Author Question: A client has flashbacks of sexual abuse by her uncle. She had not had these memories until recently, ... (Read 61 times)

mynx · **on:** Jul 19, 2018

A client has flashbacks of sexual abuse by her uncle. She had not had these memories until recently, when she became sexually active with her boyfriend.

A nurse should identify this experience as which part of Sullivan's concept of the self-system?1. The good me2. The bad me3. The not me4. The bad you

Question 2

A nursing instructor is teaching about the new DSM-5 diagnostic category of disruptive mood dysregulation disorder (DMDD). Which of the following information should the instructor include? (Select all that apply.)

1. Symptoms include verbal rages or physical aggression toward people or property.
2. Temper outbursts must be present in at least two settings (at home, at school, or with peers).
3. DMDD is characterized by severe recurrent temper outbursts.
4. The temper outbursts are manifested only behaviorally.
5. Symptoms of DMDD must be present for 18 or more months to meet diagnostic criteria.

macagn · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse should identify a client remembering sexual abuse when becoming sexually active with her boyfriend as experiencing the not me part of the personality. According to Sullivan, the not me part of the personality develops in response to situations that produced intense anxiety in childhood.

Answer to Question 2

1, 2, 3
Rationale: The APA has included a new diagnostic category in the Depressive Disorders chapter of the DSM-5. This childhood disorder is called disruptive mood dysregulation disorder. Criteria for the diagnosis include, but are not limited to, the following. Verbal rages or physical aggression toward people or property; temper outbursts must be present in at least two settings (at home, at school, or with peers). DMDD is characterized by severe recurrent temper outbursts. The temper outbursts are manifested both behaviorally and/or verbally. Symptoms of DMDD must be present for 12, not 18 or more months to meet diagnostic criteria.