Hospitalization of a client with a dissociative disorder is required in which situation?

Loss of memory associated with sudden travel

Adjustment of medication

Monitoring of identities

Reliving of traumatic events

Answer and Explanation

The Correct Answer is D

D. Dissociative disorders, particularly post-traumatic stress disorder (PTSD) and acute stress disorder, can involve the reliving of traumatic events through flashbacks, nightmares, or intrusive memories.

Hospitalization may be required if the client experiences severe distress, is at risk of self-harm or harm to others during flashbacks.

A. Dissociative amnesia is characterized by significant memory loss that cannot be explained by ordinary forgetfulness. If a client experiences sudden travel and cannot remember how they arrived at a distant location, it could indicate dissociative amnesia. Hospitalization is not absolutely necessary.

B Dissociative disorders are primarily treated with psychotherapy rather than medication adjustments. However, if medication adjustments are necessary for co-occurring conditions or to manage symptoms like anxiety or depression, hospitalization is not necessary.

C. Monitoring of identities is typically done on an outpatient basis, unless there are additional complications or risks identified by a healthcare professional.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","F"]

Explanation

A. Irritability is a common symptom of depression in adolescents. They may become easily annoyed, frustrated, or angered, often over minor issues.

B. Euphoria, which refers to an exaggerated feeling of happiness or excitement, is not typically associated with depression. Instead, it may indicate a different mood disorder, such as bipolar disorder.

C. Adolescents with depression often experience decreased energy levels or fatigue. They may feel physically drained and lack motivation to engage in usual activities.

D. Social withdrawal and isolation from peers is a significant behavioral indicator of depression. Adolescents may avoid social activities, stop participating in hobbies, or spend more time alone.

E. Grandiosity refers to an exaggerated sense of one's importance, abilities, or achievements. This symptom is more characteristic of certain mood disorders like bipolar disorder or narcissistic personality disorder rather than depression.

F. Feelings of loneliness and social isolation are common in adolescents with depression. They may feel disconnected from others, even if they are physically present in social settings.

A. Symptoms most commonly appear in early childhood B. First diagnosed following a severe stressor. C. Sufferers usually have strained interpersonal relationships D. The course of the disorder follows a see-saw pattern and tends to become chronic E. More frequent in person exposed to a serious illness in childhood

Correct Answer is ["C","D"]

Explanation

C. Hypochondriasis can strain interpersonal relationships due to excessive preoccupation with health concerns, frequent doctor visits, and seeking reassurance from others.

D. Hypochondriasis often follows a chronic course with periods of intense anxiety about health alternating with periods of relative calm. Despite reassurances and negative medical tests, individuals with hypochondriasis may continue to worry about their health

A. Hypochondriasis typically develops in adulthood rather than childhood. It involves persistent anxiety about health and the interpretation of normal bodily sensations as signs of serious illness. Childhood is less commonly associated with the onset of hypochondriasis.

B. While stress can exacerbate symptoms of hypochondriasis, it is not typically diagnosed immediately following a specific stressor. The disorder often develops gradually over time due to a combination of factors, including anxiety, personality traits, and past experiences with illness.

E. There is no consistent evidence suggesting that exposure to serious illness in childhood predisposes individuals to hypochondriasis. The disorder is more associated with individual psychological factors, cognitive biases, and anxiety sensitivity rather than childhood illness exposure.

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Hospitalization of a client with a dissociative disorder is required in which situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of adolescents regarding identifying behavioral indicators of depression. Which of the following manifestations should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","D","F"]

Explanation

Which of the following are indicative of hypochondriasis? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

Depression in adolescence usually is related to loneliness, family strengths, self-esteem, and which of the following?

Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)?

Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect?

A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

A female client with anorexia nervosa and a cardiac condition was prescribed an antidepressant before she regained weight during her treatment course. The nurse should be aware of the possibility of which condition in this client?

Which of the following is true of a person who assumes the sick role?

A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?