A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A. history of self-injurious behavior

History of trauma during the developmental years

Borderline personality disorder

A history of schizophrenia

Answer and Explanation

The Correct Answer is B

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

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Correct Answer is A

Explanation

A. Social cognition refers to the ability to understand and interpret social cues, including emotions, intentions, and interpersonal interactions. Asking the client to identify emotions on faces depicted on cards assesses their ability to recognize and interpret facial expressions, which is a fundamental aspect of social cognition.

B. Repeating a list of words primarily assesses verbal memory and recall, which may be impaired in dementia but does not specifically target social cognition.

C. Interpreting a sequence of pictures may assess aspects of visual processing, memory, and problem-solving abilities but does not specifically target social cognition.

D. Imitating gestures of learned movements may assess motor skills and imitation abilities but does not specifically target social cognition.

A. "I don't eat because I do not like the taste of food." B. "I have certain foods, like pizza, that cause me a lot of fear." C. "I don't bother to track the number of calories I eat in a week." D. “I restrict myself to 2,000 calories per day.

Correct Answer is B

Explanation

B. An individual with anorexia nervosa often experiences fear or anxiety surrounding certain foods, particularly those perceived as high in calories or fat. This fear may lead to restrictive eating patterns and avoidance of certain food groups.

A. The primary motivation for restricting food intake is typically driven by factors such as fear of weight gain or body dissatisfaction, rather than simply disliking the taste of food.

C. They often meticulously monitor food intake and may keep detailed records of calorie consumption. Therefore, the statement about not tracking calories is less consistent with typical behaviors seen in anorexia nervosa.

D. People with anorexia nervosa often restrict their calorie intake well below recommended levels for maintaining health, and 2,000 calories per day would be considered a relatively high amount of food for someone with this disorder.

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A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?

Correct Answer is A

Explanation

A nurse is admitting a client who has anorexia nervosa. Which of the following statements should the nurse expect from this client?

Correct Answer is B

Explanation

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?

A community health nurse is reviewing different learning concepts and approaches to incorporate into a health program that they are developing. Which of the following statements by the nurse is correct?

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

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