The correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder. Disturbed personal identity, related to:
a. obsessive fears of harming self or others.
b. poor impulse control and lack of self-confidence.
c. depressed mood secondary to nightmares and intrusive thoughts.
d. cognitive distortions associated with unresolved childhood abuse issues.
ANS: D
Nearly all patients with dissociative identity disorder have a history of childhood abuse or trauma. None of the other etiology statements is relevant.
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