The nurse is caring for a patient with dissociative identity ...

[fagboi]

The nurse is caring for a patient with dissociative identity disorder who has been admitted to the hospital for dehydration. Which question is the priority for including in the assessment?
 
  1. Do you remember what you were doing today?
  2. Do you look in the mirror and not recognize yourself?
  3. Do you ever think about harming yourself?
  4. Do you find new things among your belongings that you don't recall obtaining?

Question 2

When assessing patients with dissociative disorders, the nurse knows that which assessments are most important?
 
  1. Pain, bowel sounds, behaviors
  2. Anxiety, B12 level, heart sounds
  3. LOC, patient safety, and level of anxiety
  4. Facial expression, body image, pupillary reactivity

[yuyiding]

Answer to Question 1

Answer: 3
Explanation: Patients with dissociative disorders have a high risk for suicide. It is important to ask these patients direct questions about risk for suicide and self-harm. The other questions may be appropriate, but they are not the priority. Assessing for safety always takes priority.

Answer to Question 2

Answer: 3
Explanation: When assessing patients with dissociative symptom disorders, it is important to assess patient safety, level of consciousness, and anxiety level. The other choices are more appropriate for assessing the patient with a somatic symptom or related disorder.