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 A
Explanation
a. "There is a chemical imbalance of the brain, which leads to altered perceptions." Schizophrenia is a complex mental health disorder with a strong biological component. While the exact cause is unknown, it's believed to involve abnormalities in brain chemistry and neurotransmitters. This is a general explanation that avoids going into too much detail but acknowledges the biological basis of hallucinations.
b. "The hallucinations are caused by medication interactions." Hallucinations are a core symptom of schizophrenia and not necessarily caused by medication interactions.
c. "There is too little serotonin in the brain, causing delusions and hallucinations." While serotonin might be involved in schizophrenia, it's not the only neurotransmitter implicated.
d. Abnormal hormonal changes have precipitated auditory hallucinations." Hormonal changes might influence mood, but they are not the primary cause of auditory hallucinations in schizophrenia.
Correct Answer is B
Explanation
a. decrease anxiety and ignore all the alternate personalities. Ignoring alternate personalities is not a therapeutic goal and could lead to further distress and fragmentation.
b. blend all the personalities into one. The primary goal of therapy for Dissociative Identity Disorder (DID) is often to integrate the separate identities into one cohesive identity, facilitating overall functioning and stability.
c. prevent social isolation: While preventing social isolation is important, it is not the primary therapeutic goal specific to DID.
d. forget the past trauma: The goal is not to forget the past trauma but to integrate and process traumatic memories in a healthy way, reducing the impact on the individual's functioning.
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