only adults are on psychiatric medication for this disorder."

Answer and Explanation

The Correct Answer is B

B. Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.

A. Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.

C. Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.

D. Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.

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Correct Answer is D

Explanation

D. Tardive dyskinesia (TD) is a side effect associated with long-term use of antipsychotic medications, particularly first-generation or typical antipsychotics. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and sometimes extremities.

A. These are symptoms of psychotic disorders such as schizophrenia and are often the target symptoms for which antipsychotic medications are prescribed. However, tardive dyskinesia is a distinct adverse effect of antipsychotic use

B. Nausea and vomiting are common side effects of many medications, including antipsychotics, particularly during the initial stages of treatment. However, they are not typically associated with tardive dyskinesia.

C. Seizures and tremors are potential adverse effects of some antipsychotic medications, particularly atypical antipsychotics. However, they are not characteristic of tardive dyskinesia

A. Allow the client to control the conversation. B. Ask the client a series of questions about who assaulted them. C. Insist the client report the incident. D. Touch the client for reassurance.

Correct Answer is A

Explanation

A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.

B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.

C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.

D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.

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A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti- psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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?

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?

A nurse is caring for a client who was removed from their family home as a child due to neglect. Which of the following terms is used to signify this occurrence?

A nurse is caring for a client who states. "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?