A client diagnosed with DID switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?
1. It is a means to attain secondary gain.
2. It is a means to explore feelings of excessive and inappropriate guilt.
3. It serves to isolate painful events so that the primary self is protected.
4. It serves to establish personality boundaries and limit inappropriate impulses.
3
Rationale: The nurse should anticipate that a client who switches personalities when confronted with destructive behavior is dissociating in order to isolate painful events so that the primary self is protected. The transition between personalities is usually sudden, dramatic, and precipitated by stress.
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The nurse provides for the care of the client after a cerebrovascular accident with expressive aphasia. Which of the following interventions should be the priority intervention?
A) Listen for the intent of the message and do not concentrate on the words. B) Devise a picture chart for the patient to point for requests. C) Encourage the client to speak when no one is around. D) Remind the patient that no improvement is expected.
Which of the following pain medication orders for a client with ovarian cancer would be most appropriate for the nurse to use to control a client's chronic pain?
A) Administer short-acting pain medication as needed. B) Administer short-acting pain medication around the clock. C) Administer long-acting pain medication when the client reports severe pain. D) Administer long-acting pain medication around the clock.
Sex education courses are usually taught to children in grades 6 to 8 because:
A) Children are ready developmentally to learn this content. B) The parents may not have taught them because of the explicit nature of the content. C) Each state mandates this content be taught in the schools. D) Children younger than these grades cannot understand sexual reproduction.
A parent of a newborn who has mental retardation asks the nurse to explain what the pediatrician meant then he said, "The brain of the newborn has anatomic plasticity
" Which of the following statements by the nurse would best explain anatomic plasticity? a. "This means nerve cells in certain brain areas can assume functions of a different area, or signals can be rerouted around a nonfunctioning area." b. "The brain is in a bony cage that, like hard plastic, will not give, and so parents must use caution to protect the head at all times." c. "The brain is heartier than previously thought and has a harder surface on the outer layer of the brain." d. "This is referring to the pliability of plastic, which is soft, and to the electric conductivity of plastic, which transmits signals rapidly."