A nurse is providing care to a client is who is recovering from an episode of dissociative amnesia. The nurse should expect the client to exhibit which of the following manifestations?
Hallucinations
Delusions
Guilt
Anhedonia
The Correct Answer is C
C. Dissociative amnesia is characterized by difficulty remembering important personal information, typically of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. The manifestation of guilt is common in individuals experiencing dissociative amnesia, as they may feel guilty about their inability to recall events or about any actions that occurred during the period of amnesia.
A. Hallucinations involve perceiving sensations that are not present in reality, such as hearing voices or seeing things that others do not. While hallucinations can occur in various psychiatric disorders, they are not a typical manifestation of dissociative amnesia.
B. Delusions are false beliefs that are firmly held despite evidence to the contrary. Like hallucinations, delusions can occur in various psychiatric disorders, but they are not characteristic of dissociative amnesia.
D. Anhedonia refers to a reduced ability to experience pleasure or interest in previously enjoyable activities. It is not directly related to dissociative amnesia.
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Related Questions
Correct Answer is D
Explanation
D. It emphasizes the importance of addressing the client's immediate emotional and psychological needs. Reassurance and comfort can help alleviate the client's distress and promote a sense of security, which is essential for their well-being.
A. Participation in group activities may be beneficial for some clients with schizophrenia but it is not the priority when the client is experiencing confusion and distortions in thinking.
B. Medication management is an important aspect of caring for clients with schizophrenia. However, the decision to administer PRN medications should be based on a comprehensive assessment of the client's symptoms and needs.
C. Distraction techniques may be helpful for managing symptoms of anxiety or agitation in some clients, but they are not the priority.
Correct Answer is C
Explanation
C. This statement indicates an understanding of the needs of clients who are part of vulnerable populations because it demonstrates an awareness of the importance of client-centered care. Addressing the problem that the client believes is the most significant acknowledges the client's autonomy, respects their perspective, and ensures that their needs are prioritized.
A. This statement suggests a narrow focus on the immediate reason for the client's visit. While addressing the client's presenting concern is important, a limited assessment may overlook underlying issues or social determinants of health that could impact the client's well-being.
B. While privacy is important, asking clients for income or financial information may be necessary to assess their eligibility for financial assistance programs or to understand socioeconomic factors that may impact their health and access to care.
D. This statement suggests overlooking the importance of cultural competence in nursing practice. Cultural traditions, beliefs, and practices can significantly influence a client's health beliefs, behaviors, and preferences for care.
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