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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Free Nursing Study Resources

Correct Answer is B

Explanation

B. Sertraline is a commonly prescribed SSRI used to treat depression, anxiety disorders, obsessive- compulsive disorder (OCD), and other conditions. It works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression.

A. Lorazepam is a benzodiazepine used primarily for its anxiolytic (anti-anxiety) effects. It is not an SSRI and is not typically prescribed as a first-line treatment for depression.

C. Amitriptyline is a tricyclic antidepressant (TCA), not an SSRI. TCAs are older antidepressants that work on multiple neurotransmitter systems, including serotonin, but they are less commonly prescribed as first-line treatment due to their side effect profile.

D. Clonazepam is also a benzodiazepine used for treating anxiety disorders and certain types of seizures. Like lorazepam, it is not an SSRI and is not typically used as a first-line treatment for depression.

A. Purging B. Cataplexy C. Night eating disorder D. Pica E. Nocturnal myoclonus F. Binge eating

Correct Answer is ["A","C","D","E"]

Explanation

A. Purging is a behavior associated with bulimia nervosa, where individuals engage in self-induced vomiting, misuse of laxatives, diuretics, or enemas to compensate for binge eating episodes.

C. Night eating disorder is characterized by recurrent episodes of night eating, typically waking up from sleep to consume food, often accompanied by a lack of appetite in the morning and a significant portion of daily caloric intake occurring after the evening meal.

D. Pica is a disorder characterized by persistent eating of non-nutritive substances, such as clay, dirt, chalk, or paper. Pica involves eating non-food substances and is recognized as an eating disorder due to the potential harm it can cause.

F. Binge eating disorder involves recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control over eating behavior. Unlike bulimia nervosa, individuals with binge eating disorder do not engage in purging behaviors.

B. Cataplexy is a symptom of narcolepsy, characterized by sudden episodes of muscle weakness or loss of muscle tone, often triggered by strong emotions.

E. Nocturnal myoclonus, also known as periodic limb movement disorder, involves involuntary muscle contractions or jerks during sleep, which can disrupt sleep but is not related to eating behaviors.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

Which of the following conditions are eating disorders? (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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

Which of the following is true of a person who assumes the sick role?

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?

A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

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

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

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?