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.

DIF:    Cognitive Level: Comprehension     REF:   Page 262        OBJ:   3

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

MSC:  Client Needs: Health Promotion and Maintenance

2. Dissociative disorders most often result when an individual is attempting to cope with:

ANS:  A

Although dissociative disorders can occur in response to any threat to a person’s mental health, they most frequently are a response to extreme emotional anxiety or distress. Dissociative disorders are a coping mechanism that allows an individual to block the most anxiety-producing parts of the personality from the rest of the personality.

DIF:    Cognitive Level: Comprehension     REF:   Page 264        OBJ:   4

TOP:   Characteristics of Dissociative Disorders

KEY:  Nursing Process Step: Nursing Diagnosis

MSC:  Client Needs: Psychosocial Integrity

3. 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 nurse 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.

DIF:    Cognitive Level: Application           REF:   Page 264        OBJ:   5

TOP:   Depersonalization Disorder              KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

4. During the nursing  assessment before admission to a mental health facility, the client states that he was found to have driven his car to another state but had no recollection of traveling there. The nurse is aware that this client is describing the condition known as:

ANS:  B

Dissociative fugue is an extreme fight-or-flight reaction that is a coping mechanism for an extremely stressful or traumatic event. The person who is experiencing a dissociative fugue travels, sometimes very long distances, without difficulty and without recalling his travels. Amnesia is a loss of memory. Dissociative trance disorder is often an expression of spiritual beliefs that is characterized by loss of voluntary movements while in a state resembling sleep but remaining conscious. Dissociative personality is not a disorder.

DIF:    Cognitive Level: Application           REF:   Page 265        OBJ:   5

TOP:   Dissociative Fugue                          KEY:  Nursing Process Step: Assessment

MSC:   Client Needs: Psychosocial Integrity