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 B

Explanation

B. Experiencing cyberbullying can have significant negative effects on an adolescent's mental health and well-being. Addressing cyberbullying promptly is crucial to ensuring the client's safety and mental health.

A. Journaling their feelings about their sister's death suggests that they are actively processing their emotions, which can be a healthy coping mechanism.

C. Addressing dietary habits and providing education on healthy eating is important but it may not be as urgent as addressing issues such as cyberbullying or mental health concerns.

D. While supporting the client with managing their allergies is important, it may not be the priority for immediate intervention compared to issues such as cyberbullying or mental health concerns.

A. Frontotemporal lobar degeneration B. Traumatic brain injury C. HIV infection D. Prion disease

Correct Answer is D

Explanation

A. Frontotemporal lobar degeneration (FTLD), also known as frontotemporal dementia (FTD), is a type of dementia characterized by progressive degeneration of the frontal and temporal lobes of the brain. It is not typically associated with sleep and appetite changes.

B. TBI can cause changes in sleep patterns and concentration difficulties but it is not typically associated with lack of appetite as a primary symptom.

C.While it can lead to neurocognitive disorders, the symptoms might not be as prominent as in other forms of dementia, especially in the early stages.

D. Prion diseases are rare neurodegenerative disorders caused by abnormal protein folding in the brain. These diseases can manifest with a variety of cognitive and neurological symptoms, but lack of sleep, lack of appetite, and difficulties with concentration are not typically prominent features of prion diseases.

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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 evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is D

Explanation

A nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention?

A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education?

A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?

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 caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?