The ED nurse is caring for a client with a dissociative fugue. ...

[kaid0807]

The ED nurse is caring for a client with a dissociative fugue. Which sign or symptom would the nurse expect to assess?
 
  1. Pain in one or more sites
  2. An inability to recall the past or where he had been
  3. At least two distinct personality states
  4. A deficit affecting voluntary motor or sensory functions

Question 2

A client displays signs and symptoms indicative of hypochondriasis. The nurse would initially expect to see:
 
  1. Self-preoccupation
  2. La belle indifference
  3. Fear of physicians
  4. Insight into the source of her fears

[Brenm]

Answer to Question 1

ANS: 2
Pain (option 1) would relate to a pain disorder. The inability to recall the past (option 2) is indica-tive of a fugue, whereas multiple personality states refer to dissociative identity disorders (option 3). A motor or sensory function deficit (option 4) relates to conversion disorders.

Answer to Question 2

ANS: 1
Assessment data for this client would include preoccupation with self, especially with physical functioning. La belle indifference (option 2) occurs with conversion disorders. There is little in-sight at first, so option 3 is incorrect. Individuals with hypochondrias have multiple visits to phy-sicians.

[kaid0807]

Excellent

[atrochim]

TYSM