Chapter 24: Dissociative Disorders Morrison-Valfre: Foundations of Mental Health Care, 7th Edition 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. 279 TOP: Self-Concept in Childhood KEY: Nursing Process Step: Nursing Diagnosis MSC: Client Needs: Health Promotion and Maintenance
OBJ: 3
2. 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: 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. 281 OBJ: 5 TOP: Depersonalization/Derealization 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.
NURSING TEST BANK
