The hospice nurse notices that, following the death of his wife of 50 years, a surviving husband's affect is anxious, and he reports a feeling of detachment from his body, stating. 1 feel like I am seeing myself from outside of my body." The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:

dissociative fugue.

dissociative identity disorder.

dissociative amnesia.

depersonalization disorder.

Answer and Explanation

The Correct Answer is D

D. Depersonalization disorder is a dissociative disorder where individuals feel detached from themselves, as if they are observing their own thoughts, feelings, sensations, or actions from outside their body. This can lead to a sense of unreality or detachment from the environment or one's own experiences. It is often triggered by stressful events or trauma, and it can occur in individuals experiencing grief or loss, such as the surviving husband in this scenario.

A. Dissociative fugue involves sudden, unexpected travel away from home or one's customary place of activities, accompanied by an inability to recall one's past. It is usually associated with amnesia for personal information and is not characterized by depersonalization symptoms.

B. DID involves the presence of two or more distinct personality states or identities within an individual, which alternate and take control of behavior. Each identity may have its own unique way of perceiving and interacting with the environment, which differs from the symptoms described in the scenario.

C. Dissociative amnesia involves the inability to recall important personal information, usually related to stressful or traumatic events. While depersonalization symptoms can occur in dissociative amnesia, the hallmark feature is memory loss rather than the feeling of detachment from one's body.

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Correct Answer is D

Explanation

D. Peer relationships are critically important during adolescence. Positive peer relationships can provide emotional support, a sense of belonging, and opportunities for socialization and development of social skills. On the other hand, negative peer relationships, such as bullying, social exclusion, or conflicts with peers, can contribute to feelings of loneliness, rejection, and depression.

A. While positive communication between teachers and teenagers can contribute to academic success and emotional support, it is not typically listed as a primary factor directly related to depression in adolescence. Issues related to academics and school performance may indirectly affect depression, but direct communication with teachers is less likely to be a significant factor compared to other options.

B. Effective communication between parents and teenagers plays a crucial role in adolescent development. Supportive and open communication can help adolescents feel understood, validated, and supported, which can have a protective effect against depression. Conversely, poor communication or conflict within the family environment can contribute to feelings of isolation, distress, and ultimately depression.

C. Academic stress, performance pressure, and difficulties in school can significantly impact an adolescent's mental health. High expectations, bullying, academic failure, or feeling overwhelmed by schoolwork can contribute to feelings of inadequacy, low self-esteem, and depression in adolescents.

A. A male client with severe long-lasting major depression and at risk for suicide B. A male client with major depressive disorder and history of heart disease C. A female client with dysthymic disorder D. A female client with major depression and brain metastasis

Correct Answer is A

Explanation

A. ECT is often considered for severe major depression that has not responded to other treatments, especially when there is a risk of suicide. ECT can provide rapid relief of symptoms, which is crucial in cases where immediate intervention is needed to prevent harm to the patient.

B. While ECT is generally safe for individuals with medical conditions, including heart disease, special precautions might be needed. However, the presence of heart disease alone would not necessarily preclude ECT if the benefits outweigh the risks and if the client's cardiac status is stable.

C. Dysthymic disorder, characterized by persistent depressive symptoms that are less severe than major depression, typically does not warrant ECT. ECT is usually reserved for more severe forms of depression that significantly impair daily functioning or pose a risk to the patient's safety.

D. ECT may be contraindicated or require careful consideration in clients with brain metastasis due to potential risks related to increased intracranial pressure or neurological complications. Alternative treatments may be preferred in such cases.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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

Correct Answer is A

Explanation

What is the main issue for adolescents with anorexia?

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

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

The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)

The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action?

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

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

A client has been given the diagnosis of bulimia. An appropriate medication used in the treatment of bulimia is which of the following?