A patient's roommate has observed the patient behaving in uncharacteristic ways, but the patient cannot remember the episodes. A dissociative identity disorder is suspected. Which questions are most relevant to the assessment of this patient?
Select all that apply.
a. "Are you sexually promiscuous?"
b. "Do you think you need an antidepressant medication?"
c. "Have you ever found yourself someplace and did not know how you got there?"
d. "Are your memories of childhood clear and complete, or do you have blank spots?"
e. "Have you ever found new things in your belongings that you can't remember buying?"
ANS: C, D, E
Asking, "Are you sexually promiscuous?" would probably produce defensiveness on the part of the patient. If a subpersonality acts out sexually, the main personality is probably not aware of the behavior. "Do you think you need an antidepressant medication?" is a premature question and not in the nurse's scope of practice. All of the other questions are pertinent.
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