A nurse is creating an interdisciplinary plan of care for a client who has been admitted for inpatient treatment for dissociative identity disorder (DID). Which of the following actions should be included in this client's milieu management?
A) Introduce new caregivers slowly and carefully.
B) Provide a high-stimulation environment to promote engagement.
C) Ensure that the client is supervised continuously.
D) Assign another patient as a mentor to model appropriate behavior.
Ans: A
Feedback:
Clients with DID may not easily accept new staff members or new peers. People new to the milieu should give clients physical and psychological space to allow them to determine closeness. As a result, the assignment of a mentor would be inappropriate. Continuous supervision is not normally necessary and a high-stimulation environment is not indicated.
You might also like to view...
While teaching a patient, the nurse explains that cardiac functioning has both a mechanical and an electrical component. What is the best way to assess the mechanical function of the heart?
A) Blood pressure B) Pulse C) Membrane potential D) Cardiac monitor pattern
A client who had a cesarean birth because of breech presentation asks why her incision goes horizontally instead of vertically. The nurse responds to the client on the basis of the understanding that this type of incision:
A) Facilitates rapid access to the fetus. B) Provides for immediate maternal hysterectomy. C) Treats extensive adhesions involving the bladder. D) Minimizes blood loss.
A client asks the nurse what the pink patches are on the back of the neck of their newborn. Which newborn finding should the nurse be prepared to discuss?
A. Lanugo. B. Nevus flammeus. C. Vernix caseosa. D. Transient mottling.
A male patient shares a satisfying relationship with his wife. In addition, he shares close relationships with his male friends. The nurse would most appropriately view these male relationships as:
A. transsexual. B. homosexual. C. heterosexual. D. bisexual.