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 ["A","B","E"]
Explanation
A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability.
B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure.
C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings.
D. Important for discharge planning and social work involvement, but not an immediate medical priority.
E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management.
F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.
Correct Answer is D
Explanation
A. Neuroleptic malignant syndrome is a rare, life-threatening reaction associated with antipsychotic medications, not stimulants like methylphenidate.
B. Dystonia, akinesia, and extrapyramidal symptoms are primarily seen with antipsychotic use, not with ADHD stimulant medications.
C. Bradycardia and hypotensive episodes – Stimulants more commonly cause tachycardia and hypertension, not bradycardia or hypotension.
D. Sleep disturbances and weight loss are common side effects of methylphenidate due to its stimulant properties. Monitoring sleep patterns, appetite, and growth is a priority in children taking this medication.
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