A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder (D-DD). Which student statement indicates a need for further instruction?

Question

1. "Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of time."
2. "Clients with this disorder can experience unreality or detachment with respect to their surroundings."
3. "During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless, or visually distorted."
4. "During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning."

Answer 1

4
Rationale: D-DD is characterized by a temporary change in the quality of self-awareness, which often takes the form of feelings of unreality, changes in body image, feelings of detachment from the environment, or a sense of observing oneself from outside the body. Depersonalization (a disturbance in the perception of oneself) is differentiated from derealization, which describes an alteration in the perception of the external environment. The DSM-5 states that during the depersonalization and/or derealization experiences, reality testing remains intact. This student statement indicates a need for further instruction.