A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

"Nursing interventions for this diagnosis are very limited, regardless of age."

"Assessing for thoughts of self-harm is important, regardless of age."

"Usually, older clients have better treatment outcomes."

"Usually, only adults are on psychiatric medication for this disorder."

Answer and Explanation

The Correct Answer is B

B. Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.

A. Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.

C. Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.

D. Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.

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Correct Answer is A

Explanation

A. A lack of emotions, also known as flat affect or emotional blunting, is a common negative symptom of schizophrenia. It refers to a reduced range or intensity of emotional expression, such as reduced facial expressions, tone of voice, or gestures.

B. Paranoia is not a negative symptom but rather a positive symptom of schizophrenia.

C. Confusion may occur in schizophrenia, but it is not specific to negative symptoms. Confusion can be a result of various factors, including medication side effects, acute psychosis, or cognitive deficits.

D. Distorted beliefs, such as delusions, are considered positive symptoms rather than negative symptoms of schizophrenia.

A. Herbal remedies are not effective in treating manifestations of mental illness. B. Discourage the use of herbal remedies in treating manifestations of mental illness, C. Most herbal remedies do not interact with prescription medications. D. Serotonin syndrome can occur when using herbal remedies.

Correct Answer is D

Explanation

D. Serotonin syndrome is a potentially life-threatening condition that can occur when there is an excess of serotonin in the body. Certain herbal remedies, such as St. John's Wort, can increase serotonin levels and may lead to serotonin syndrome, particularly when used in combination with prescription medications that also affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors (MAOIs).

A. It's important for the nurse to provide accurate and balanced information about the potential benefits and limitations of herbal remedies, rather than dismissing them outright.

B. Simply discouraging the use of herbal remedies without addressing the client's concerns or providing information about potential risks may not be effective or conducive to open communication.

C. Many herbal remedies can interact with prescription medications, altering their effectiveness or increasing the risk of adverse effects

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A nurse is discussing treatment options with the guardian of a child who has been diagnosed with dissociative identity disorder. The guardian asks. "How is nursing care different for children diagnosed with dissociative Identity disorder compared to adults?" How should the nurse best respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

Correct Answer is A

Explanation

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

A nurse is providing mental health education to a group of high school students. Which of the following information about screening for mental illness should the nurse include?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?