Author Question: Factors that differentiate dissociative amnesia from dissociative fugue include what? A) In ... (Read 78 times)

frankwu · **on:** Jul 19, 2018

Factors that differentiate dissociative amnesia from dissociative fugue include what?

A) In dissociative fugue, the person suddenly and unexpectedly leaves home or work and is unable to recall the past.
B) In dissociative fugue, the person forgets the past three days' events.
C) In dissociative amnesia, the person leaves abruptly.
D) In dissociative amnesia, the person can recall events clearly unless they are more than 3 weeks old.

Question 2

A client complains of severe low back pain that began shortly after the death of her mother 2 years ago. No physical cause has been found to account for the pain.

She has been largely responsible for the care of four younger siblings because her father spends much of the week out of town on work-related business. Based on the client's symptoms, which of the following nursing diagnoses is most appropriate for her at this time?

A) Anxiety exhibited by unfounded somatic complaints
B) Depression exhibited by repressed rage
C) Altered comfort exhibited by poor school grades
D) Ineffective individual coping exhibited by failure of parenting role

l.stuut · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Dissociative fugue differs from dissociative amnesia in that the person suddenly and unexpectedly leaves home or work and is unable to recall the past. Assumption of a new identity, either partial or complete, may occur after relocating to another geographic area where the person is unable to recall his or her previous identity. Fugue is a rare occurrence that may be seen during times of extreme stress, such as war, severe conflicts, or natural disasters, and may last days or months. Excessive use of alcohol may contribute to the development of this rare disorder.

Answer to Question 2

Ans: A
The client is experiencing stress related to her current life situation and reacting by somatization to deal with her feelings. Therefore, anxiety exhibited by unfounded somatic complaints would be the correct nursing diagnosis. The other choices are not appropriate.