The hospice nurse notices that, following the death of his wife of 50 years, a surviving husband's affect is anxious, and he reports a feeling of detachment from his body, stating. 1 feel like I am seeing myself from outside of my body." The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:

dissociative fugue.

dissociative identity disorder.

dissociative amnesia.

depersonalization disorder.

Answer and Explanation

The Correct Answer is D

D. Depersonalization disorder is a dissociative disorder where individuals feel detached from themselves, as if they are observing their own thoughts, feelings, sensations, or actions from outside their body. This can lead to a sense of unreality or detachment from the environment or one's own experiences. It is often triggered by stressful events or trauma, and it can occur in individuals experiencing grief or loss, such as the surviving husband in this scenario.

A. Dissociative fugue involves sudden, unexpected travel away from home or one's customary place of activities, accompanied by an inability to recall one's past. It is usually associated with amnesia for personal information and is not characterized by depersonalization symptoms.

B. DID involves the presence of two or more distinct personality states or identities within an individual, which alternate and take control of behavior. Each identity may have its own unique way of perceiving and interacting with the environment, which differs from the symptoms described in the scenario.

C. Dissociative amnesia involves the inability to recall important personal information, usually related to stressful or traumatic events. While depersonalization symptoms can occur in dissociative amnesia, the hallmark feature is memory loss rather than the feeling of detachment from one's body.

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Correct Answer is D

Explanation

D. Denial is a defense mechanism where individuals refuse to acknowledge or accept a painful or distressing reality. In this case, despite objective medical evidence (biopsy results and MRI findings), the client persists in believing that the diagnosis of terminal cancer is incorrect. This refusal to accept the reality of the situation is characteristic of denial.

A. Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. While anger can be a reaction to receiving a terminal diagnosis, it is not reflective of refusing to accept the diagnosis itself.

B. Anxiety involves feelings of worry, fear, or unease about future events or uncertainties. While anxiety can accompany a terminal diagnosis, it does not manifest as outright refusal or disbelief in the diagnosis itself.

C. Withdrawal refers to a retreat or disengagement from social interactions or activities. It can be a coping mechanism in response to stress or difficult emotions. However, withdrawal does not specifically relate to refusing to accept a diagnosis like terminal cancer.

A. Denial B. Anger C. Grief D. Dependency

Correct Answer is ["A","B"]

Explanation

A. Denial is a common initial reaction where individuals refuse to accept the reality of their illness. They may minimize symptoms, avoid medical advice, or believe that the diagnosis is incorrect. Denial can serve as a defense mechanism to protect individuals from the shock and emotional distress of a diagnosis.

B. Anger is another stage where individuals may experience frustration, resentment, or hostility towards themselves, others, or the situation. They might feel angry about their diagnosis, the impact it has on their life, or towards healthcare providers and caregivers.

C. Grief is a natural response to loss and can be experienced when individuals face the changes, limitations, or potential outcomes associated with their illness. Grief involves feelings of sadness, despair, and mourning for the life they had before the illness, as well as for potential losses in the future. However, it is not a typical stage of the illness experience.

D. Dependency refers to a stage where individuals may rely on others for physical, emotional, or practical support due to the challenges posed by their illness. This stage can involve seeking assistance with daily activities, relying on healthcare providers for treatment, or leaning on family and friends for emotional support. However, it is not a typical stage of the illness experience.

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Naxlex Comprehensive Predictor Exams

A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?

Correct Answer is D

Explanation

Which of the following is a stage of the illness experience?

Correct Answer is ["A","B"]

Explanation

A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?

A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed?

Hospitalization of a client with a dissociative disorder is required in which situation?

A soldier arrives at the airport after completing a combat assignment. He reports a new-onset blindness but was able to identify his wife in the crowd awaiting passenger arrivals. He is likely experiencing symptoms of

Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?