Author Question: A client states I feel detached and weird all the time. It's as though I'm looking at life through a ... (Read 43 times)

casperchen82 · **on:** Jul 19, 2018

A client states I feel detached and weird all the time. It's as though I'm looking at life through a
cloudy window. Everything seems unreal. These feelings really get in the way of working and
studying..

The nurse can assess that the client is experiencing
a. depersonalization disorder.
b. body dysmorphic disorder.
c. dissociative amnesia.
d. hypochondriasis.

Question 2

A client tells the nurse, I was the lone survivor in a small plane crash in which three of my business
associates were killed. I got anxious and depressed and saw a counselor three times a week for 4
weeks.

The therapist and I talked about my feelings about being a survivor. I'm OK now, back to
being my old self.. The nurse can correctly conclude that the type of therapy the client underwent
was
a. milieu therapy.
b. psychoanalysis.
c. behavior modification.
d. interpersonal psychotherapy.

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

Answer to Question 1

ANS: A
The DSM-IV-TR description of depersonalization disorder states that it involves a persistent or
recurrent experience of feeling detached from and outside one's mental processes or body. Although
reality testing is intact, the experience causes significant impairment in social or occupational
functioning and distress to the individual. Option B: Body dysmorphic disorder involves
preoccupation with a body part the individual believes to be distorted. Option C: Dissociative
amnesia involves memory loss. Option D: Hypochondriasis involves interpretation of body
sensations as symptomatic of a serious illness.

Answer to Question 2

ANS: D
Interpersonal psychotherapy returned the client to his former level of functioning by helping him
come to terms with the loss of friends and guilt over being a survivor. Option A: Milieu therapy
refers to environmental therapy. Option B: Psychoanalysis would call for a long period of
exploration of unconscious material. Option 3C: Behavior modification would focus on changing a
behavior rather than helping the client understand what is going on in his life.