A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Administer a benzodiazepine to the client.

Establish rapport with the client.

Teach the client grounding techniques.

Educate the client about their disorder.

Answer and Explanation

The Correct Answer is B

A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.

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Correct Answer is D

Explanation

A. The majority of people who have been incarcerated at state prisons are treated for a serious mental illness: While many incarcerated individuals do have serious mental illnesses (SMIs), a significant number do not receive adequate treatment while in prison. This statement is not accurate as a majority of those incarcerated do not receive proper mental health care.
B. People who have SMIs and have been incarcerated are less likely to be victimized: Individuals with SMIs may actually be at greater risk of victimization while incarcerated due to their vulnerability. This statement does not accurately reflect the reality of their experiences.
C. People who have been incarcerated rarely experience inadequate treatment while in prison: Many individuals with SMIs do not receive adequate treatment while incarcerated, which can exacerbate their conditions and contribute to challenges upon release.
D. People who have SMIs and have been incarcerated face a greater risk of discontinuing treatment and relapsing. Individuals with SMIs often struggle with continuity of care after release, leading to higher rates of treatment discontinuation and relapse. The transition from prison to community care can be difficult, resulting in gaps in treatment and support.

A. "Clients who have this disorder consciously control the manifestations." B. "Feeling outside of one's body is a primary manifestation of this disorder." C. "The manifestations of this disorder are worse during times of increased stress." D. "Clients who have this disorder exhibit more than one personality."

Correct Answer is C

Explanation

A. "Clients who have this disorder consciously control the manifestations.": Clients with functional neurological symptom disorder do not have conscious control over their symptoms. The manifestations are involuntary and arise without the client's intent.
B. "Feeling outside of one's body is a primary manifestation of this disorder.": While some clients may experience feelings of depersonalization or derealization, these sensations are not primary manifestations. Functional neurological symptom disorder is characterized by neurological symptoms like weakness, paralysis, or abnormal movements without a medical explanation.
C. "The manifestations of this disorder are worse during times of increased stress.": Symptoms often worsen in response to stress or emotional distress, indicating a significant connection between psychological factors and the physical manifestations of the disorder.
D. "Clients who have this disorder exhibit more than one personality.": Clients with functional neurological symptom disorder do not exhibit multiple personalities; rather, the disorder focuses on neurological symptoms that arise without a clear medical cause.

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A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with clients who were incarcerated and have recently been released from prison. Which of the following pieces of information regarding SMIs should the nurse be aware of?

Correct Answer is D

Explanation

A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

Correct Answer is C

Explanation

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A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

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