The nurse is providing care for a client diagnosed with dissociative fugue. Which behaviors would the nurse expect to see with this client?
Clinically significant distress in occupational functioning.
Sudden unexpected travel or confused wandering.
An inability to recall their parent's contact information.
Occasional periods of forgetfulness
The Correct Answer is B
a. Clinically significant distress in occupational functioning. While distress in occupational functioning may occur, it is not specific to dissociative fugue and is more broadly associated with various mental health disorders.
b. Sudden unexpected travel or confused wandering. This choice is correct because dissociative fugue is characterized by sudden, unexpected travel away from one's home or usual place of work, with an inability to recall some or all of one's past.
c. An inability to recall their parent's contact information. While memory loss is part of dissociative fugue, the focus is on broader, more significant amnesia than just inability to recall specific information like contact details.
d. Occasional periods of forgetfulness. This does not capture the severity or the specific nature of the amnesia involved in dissociative fugue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Thorough explanations with details: This approach may overwhelm a client with a cognitive disorder due to complexity and length.
b. Stimulating words and phrases: Stimulating words and phrases can be confusing and may not be understood clearly by a client with cognitive impairment.
c. Short words and simple sentences: This is correct because it ensures clarity and facilitates understanding, which is essential when communicating with someone who has a cognitive disorder.
d. Pictures or gestures instead of words: While visual aids can be helpful, they should complement, not replace, verbal communication unless the client has severe communication difficulties.
Correct Answer is A
Explanation
a. Assist the client with bathing and toileting. This intervention addresses the client's immediate and essential needs. Ensuring basic hygiene and toileting are crucial for maintaining the client's health, dignity, and comfort. Assisting with activities of daily living (ADLs) is a priority for clients who are unable to perform these tasks independently.
b. Design a bulletin board to represent the current season. While this can help with orientation and provide a sense of time and place, it is not as critical as addressing the client's basic physical needs.
c. Present evidence of objective reality to improve cognition. Reality orientation can be beneficial, but it is not a priority intervention compared to meeting the client's immediate physical needs.
d. Label the door to the client's room with name and number. This helps with orientation and independence but is less critical than ensuring the client’s hygiene and toileting needs are met.
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