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 B

Explanation

B. This concept involves understanding how individuals respond to stressors and whether their coping strategies are effective in managing stress and promoting well-being. By assessing whether the client's responses to stress are adaptive (i.e., helpful and constructive) or maladaptive (i.e., harmful or ineffective), the nurse can tailor interventions to support the client in developing healthier coping mechanisms and managing stress more effectively.

A. Although understanding the client's perception of the stressors is important, labeling them as justified or unjustified may not fully capture the complexity of the client's experience or their individual response to stress.

C This concept involves evaluating the moral or ethical implications of the client's actions or decisions in response to stressors.

D. While assessing the client's behaviors and their impact on health and well-being is important, labeling them as inherently good or bad may oversimplify the complexity of the client's experience.

A. Osteoarthritis B. Diabetes mellitus C. Alzheimer's disease D. Cancer

Correct Answer is C

Explanation

C. Alzheimer's disease is a neurodegenerative disorder characterized by progressive cognitive decline, memory loss, and changes in behavior. Research suggests that individuals with

schizophrenia may have an increased risk of developing Alzheimer's disease compared to the general population.

A. Osteoarthritis is a degenerative joint disease primarily affecting older adults and is more closely linked to factors such as aging, joint injury, and obesity.

B. Diabetes mellitus is not associated with schizophrenia.

D. Cancer is not typically considered a comorbidity of schizophrenia. While individuals with schizophrenia may face certain health disparities and have higher rates of risk factors such as smoking, cancer itself is not directly linked to schizophrenia

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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 reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

Correct Answer is B

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

Correct Answer is C

Explanation

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

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?

A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?

A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?

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 planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

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?