Author Question: The ED nurse is caring for a patient with a dissociative fugue. Which assessment finding would ... (Read 93 times)

amal · **on:** Jul 19, 2018

The ED nurse is caring for a patient with a dissociative fugue. Which assessment finding would support this diagnosis?

a. Reports of pain in both legs and abdomen
b. An inability to recall how and when he arrived in this city
c. Change in voice and attitude suggesting two distinct personality states
d. Inability to see since witnessing an accident that resulted in two deaths

Question 2

A patient who inaccurately believes he has stomach cancer is recommended cognitive theory to help address this false believe. Which intervention is most consistent with a cognitive theory approach?

a. Continuing to challenge the patient about the rationality of his belief
b. Assisting him to reinterpret the meaning of the sensations his body is creating
c. Urging him to have a second opinion' consult with another medical specialist
d. Rewarding him with praise and acceptance when he states, I do not have can-cer.

SeanoH09 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The inability to recall the past is indicative of a fugue disorder. The remaining options are not characteristics of dissociative fugue.

Answer to Question 2

ANS: B
Cognitive theorists believe that patients with somatic symptoms misinterpret the meaning of body functions and sensations and become overly alarmed by them and so help patients to reinterpret the meaning of body sensations. Continuing to challenge the patient regarding the belief is not therapeutic and should be avoided. Reinterpretation of thoughts is an appropriate cognitive approach. Rewarding appropriate behavior is a behavioral technique. Encouraging a second opinion is not helpful at this point since it is not likely to change his belief.