Author Question: A 12-year-old client has been diagnosed with dissociative identity disorder. Nurses gathering ... (Read 31 times)

ap345 · **on:** Jul 19, 2018

A 12-year-old client has been diagnosed with dissociative identity disorder. Nurses gathering
assessment data should be particularly alert to references that may relate to

a. low socioeconomic status.
b. lack of cultural role models.
c. physical or sexual abuse.
d. parental marital discord.

Question 2

A 60-year-old retiree was awakened early one morning by a police officer who informed her that her
husband had died while jogging.

The next 3 days the widow went through the funeral ritual in a state
of numbness. Several of her friends tried to get her to vent her feelings by crying. Which statements
offer plausible explanations for the widow's inability to cry? (More than one answer may be
correct.)
A. The acute stage of grief involves shock and disbelief that may last for several days.
B. Culture is a determinant of grief responses. Some groups view emotional displays negatively.
C. Psychologically unhealthy individuals are likely to have atypical grief reactions.
D. The unconscious use of denial is considered normal for several days after a loss. It protects the
individual from the intolerable pain of loss.

voltaire123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Physical or sexual abuse of children puts them at risk for developing dissociative identity disorder as
a defense against anxiety associated with the abuse. Although the other options cause increased
social and environmental stress for children, these stressors do not seem to predispose to dissociative
identity disorder.

Answer to Question 2

A, B, D
Rationale: Options A, B, and D are true statements with relevance to the scenario. Option C: This
statement is not based on fact. It has no relevance to the individual's inability to cry during the initial
stage of grieving, which is marked by shock, disbelief, and denial.