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Author Question: Which assessment finding best supports dissociative fugue? The patient states: a. I cannot recall ... (Read 24 times)

Yi-Chen

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on: Jul 19, 2018
Which assessment finding best supports dissociative fugue? The patient states:
 
  a. I cannot recall why I'm living in this town.
  b. I feel as if I'm living in a fuzzy dream state.
  c. I feel like different parts of my body are at war.
  d. I feel very anxious and worried about my problems.

Question 2

Select the correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder. Disturbed personal identity related to:
 
  a. obsessive fears of harming self or others.
  b. poor impulse control and lack of self-confidence.
  c. depressed mood secondary to nightmares and intrusive thoughts.
  d. cognitive distortions associated with unresolved childhood abuse issues.


DylanD1323

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Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: A
The patient in a fugue state frequently relocates and assumes a new identity while not recalling previous identity or places previously inhabited. The distracters are more consistent with depersonalization disorder, generalized anxiety disorder, or dissociative identity disorder. See relationship to audience response question.

Answer to Question 2

ANS: D
Nearly all patients with dissociative identity disorder have a history of childhood abuse or trauma. None of the other etiology statements is relevant. See relationship to audience response question.


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