Review Disinhibited Social Engagement Disorder (DSED)

Abuse, Violence, Trauma, and Stressor Related Disorders > Mental Health

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Disinhibited Social Engagement Disorder (DSED)

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Total Questions : 10

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Question 1:

A nurse is assessing a child with Disinhibited Social Engagement Disorder (DSED). Which of the following is a common clinical manifestation of DSED?

A. Avoidance of all social interactions. B. Selective attachment to specific caregivers. C. Excessive familiarity with strangers. D. Emotional withdrawal from adult caregivers.

Answer and Explanation

Choice A:

Avoidance of all social interactions is not a common clinical manifestation of Disinhibited Social Engagement Disorder (DSED). DSED is characterized by an extreme lack of inhibition in approaching and interacting with unfamiliar adults.

Choice B:

Selective attachment to specific caregivers is not a common manifestation of DSED. This choice contradicts the nature of the disorder, which involves indiscriminate attachment behaviors towards both familiar and unfamiliar adults.

Choice C:

Excessive familiarity with strangers is a common clinical manifestation of DSED. Children with DSED tend to approach and interact with strangers without the expected caution or wariness, displaying an inappropriate level of familiarity.

Choice D:

Emotional withdrawal from adult caregivers is not a common manifestation of DSED. Children with DSED typically exhibit the opposite behavior, actively seeking interactions with unfamiliar adults.

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Question 2:

(Select all that apply): A nurse is collecting data during the nursing assessment of a child with Disinhibited Social Engagement Disorder (DSED). Which components should be included in the assessment? (Select three.).

A. Family history of mental health disorders. B. Recent changes in caregivers. C. Physical examination. D. Childhood experiences of comfort. E. Blood type and Rh factor.

Answer and Explanation

Choice A:

Family history of mental health disorders should be included in the assessment. This information is important as there might be a genetic predisposition to mental health issues that could contribute to the development of DSED.

Choice B:

Recent changes in caregivers should be assessed. Children with DSED are particularly sensitive to changes in their caregiving environment, which can exacerbate their symptoms or trigger their indiscriminate attachment behaviors.

Choice C:

Physical examination is relevant in a general medical assessment, but it is not directly related to assessing Disinhibited Social Engagement Disorder (DSED) specifically.

Choice D:

Childhood experiences of comfort should be assessed. These experiences can contribute to the development and manifestation of DSED, as disrupted or inconsistent caregiving early in life can influence the child's attachment behaviors.

Choice E:

Blood type and Rh factor are not relevant components to assess for Disinhibited Social Engagement Disorder (DSED). This information does not have a direct impact on the diagnosis or management of the disorder.

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Question 3:

A nurse is talking to the caregiver of a child with DSED. Which statement by the caregiver indicates a need for further education?

A. "I understand that my child's behavior with strangers is a part of their condition.” B. "I think my child's attachment issues are due to their current school environment.” C. "I've noticed that my child has difficulty setting appropriate boundaries.” D. "I believe my child's excessive familiarity with adults is a normal phase.”

Answer and Explanation

Choice A:

"I understand that my child's behavior with strangers is a part of their condition." This statement indicates the caregiver's understanding of the child's condition and its associated behaviors, showing appropriate awareness.

Choice B:

"I think my child's attachment issues are due to their current school environment." This statement demonstrates a misconception. DSED is rooted in early developmental experiences and attachment disruptions, not current school environments.

Choice C:

"I've noticed that my child has difficulty setting appropriate boundaries." This statement indicates the caregiver's recognition of a common issue associated with DSED—difficulties in establishing appropriate personal boundaries.

Choice D:

"I believe my child's excessive familiarity with adults is a normal phase." This statement reflects a lack of understanding about DSED, as excessive familiarity with adults is a hallmark symptom of the disorder and is not a typical developmental phase.

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Question 4:

A nurse is assessing a child suspected of having DSED. Which statement by the child would be concerning for this disorder?

A. "I prefer spending time with my close friends.” B. "I feel comfortable approaching strangers.” C. "I only trust my parents and no one else.” D. "I get anxious in social situations.”

Answer and Explanation

Choice A:

This option indicates a preference for spending time with close friends, which is within the range of normal social behavior for a child. Building friendships is an important developmental milestone.

Choice B:

Feeling comfortable approaching strangers can be seen as a positive social behavior, as it suggests the child is open to new interactions. While caution is needed, it doesn't directly point to Disinhibited Social Engagement Disorder (DSED).

Choice C:

The statement "I only trust my parents and no one else" is concerning for DSED. Children with this disorder often show an inability to discriminate between familiar and unfamiliar individuals, resulting in overly friendly behavior even with strangers, which contrasts with a healthy sense of wariness.

Choice D:

Getting anxious in social situations might be an indicator of social anxiety, but it doesn't necessarily align with DSED, which is characterized by a lack of appropriate caution and boundaries in social interactions.

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Question 5:

A nurse is implementing nursing interventions for a child with DSED. Which intervention aims to protect the child from further harm?

A. Providing education about attachment and its types. B. Administering psychological tests for diagnosis. C. Referring the child and caregiver to a support group. D. Reporting suspected cases of neglect or abuse.

Answer and Explanation

Choice A:

Educating the child and caregivers about attachment and its types is important, but it doesn't directly protect the child from further harm in the context of Disinhibited Social Engagement Disorder (DSED).

Choice B:

Administering psychological tests for diagnosis is a valid step, but it's not an intervention aimed at protecting the child from harm. It's a diagnostic process, not a protective measure.

Choice C:

Referring the child and caregiver to a support group can be beneficial for emotional support, but it doesn't directly address protection from harm, which is the primary concern in this scenario.

Choice D:

Reporting suspected cases of neglect or abuse is crucial to ensure the child's safety. Children with DSED might engage with strangers without appropriate caution, which could expose them to potential danger. Reporting ensures that professionals can intervene to safeguard the child's well-being.

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Question 6:

A nurse is educating a group of caregivers about Disinhibited Social Engagement Disorder (DSED). What is a characteristic feature of DSED?

A. Emotionally withdrawn behavior. B. Lack of social skills. C. Selective attachment to caregivers. D. Fear of strangers.

Answer and Explanation

Choice A:

Emotionally withdrawn behavior is not a characteristic feature of Disinhibited Social Engagement Disorder (DSED). DSED typically involves overly familiar behavior, not withdrawal.

Choice B:

Lack of social skills could be a consequence of DSED, but it's not the primary characteristic feature. The main hallmark of DSED is an indiscriminate and overly friendly approach to both familiar and unfamiliar individuals.

Choice C:

Selective attachment to caregivers is a characteristic feature of DSED. Children with this disorder may have a lack of appropriate wariness and show indiscriminate social behavior towards people they have no reason to trust, which contrasts with a typical development of forming attachments.

Choice D:

Fear of strangers is not a characteristic feature of DSED. In fact, children with DSED often lack this fear and readily engage with strangers without appropriate caution.

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Question 7:

(Select all that apply): A nurse is assessing a child suspected of having Disinhibited Social Engagement Disorder (DSED). Which clinical manifestations are commonly associated with DSED? (Select three.).

A. Social withdrawal. B. Excessive familiarity with strangers. C. Emotional detachment. D. Inappropriate behavior toward caregivers. E. Poor hygiene.

Answer and Explanation

Choice A:

Social withdrawal is not commonly associated with Disinhibited Social Engagement Disorder (DSED). Children with DSED tend to display excessive familiarity with strangers and inappropriate behavior towards caregivers, rather than withdrawing from social interactions.

Choice B:

Excessive familiarity with strangers is a hallmark manifestation of Disinhibited Social Engagement Disorder (DSED). Children with this disorder often show a lack of appropriate fear or caution around unfamiliar individuals, readily approaching and interacting with them.

Choice C:

Emotional detachment is one of the clinical manifestations commonly associated with DSED. Children with DSED may struggle with forming appropriate emotional bonds and exhibit a lack of selectivity in their social interactions, showing a lack of preference for familiar caregivers over strangers.

Choice D:

Inappropriate behavior toward caregivers is another characteristic feature of Disinhibited Social Engagement Disorder (DSED). Children with DSED may not display the expected attachment-related behaviors and may engage in overly familiar or even overly intimate behaviors with individuals they barely know.

Choice E:

Poor hygiene is not typically a recognized clinical manifestation of Disinhibited Social Engagement Disorder (DSED). This choice is not directly related to the core symptoms of the disorder.

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Question 8:

A nurse is talking to a caregiver of a child with DSED. The caregiver states, "My child avoids all social interactions." What does this statement suggest about the child's condition?

A. The child may have developed a secure attachment bond. B. The child is showing typical social behavior. C. The child's behavior is consistent with DSED. D. The child is emotionally withdrawn.

Answer and Explanation

Choice A:

This choice is not accurate. A child avoiding social interactions is not indicative of a secure attachment bond. In fact, it suggests the opposite, as children with Disinhibited Social Engagement Disorder (DSED) tend to display overly familiar behavior with strangers and a lack of appropriate attachment to caregivers.

Choice B:

The child avoiding all social interactions does not represent typical social behavior. Typically developing children seek social interactions and form connections with others, which is not the case for a child with DSED.

Choice C:

The caregiver's statement that "My child avoids all social interactions" is consistent with the behavior exhibited by children with Disinhibited Social Engagement Disorder (DSED). This disorder involves a lack of appropriate social boundaries, leading to overly friendly behavior with unfamiliar individuals and minimal hesitation to engage with them.

Choice D:

The term "emotionally withdrawn" does not accurately describe the behavior of a child with DSED. Children with DSED may seem socially engaging but lack the appropriate discrimination between familiar and unfamiliar individuals.

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Question 9:

A nurse is assessing a child with suspected DSED. The child says, "I like talking to new people and making friends quickly." What does this statement indicate?

A. The child has a strong attachment to caregivers. B. The child's social behavior is age-appropriate. C. The child is showing inhibited behavior. D. The child's behavior may be indicative of DSED.

Answer and Explanation

Choice A:

The statement does not imply a strong attachment to caregivers. Rather, it suggests a lack of appropriate attachment-related behaviors, which is indicative of Disinhibited Social Engagement Disorder (DSED).

Choice B:

The child's behavior of liking to talk to new people and make friends quickly is not considered age-appropriate. Children typically exhibit cautious behavior around strangers, unlike the behavior described, which could be a sign of DSED.

Choice C:

The child's behavior does not align with inhibited behavior. Inhibited behavior would involve shyness, reluctance to engage with new people, and hesitancy in forming friendships.

Choice D:

The child's statement, "I like talking to new people and making friends quickly," may be indicative of Disinhibited Social Engagement Disorder (DSED). Children with this disorder often show a lack of appropriate wariness around unfamiliar individuals and readily form relationships without discernment.

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Question 10:

A nurse is caring for a child with DSED. Which nursing intervention is important for promoting the child's safety?

A. Encouraging emotional detachment from caregivers. B. Providing information about attachment development. C. Reporting suspected neglect or abuse cases. D. Recommending home-based therapy for the child.

Answer and Explanation

Choice A:

Encouraging emotional detachment from caregivers would not be an appropriate intervention for a child with Disinhibited Social Engagement Disorder (DSED). This disorder is characterized by a lack of appropriate social boundaries and indiscriminate attachment behaviors. Encouraging emotional detachment could exacerbate the child's issues and hinder their healthy emotional development.

Choice B:

Providing information about attachment development could be helpful, but it might not directly address the safety concerns of the child. DSED involves a lack of discernment in forming attachments, which can put the child at risk of engaging with potentially harmful individuals. However, promoting safety requires more immediate actions.

Choice C:

(Correct Choice) Reporting suspected neglect or abuse cases is crucial for promoting the child's safety. Children with DSED are vulnerable due to their indiscriminate attachment behaviors and inability to judge potential threats accurately. If neglect or abuse is suspected, reporting to the appropriate authorities ensures that the child's safety is prioritized, interventions are initiated, and their well-being is safeguarded.

Choice D:

Recommending home-based therapy for the child might be beneficial for addressing the child's disorder, but it doesn't primarily focus on their safety. While therapy can help with attachment issues, it does not directly address the potential danger the child might be exposed to if abuse or neglect is occurring.

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Disinhibited Social Engagement Disorder (DSED)

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