Which question would the nurse performing an admission interview ...

[D2AR0N]

Which question would the nurse performing an admission interview for a patient with suspected dissociative amnesia disorder identify as a priority?
 
  a. What help would you like us to give you?
  b. Are you experiencing a high level of anxiety?
  c. Do you find rituals make you feel more comfortable?
  d. How would you describe your childhood memories?

Question 2

A patient comes to the ED exhibiting severe physical and emotional symptomology. When no physical cause can be found for the symptoms, the patient is diagnosed with severe anxiety with panic attack symptoms.
 
  Which assessment data supports this diagnosis? Select all that apply.
  a. Blood pressure 158/90; 15 minutes later 130/80
  b. Claims that she feels like she going to die
  c. Random but controlled thoughts
  d. Unable to follow instructions
  e. Dry, flushed skin

[tuate]

Answer to Question 1

ANS: D
Due to a recent increase in reported cases of dissociative amnesia involving previously for-gotten early childhood memories, assessing such memories would have priority with this pa-tient. Obsessive-compulsive disorder is not generally viewed as a co-morbid disorder of dis-sociative amnesia. The remaining options would not provide much specific information for this patient's condition.

Answer to Question 2

ANS: A, B, D
Blood pressure will begin to drop in a panic attack as the sympathetic nervous system release occurs; the patient may express an emotional sensation of doom and the patient will not be able to concentrate and so will be unable to follow instructions. Thoughts during a panic at-tack are uncontrolled and the skin is diaphoretic.

[D2AR0N]

Correct answers!

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