Author Question: Establishing a therapeutic relationship with a client with a dissociative disorder may be more ... (Read 117 times)

fox · **on:** Jul 19, 2018

Establishing a therapeutic relationship with a client with a dissociative disorder may be more
difficult for the nurse than establishing a relationship with a psychotic client because the client with
a dissociative disorder

a. seems haughty, distant, and aloof.
b. has symptoms that may seem contrived.
c. seems too needy, overwhelming the nurse.
d. seeks enormous amounts of secondary gain.

Question 2

A client tells the nurse she had psychotherapy weekly for 3 years.

The client states the therapist used
the techniques of free association, dream analysis, and facilitation of awareness of transference
feelings to help her understand unconscious processes and foster personality change. The nurse can
determine that the client was treated with
a. short-term dynamic psychotherapy.
b. transactional analysis.
c. cognitive therapy.
d. psychoanalysis.

jrpg123456 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The nurse often questions the genuineness of the behaviors of a client with dissociative disorder.
They may seem sensational, exaggerated, and not authentic. Option A: The client with a dissociative
disorder often appears withdrawn and vague. Options C and D are not typical of clients with
dissociative disorders.

Answer to Question 2

ANS: D
The client described traditional psychoanalysis. Option A: Short-term dynamic psychotherapy would
last less than a year. Options B and C: Neither transactional analysis nor cognitive therapy makes
use of the techniques described.