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?

A. history of self-injurious behavior

History of trauma during the developmental years

Borderline personality disorder

A history of schizophrenia

Answer and Explanation

The Correct Answer is B

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

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Correct Answer is B

Explanation

B. Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These determinants include factors such as socioeconomic status, education, employment, housing, and access to healthcare.

A. Health equity refers to the absence of disparities in health and healthcare among different populations. However, this option does not specifically address the client's situation of unemployment and homelessness.

C. Treatment protocols are important for guiding clinical practice but they do not directly address the social determinants of health impacting the client's situation.

D. Unconscious bias refers to implicit attitudes or stereotypes that influence judgments and behaviors in a subconscious manner but do not directly address the social determinants of health impacting the client's situation of unemployment and homelessness.

A. "My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot." B. "My mother had me when she was in high school C. "My English teacher is amazing. They really listen well." D. "My parents are in the military. We have moved a lot since I was born,

Correct Answer is C

Explanation

C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders

A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.

B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.

D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

Correct Answer is C

Explanation

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A nurse is caring for a client who has a new diagnosis of somatic symptoms disorder. The nurse should identify that the client must have been experiencing manifestations of the disorder for how long before diagnosis?

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A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?

A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first?