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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.
B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.
C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.
D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.
Correct Answer is D
Explanation
A. "I hate all of you!" –This reflects the patient’s anger and hostility, which is expected after being restrained. While it requires therapeutic communication, it does not signal a medical emergency.
B. "The other patient started the fight." – This statement is defensive and attempts to shift blame. Although it provides insight into the patient’s thought process, it is not urgent from a physiological standpoint.
C. "You wait until I tell my lawyer." – This reflects frustration and a threat of legal action. It is important for documentation and de-escalation but does not require immediate clinical intervention.
D. "My fingers are tingly." – This is the highest priority because it indicates impaired circulation or nerve compression related to the restraints. Tingling, numbness, coolness, or pallor are warning signs that restraints are too tight or causing neurovascular compromise. This can lead to permanent injury if not corrected promptly.
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