A client comes to the ED stating that he suddenly went deaf. ...

[FButt]

A client comes to the ED stating that he suddenly went deaf. Physical examination and diagnos-tic tests reveal no organic pathology.
 
  The client's wife tells the nurse that her husband overheard her telling a friend on the phone that she planned to ask her husband for a divorce. In order to provide the family with appropriate teaching, the nurse use the formulation that the client has:
  1. Invented the symptom and can really hear all that is happening
  2. Probably had a small stroke that did not show up on the scans
  3. Developed the symptom as a protection from overwhelming anxiety
  4. Will very likely experience other sensory perceptual losses in the near future

Question 2

The nurse performing an admission interview for a client with suspected dissociative identity disorder should make it a priority to ask:
 
  1. What help would you like us to give you?
  2. Are you experiencing a high level of anxiety?
  3. Do you find performing rituals makes you feel more comfortable?
  4. Have you ever been unable to remember how you came to be in a certain place?

[zenzy]

Answer to Question 1

ANS: 3
The scenario suggests that the client is experiencing symptoms of conversion disorder, an anxiety disorder in which the symptom affects voluntary sensory or motor function and mimics a neuro-logical disorder. There is no organic basis for the symptoms, but the symptoms are not under the client's voluntary control. 1. This is not the case; the client does not fake conversion symptoms. 2. This is untrue; no organic pathology is present in conversion disorder. 4. One episode of con-version disorder does not suggest that various other conversion symptoms will arise.

Answer to Question 2

ANS: 4
This question gives a clue that another personality may have been in control. Option 1 will proba-bly not provide the nurse with pertinent assessment data for DID. Option 2 will not yield helpful information pertinent to DID. Option 3: The individual with DID would not be expected to ex-hibit symptoms of OCD.

[FButt]

Gracias!

[Sarahjh]

Excellent