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Which scenario demonstrates a dissociative fugue?

A man is extremely anxious about his problems and sometimes experiences dazed periods of several minutes passing without conscious awareness of them,

A woman reports that when she feels tired or stressed, it seems like her body is not real and is somehow growing smaller.

A woman finds unfamiliar clothes in her closet, is recognized when she goes to new restaurants, and complains of "blackouts" despite not drinking

After being caught in an extramarital affair, a man disappeared but then reappeared months later with no memory of what occurred while he was missing

Answer and Explanation

The Correct Answer is D

A. Extreme anxiety with brief dazed periods describes depersonalization or dissociative episodes, but not a fugue, because identity and travel are not involved.

B. Feeling like the body is unreal or shrinking is indicative of depersonalization-derealization disorder, not dissociative fugue.

C. Unfamiliar clothes and blackouts without alcohol may suggest dissociative identity disorder, as multiple identities or personality states are involved.

D. Dissociative fugue involves sudden, unexpected travel away from one’s home or workplace, inability to recall the past, and confusion about personal identity or assumption of a new identity. The scenario describes disappearance, travel, and memory loss consistent with dissociative fugue.

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Correct Answer is A

Explanation

A. This occurs when the nurse projects personal feelings about someone from their own life onto the patient (e.g., comparing the patient to a grandparent and feeling sadness).

B. This refers to severe emotional outbursts in cognitively impaired patients, not nurse behavior.

C. This would involve the nurse using defense mechanisms to protect themselves from anxiety, not relating to the patient as a grandparent.

D. Transference is when the patient projects feelings onto the nurse, not the other way around.

A. "Sooner or later, alcohol will kill you. Then what will happen to your children?" B. "I hear a lot of defensiveness in your voice. Do you really believe this?" C. "Tell me what happened the last time you drank." D. "If you were coping so well, why were you hospitalized again?"

Correct Answer is C

Explanation

A. This response is confrontational and judgmental, likely causing defensiveness rather than insight.
B. Pointing out defensiveness may provoke resistance rather than helping the patient analyze their behavior objectively.

C. This response encourages the patient to reflect on their own behavior and the consequences of drinking, promoting self-awareness and objective evaluation without judgment. It allows the patient to explore their actions and recognize patterns.

D. This response is accusatory and may make the patient feel blamed, which is not therapeutic.

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Which scenario demonstrates a dissociative fugue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a confused older adult. The nurse experiences sadness and reflects. This patient is like one of my grandparents... so helpless." Which response is the nurse demonstrating?

Correct Answer is A

Explanation

A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?

Correct Answer is C

Explanation

A student says, "Before taking a test. I feel very alert and a little restless." The nurse can correctly assess the students experience as

A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?

A nurse in a substance abuse clinic is assessing a client who was recently prescribed disulfiram. The patient suddenly stopped taking this medication and is now complaining of severe nausea and vomiting. What should the nurse suspect is likely the cause of the client's distress?

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

The nurse expects which medication to be prescribed to maintain abstinence to a patient with an addiction to either alcohol or opioids?

A patient undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?