The traumatized client has suddenly changed demeanor and voice pitch. Which of the following is true about the use of touch with a client with dissociative identity disorder?

Touching will convey a sense of security to the client.

Touch the client only if you are in their direct line of vision.

It is best not to touch the client without their permission.

Make sure the client knows the touch is friendly and supportive.

Answer and Explanation

The Correct Answer is C

Choice A reason: While touch can sometimes convey security, in dissociative identity disorder (DID), touch may trigger traumatic memories or cause distress if not consented to. Therefore, assuming touch will always provide security is unsafe and not therapeutic.

Choice B reason: Touching only when in the client’s line of vision may reduce surprise, but it does not address the fundamental issue of consent. Even if the client sees the nurse, the act of touching without permission can still be intrusive and retraumatizing.

Choice C reason: The best practice is to avoid touching without explicit permission. Clients with DID often have histories of trauma, and unwanted touch can trigger dissociation or flashbacks. Seeking permission respects boundaries, promotes trust, and ensures safety in therapeutic interactions.

Choice D reason: Informing the client that touch is friendly and supportive may help in some contexts, but it still bypasses the client’s autonomy. Without permission, even well-intentioned touch can be harmful. Consent is the critical factor in maintaining therapeutic safety.

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Correct Answer is D

Explanation

Choice A reason: Clients with illness anxiety disorder do show distress, but the distress is related to fear of disease rather than the physical symptoms themselves.

Choice B reason: Not all of the statements are true. For example, clients do not fabricate symptoms for attention; their fears are genuine.

Choice C reason: Exaggeration or fabrication is more consistent with factitious disorder or malingering, not illness anxiety disorder.

Choice D reason: Interpreting normal body sensations as signs of disease is the hallmark of illness anxiety disorder. Clients misinterpret benign sensations such as palpitations or headaches as evidence of serious illness.

A. Benzodiazepines can be toxic to the kidneys and liver over time. B. Benzodiazepines lead to damage of the cardiopulmonary system over time. C. Benzodiazepines cause personality problems. D. Benzodiazepines cause drug dependency.

Correct Answer is D

Explanation

Choice A reason: Benzodiazepines are not primarily toxic to kidneys or liver when used appropriately.

Choice B reason: Cardiopulmonary damage is not a direct effect of benzodiazepines.

Choice C reason: Personality problems are not a recognized long-term effect of benzodiazepines.

Choice D reason: Benzodiazepines carry a high risk of tolerance, dependence, and withdrawal symptoms with long-term use. This is the most important concern.

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The traumatized client has suddenly changed demeanor and voice pitch. Which of the following is true about the use of touch with a client with dissociative identity disorder?

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Which of the following is true about clients with illness anxiety disorder?

Correct Answer is D

Explanation

A client’s medical history reveals long-term use of benzodiazepines for anxiety disorder. The nurse knows that:

Correct Answer is D

Explanation

A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?

A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client's:

A client with a history of explosive outbursts becomes angry and states, "I am really getting angry.” The nurse sees this behavior as:

Interventions for a client with panic disorder include which of the following? Select all that apply.

A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing:

The best goal for a client learning a relaxation technique is that the client will:

Which of the four classes of medications used for panic disorder is considered the safest because of its low incidence of side effects and lack of physiologic dependence?

The client’s family asks the nurse, "What is illness anxiety disorder?" What is the best response by the nurse?