A client with a dissociative disorder is admitted to a psychiatric facility. His insurer approves a 3-day hospitalization. Which of the following should be prioritized in the client's plan of inpatient care?

Question

A) Education and job training
B) Socialization and communication skills
C) Safety and structured activity
D) Electroconvulsive therapy (ECT)

Answer 1

Ans: C
Feedback:
The nurse's role in managing the care of the client with a dissociative disorder is to support and reinforce the gains made in therapy sessions. The nurse accomplishes this by providing emotional support, grounding, and a sense of security. Specific techniques include the following: Educate the client about the recovery process; provide a safe, nonjudgmental environment to encourage the client to diminish defensive responses (a simple, structured environment is most helpful); monitor the client's pace in uncovering memories; assist the client in learning "grounding" techniques; help the client to identify times when strong emotions begin to be overwhelming; and assist the client in planning for discharge from the hospital.