Author Question: A client is diagnosed with DID. What is the primary goal of therapy for this client? 1. To ... (Read 59 times)

itsmyluck · **on:** Jul 19, 2018

A client is diagnosed with DID. What is the primary goal of therapy for this client?

1. To recover memories and improve thinking patterns.
2. To prevent social isolation.
3. To decrease anxiety and need for secondary gain.
4. To collaborate among sub-personalities to improve functioning.

Question 2

A client diagnosed with DID switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?

1. It is a means to attain secondary gain.
2. It is a means to explore feelings of excessive and inappropriate guilt.
3. It serves to isolate painful events so that the primary self is protected.
4. It serves to establish personality boundaries and limit inappropriate impulses.

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

Answer to Question 1

4
Rationale: The nurse should anticipate that the primary therapeutic goal for a client diagnosed with DID is to collaborate among sub-personalities to improve functioning. Some clients choose to pursue a lengthy therapeutic regimen to achieve integration, a blending of all the personalities into one. The goal is to optimize the client's functioning and potential.

Answer to Question 2

3
Rationale: The nurse should anticipate that a client who switches personalities when confronted with destructive behavior is dissociating in order to isolate painful events so that the primary self is protected. The transition between personalities is usually sudden, dramatic, and precipitated by stress.