Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Dissociative Disorders Part 1

Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Dissociative Disorders Part 1

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Question 1

The nurse is assessing a client experiencing dissociative identify disorder (DID). The nurse anticipates the client to make which statement?

A	“My father wasn’t around much.”
B	“I feel good about myself.”
C	“I can recall many traumatic events from childhood.”
D	“My father loved me one day and hit me the next day.”

Question 2

The nurse is developing a teaching plan for a client experiencing dissociative identity disorder (DID). Which activity is most appropriate?

A	Group therapy with only clients who have DID
B	Inpatient therapy groups led by a psychologist
C	Support group with adult survivors of child abuse
D	Group therapy with clients who have a variety of diagnoses

Question 3

A nurse observes that the alter personality of a client with a dissociative identity disorder is in control. The client is sitting in the dayroom, interacting with others. His voice becomes louder and more intense, and he’s tearful and confused. What is the priority intervention by the nurse?

A	Allow the client to continue interacting with clients in the dayroom.
B	Ask to speak to one of the adult alter personalities of the host personality.
C	Remove the client from the dayroom and allow the client to play with toys.
D	Remove the client from the dayroom and reorient him that he’s in a safe place.

Question 4

The nurse determines that therapy has been effective for a client with dissociative identity disorder (DID) when:

A	the client is forgetful.
B	the client sleeps through the night.
C	the client has had several unsuccessful relationships.
D	the client hears voices.

Question 5

A client diagnosed with dissociative identity disorder (DID) is admitted to an inpatient psychiatric unit. The unit nurse-manager asks all staff members to attend a meeting. Which reason for the meeting is the most likely?

A	To review the restraint protocol with the staff
B	To inform the staff that no one should refuse to work with the client
C	To warn the staff that this client may be difficult and challenging to work with
D	To allow staff members to discuss concerns about working with a client with DID

Question 6

A client has just had an episode of dissociative fugue. What is the most appropriate nursing intervention?

A	Let the client verbalize the fear and anxiety he feels.
B	Encourage the client to share his experiences during the episode.
C	Have the client sign a contract stating he won’t leave the premises again.
D	Tell the client he won’t resolve his problems by running away from them.

Question 7

While interacting with a client experiencing dissociative identity disorder (DID), a nurse observes one of the alter personalities take over. The client goes from being very calm to angry and shouting. What is the best response by the nurse?

A	“Is one of you upset?”
B	“Why have you become angry?”
C	“Tell me what you’re feeling right now.”
D	“Let me speak to someone who isn’t angry.”

Question 8

What is the most appropriate nursing intervention for a client who experienced a recent episode of dissociative fugue?

A	Place the client on elopement precautions.
B	Help the client identify resources to deal with stressful situations.
C	Allow the client to share his experiences about the dissociative fugue episode.
D	Confront the client about his running away from problems instead of dealing with them.

Question 9

Which nursing intervention is most appropriate when caring for a client with dissociative identity disorder?

A	Remind the alter personalities they’re part of the host personality.
B	Interact with the client only when the host personality is in control.
C	Establish an empathetic relationship with each emerging personality.
D	Provide positive reinforcement to the client when calm alter personalities are present instead of angry ones.

Question 10

When interacting with a client experiencing dissociative identity disorder, a nurse observes that one of the alter personalities is in control. What is the most appropriate intervention?

A	Give recognition to the alter personality.
B	Notify the physician.
C	Immediately stop interacting with the client.
D	Ignore the alter personality and ask to speak to the host personality.

Question 11

The nurse has implemented a teaching plan for a client with dissociative identity disorder (DID). The nurse determines that teaching was successful when the client makes which statement?

A	“I will never marry.”
B	“I won’t get better, even with treatment.”
C	“I need to take my pills for anxiety.”
D	“I need to attend my therapy sessions faithfully.”

Question 12

A client is being treated at a community mental health clinic. The nurse has been instructed to observe for any behaviors indicating dissociative identity disorder (DID). The nurse should observe the client for which of the following?

A	Delusions of grandeur
B	Reports of often being very tired
C	Changes in dress, mannerisms, and voice
D	Refusal to make a follow-up appointment

Question 13

A nursing care plan for a client experiencing dissociative identity disorder (DID) should address which of the following?

A	Ritualistic behavior
B	Out-of-body experiences
C	History of severe childhood abuse
D	Ability to give a thorough personal history

Question 14

What is the most appropriate diagnostic statement for a client experiencing dissociative identity disorder (DID)?

A	Disturbed personal identity related to delusional ideations
B	Risk for self-directed violence related to suicidal ideations or gestures
C	Deficient diversional activity related to lack of environmental stimulation
D	Disturbed sensory perception: visual hallucinations related to altered sensory reception of visual stimulation

Question 15

Which nursing intervention is most important for a client experiencing dissociative identity disorder (DID)?

A	Give antipsychotic medications as prescribed.
B	Maintain consistency when interacting with the client.
C	Confront the client about the use of alter personalities.
D	Prevent the client from interacting with others when one of the alter personalities is in control.

Question 16

A client who is experiencing symptoms of dissociative identity disorder reports hearing voices and asks the nurse, “Am I crazy?” What is the most appropriate response by the nurse?

A	“What do the voices tell you?”
B	“Why would you think you’re crazy?”
C	“Clients with DID often report hearing voices.”
D	“Hearing voices is often a symptom of schizophrenia.”

Question 17

A nurse notes a change in voice and mannerisms of a client experiencing dissociative identity disorders (DID) after he learns that his wife has filed for divorce. What is the most appropriate nursing intervention?

A	Avoid discussing the client’s feelings.
B	Force the client to discuss his feelings.
C	Offer encouragement to the client.
D	Encourage the client to verbalize his feelings

Question 18

Which goal should the nurse implement for a client experiencing dissociative disorder?

A	Learning how to control periods of mania
B	Learning how to integrate all the alternate personalities
C	Developing coping strategies to deal with the traumatic childhood
D	Determining what is causing them to feel they have periods of “lost time”

Question 19

A family member of a client diagnosed with dissociative identity disorder (DID) asks a nurse if hypnotic therapy might help the client. What is the most appropriate response by the nurse?

A	“What would make you think that?”
B	“No, hypnosis is rarely used in the treatment of psychiatric conditions.”
C	“Yes, but this treatment is used only after other types of therapy have failed.”
D	“Yes, often the client doesn’t have conscious awareness of alter personalities.”

Question 20

A hospitalized client with dissociative identity disorder (DID) reports hearing voices. What is the most appropriate nursing intervention?

A	Instruct the client to lie down.
B	Give an as-needed dose of haloperidol (Haldol).
C	Encourage the client to continue with his daily activities.
D	Notify the physician that the client is having a psychotic episode.

Question 21

A nurse is caring for a client experiencing a dissociative disorder. What is the priority intervention by the nurse?

A	Plan activities in which the client will attain success.
B	Offer praise whether or not the client has been successful.
C	Have the client engage in repetitive activities to reduce stress.
D	Encourage the client to keep a journal to recognize unsuccessful coping strategies.

Question 22

The nurse identifies which behavior as most indicative of a client experiencing dissociative identity disorder (DID)?

A	Complaining of physical health problems with no organic basis
B	Being unable to account for certain times on a day-to-day basis
C	Participating in discussions about abusive incidents that occurred in the past
D	Being able to form a therapeutic relationship with the nurse after meeting twice

Question 23

A nurse determines therapeutic interactions have been successful when a client with dissociative identity disorder (DID) displays which behavior?

A	Confronting the abuser
B	Attending the unit’s milieu meetings
C	Preventing alter personalities from emerging
D	Reporting no longer having feelings of anger

Question 24

A client diagnosed with dissociative identity disorder (DID) understands the need to continue therapy when the client makes which statement?

A	“Therapy will help eliminate my family problems.”
B	“I must continue going to outpatient treatment for the next 2 months.”
C	“I understand that I need to integrate all my alter personalities into one.”
D	“Once therapy is complete, I won’t have the traits of my alter personalities.”

Question 25

A client with dissociative identity disorder has been in therapy for 2 years. The client just learned that her father who sexually abused her throughout childhood has passed away. The nurse determines that which is the most appropriate intervention?

A	Have the client seek inpatient therapy.
B	Encourage the client’s verbalization of feelings of anger and guilt.
C	Encourage the client’s alter personalities to emerge during this stressful time.
D	Stress to the client that the death of the abuser should be very helpful in her healing process.

Question 26

A 14-year-old client is admitted to an inpatient adolescent unit. The treatment team believes the client has dissociative identity disorder (DID). Based on this assessment data, which nursing intervention should the nurse anticipate using?

A	Request a social work consultation.
B	Institute elopement precautions.
C	Confront the parents about the staff’s suspicion of child abuse.
D	Prevent the client from interacting with other clients on the unit.

Question 27

The nurse is preparing to admit a client diagnosed with dissociative identity disorder (DID) to the inpatient psychiatric unit. What is the most appropriate intervention by the nurse?

A	Arrange to have staff check on the client every 15 to 30 minutes.
B	Prevent all family from visiting until the third day of hospitalization.
C	Make sure the staff understands the client will be on seizure precautions.
D	Place the client in a quiet room away from the noise of the nurse’s station.

Question 28

A 26-year-old man is reported missing after being the victim of a violent crime. Two months later, a family member finds him working in a city 100 miles from his home. The man does not recognize the family member or recall being the victim of a crime. The client is most likely exhibiting which condition?

A	Depersonalization disorder
B	Dissociative amnesia
C	Dissociative fugue
D	Dissociative identity disorder

Question 29

The nurse has provided teaching for family members of a client with a dissociative disorder. The nurse determines that teaching was effective when the family makes which statement about dissociative disorders?

A	“They occur as a result of incest.”
B	“They occur as a result of substance abuse.”
C	“They occur in more than 40% of all people.”
D	“They occur as a result of the brain trying to protect the person from severe stress.”

Question 30

A nurse on the psychiatric unit is caring for a 51-year-old male client who has suicidal ideations. Which nursing intervention takes priority?

A	Discouraging sleep except at bedtime
B	Making a verbal contract with the client to notify the staff of suicidal thoughts
C	Limiting time spent alone by encouraging the client to participate in group activities
D	Creating a safe physical and interpersonal environment

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Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Dissociative Disorders Part 1

Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Dissociative Disorders Part 1

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