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
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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Related Questions
Correct Answer is C
Explanation
A. Late-onset schizophrenia typically presents with symptoms such as hallucinations, delusions, disorganized thinking, and social withdrawal. However, this does not differentiate it from typical schizophrenia.
B. Substance use, including cannabis use, is a known risk factor for the development of schizophrenia, particularly in individuals who are genetically predisposed to the disorder. However, cannabis use as a teenager alone does not necessarily indicate late-onset schizophrenia.
C. Paraphrenia or late onset schizophrenia generally occurs later in life and symptoms persist and intensify as the client ages. Schizophrenia is rarely diagnosed after the age of 40 and is considered late onset if diagnosed after the age of 40.
D. Family history of psychosis or schizophrenia is a significant risk factor for developing schizophrenia, including late-onset schizophrenia. However, having a family member who mirrors the client's behaviors of psychosis is not a specific finding indicative of late-onset schizophrenia.
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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