A client with a dissociative disorder is admitted to a ...

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A client with a dissociative disorder is admitted to a psychiatric facility. His insurer approves a 3-day hospitalization. Which of the following should be prioritized in the client's plan of inpatient care?
 
  A) Education and job training
  B) Socialization and communication skills
  C) Safety and structured activity
  D) Electroconvulsive therapy (ECT)

Question 2

Inpatient treatment has been recommended for a client who is exhibiting signs and symptoms of dissociative identity disorder (DID). Which of the following statements most accurately describes DID?
 
  A) The person with DID experiences feelings of detachment from his or her own body or mind.
  B) The person with DID has memory loss not attributable to organic causes or simple forgetfulness.
  C) The person with DID suffers substantial memory loss, sudden travel from home, and confusion about or adoption of a new identity.
  D) The person with DID develops alternate personalities.

[reelove4eva]

Answer to Question 1

Ans: C
Feedback:
The nurse's role in managing the care of the client with a dissociative disorder is to support and reinforce the gains made in therapy sessions. The nurse accomplishes this by providing emotional support, grounding, and a sense of security. Specific techniques include the following: Educate the client about the recovery process; provide a safe, nonjudgmental environment to encourage the client to diminish defensive responses (a simple, structured environment is most helpful); monitor the client's pace in uncovering memories; assist the client in learning grounding techniques; help the client to identify times when strong emotions begin to be overwhelming; and assist the client in planning for discharge from the hospital.

Answer to Question 2

Ans: D
Feedback:
With DID, the person acquires two or more identities or personality states (alters) who take control over his or her behavior. As with amnesia, DID involves an inability to recall important personal information that is too extensive to be labeled as forgetfulness.