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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Phase 1 of the cycle of violence, also known as the tension-building phase, is characterized by increasing tension and conflict between the parties involved in the abusive relationship. During this phase, arguments, disagreements, and conflicts escalate in frequency and intensity.
B Physical harm typically occurs during phase 2 of the cycle of violence, known as the acute or explosion phase.
C. This phase follows the acute phase and is characterized by the perpetrator expressing remorse, making excuses for their behavior, or attempting to reconcile with the victim through gestures of affection, gifts, or promises to change. However, these promises are often short- lived and may be followed by a return to tension-building behavior and the cycle of violence repeating.
D. Law enforcement involvement is not specific to phase 1 of the cycle, during which tensions are escalating and conflicts are increasing in frequency.
Correct Answer is B
Explanation
B Illness anxiety disorder (formerly known as hypochondriasis) is a mental health condition characterized by excessive worry or fear about having a serious illness, despite having little or no medical evidence to support the presence of the illness.
A. The focus in somatic symptom disorder is on the physical symptoms themselves rather than the fear of having a serious illness.
C. Individuals with factitious disorder may feign symptoms, manipulate test results, or induce illness in themselves to gain attention or care from healthcare providers.
D. The primary characteristic of functional neurological symptom disorder is the presence of neurological symptoms rather than excessive fear of illness or body checking behaviors.
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