Chapter 24: Dissociative Disorders

Chapter 24: Dissociative Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s:

a.	Motor skills
b.	Self-concept
c.	Body image
d.	Cognitive skills

 

 

ANS:  B

Trust and consistency play a major role in the development of a child’s self-concept. Abandonment provides neither. The mother’s absence may not affect the motor or cognitive skills of the children. Body image is only one component of self-concept.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 275             OBJ:   3

TOP:   Self-Concept in Childhood               KEY:  Nursing Process Step: Nursing Diagnosis

MSC:  Client Needs: Health Promotion and Maintenance

 

2. Following the death of his wife of 50 years, the hospice nurse notices that the surviving husband’s affect is flat, he states that he has stopped attending the weekly card club he belongs to, and he voices difficulty in making decisions on a daily basis. The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:

a.	Dissociative fugue
b.	Dissociative amnesia
c.	Dissociative identity disorder
d.	Depersonalization disorder

 

 

ANS:  D

Depersonalization serves as a defense mechanism in response to severe anxiety. The person often is described as “working on automatic” or “functioning as a robot.” The characteristics listed describe the behavioral or social signs and symptoms of depersonalized disorder. Fugue is characterized by traveling that occurs suddenly and unexpectedly with no recall of the traveling. Amnesia is the inability to remember personal information, and dissociative identity disorder was formerly known as multiple personality disorder.

 

DIF:    Cognitive Level: Application           REF:   p. 277             OBJ:   5

TOP:   Depersonalization Disorder              KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

3. The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:

a.	Host
b.	Alter
c.	Ego
d.	Identity

 

 

ANS:  A

The host is the term for the primary personality, which may not be aware of the alters (the other personalities). Ego is one component of the three-part theory of the ego, id, and super-ego identified by Sigmund Freud when referring to his belief of how personalities are structured. Identity refers to how one sees oneself.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 279             OBJ:   6

TOP:   Dissociative Disorders                     KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Psychosocial Integrity

 

4. When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:

a.	Naming all personalities for clarification
b.	Integrating the personalities into one functional personality
c.	Realizing when different personalities are about to emerge
d.	Learning how to move from one personality to another

 

 

ANS:  B

It is important for therapy to assist the client in combining the personalities into one, so that the individual is able to function and cope effectively with daily stressors. Naming the personalities might occur without thought but is not necessary. In addition, realizing when alters are about to emerge and learning how to move among personalities are not goals of treatment.

 

DIF:    Cognitive Level: Application           REF:   p. 280             OBJ:   7

TOP:   Dissociative Disorders                     KEY:  Nursing Process Step: Intervention

MSC:   Client Needs: Psychosocial Integrity