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:

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.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 276

OBJ:   3                    TOP:   Self-Concept in Childhood

KEY:  Nursing Process Step: Diagnosis      MSC:  Client Needs: Health Promotion and Maintenance

2. 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:

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.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 279

OBJ:   3                    TOP:   Self-Concept in Childhood

KEY:  Nursing Process Step: Diagnosis      MSC:  Client Needs: Health Promotion and Maintenance

3. The hospice nurse notices that, following the death of his wife of 50 years, a surviving husband’s affect is anxious, and he reports a feeling of detachment from his body, stating, “I feel like I am seeing myself from outside of my body.” The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:

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.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 281

OBJ:   5                    TOP:   Depersonalization/Derealization Disorder

KEY:  Nursing Process Step: Evaluation     MSC:  Client Needs: Psychosocial Integrity

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

ANS:  A

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.

PTS:   1                    DIF:    Cognitive Level: Knowledge            REF:   p. 281

OBJ:   6                    TOP:   Dissociative Identity Disorder

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity