Review Practice Exercise 1

Exam Review

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 4

Showing 4 questions, Sign in for more

Question 1:

A nurse is caring for a client who has been diagnosed with psychogenic fugue. In reviewing the client’s medical record, which information in the client’s history should indicate to the nurse that the diagnosis is correct? SELECT ALL THAT APPLY.

A. The client recently forgot all personal information following an accident. B. The client left home and assumed a new identity following the loss of a child. C. The client demonstrates having more than one distinct personality. D. The client claims to have superhero qualities following a recent suicide attempt. E. The client resides in a homeless shelter after being physically abused by his or her spouse.

Answer and Explanation

Choice A:

The presence of profound retrograde amnesia after a traumatic accident aligns with dissociative fugue. Inability to recall autobiographical details without evidence of neurological damage is consistent with the condition.

Choice B:

Assuming a new identity and leaving home following intense psychological trauma such as losing a child strongly indicates psychogenic fugue. The change occurs abruptly and serves as psychological escape.

Choice C:

Dissociative identity disorder involves multiple distinct personalities, not a single episode of amnesia with travel and identity loss. This presentation is separate from psychogenic fugue.

Choice D:

Grandiose delusions such as superhero qualities are hallmarks of psychotic disorders like schizophrenia or mania, not dissociative fugue, which lacks psychosis as a central feature.

Choice E:

Residence in a homeless shelter after spousal abuse suggests situational displacement due to trauma, but without identity loss or amnesia it does not meet the criteria for psychogenic fugue.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

A nurse is caring for a client diagnosed with dissociative amnesia. The client recently experienced a divorce. How should the nurse help the client deal with traumatic memories?

A. Discourage the client from verbalizing feelings because they will be too traumatic. B. Force the client to confront her memories about the divorce in a direct, confrontational manner. C. Tell the client that everything will be all right. D. Encourage the client to verbalize feelings of distress.

Answer and Explanation

Choice A:

Discouraging verbalization suppresses coping mechanisms, increases internal tension, and prevents therapeutic progress. Avoidance maintains dissociation and hinders the client’s ability to integrate the traumatic event.

Choice B:

Forcing confrontation may overwhelm the client, cause retraumatization, and worsen dissociation. Gradual supportive processing is the evidence-based approach, not aggressive exposure to painful memories.

Choice C:

Offering generic reassurance without addressing feelings invalidates the client’s experience. Such minimization prevents healing by ignoring the emotional complexity of the trauma and its psychological effects.

Choice D:

Allowing the client to verbalize feelings provides a safe outlet for emotional expression. Encouraging discussion of distress promotes gradual processing of trauma, reducing dissociative defenses and aiding memory recovery without re-traumatization.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A nurse is caring for a client who has a dissociative disorder and is experiencing amnesia. What could have triggered the amnesia?

A. Severe psychosocial stress B. Short-acting sedation C. Conscious sedation D. Syndrome of inappropriate antidiuretic hormone (SIADH)

Answer and Explanation

Choice A:

Severe psychosocial stress disrupts cognitive integration of memory, producing dissociative amnesia. It functions as a protective mechanism that shields the individual from overwhelming trauma by preventing recall of distressing experiences.

Choice B:

Short-acting sedation can cause temporary memory lapses due to pharmacologic effects, but this is drug-induced amnesia, not dissociative amnesia, and resolves as the drug wears off.

Choice C:

Conscious sedation may impair immediate recall during medical procedures but is predictable, intentional, and medication-based. It does not meet the diagnostic framework of a dissociative disorder.

Choice D:

Syndrome of inappropriate antidiuretic hormone leads to hyponatremia, confusion, or seizures due to electrolyte imbalance, but does not selectively produce dissociative-type amnesia or identity disturbance.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

Which client situation supports a potential diagnosis of a dissociative fugue?

A. A client enters the emergency department in New York City without understanding who he or she is or how he or she got there. B. A client known as being shy and passive comes into the emergency department angry and demanding. C. A client brought to the emergency department after a car accident is unable to recall his or her address or phone number. D. A client seen in the emergency department complains of feeling detached from the current situation.

Answer and Explanation

Choice A:

The client’s presence in a distant location with no memory of identity or travel strongly supports amnesia and disorientation, hallmark features of dissociative fugue. The sudden travel and identity confusion are diagnostic.

Choice B:

Sudden personality change such as aggression in a previously passive client may suggest a mood or personality disorder, but lacks the amnesia and travel component essential for dissociative fugue.

Choice C:

Memory loss following trauma is more consistent with post-traumatic amnesia or concussion. The absence of travel and identity confusion excludes dissociative fugue.

Choice D:

Feelings of detachment are indicative of depersonalization, a separate dissociative disorder. There is no travel or identity loss, which are required for fugue diagnosis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 4 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Nursing Offer

Upgrade your membership - 15% off

20,000+ questions
to help you excel in your exams.
Exams & Tests
20+ Exit exams & 100+ Test Banks.
Video tutorials
to enhance your learning
Comprehensive study guides
to support your exam preparation.

Get Your Offer Today

Exam Review

Practice Exercise 1 Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 4

Sign Up or Login to view all the 4 Questions on this Exam

Practice Exercise 1

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy