The nurse who is counseling a patient with dissociative identity disorder should understand that the assessment of highest priority is:
a. risk for self-harm.
b. cognitive function.
c. memory impairment.
d. condition of self-esteem.
ANS: A
Assessments that relate to patient safety take priority. Patients with dissociative disorders may be at risk for suicide or self-mutilation, so the nurse must be alert for indicators of risk for self-injury. The other options are important assessments but rank below safety. Treatment motivation, while an important consideration, is not necessarily a part of the nursing assessment.
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