The patient lives with her roommate in a condominium. The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later, after which she sleeps for 8 to 12 hours
Episodes have also occurred in which the patient and her roommate have argued about household matters, and the patient has gone to sit on the floor in the corner of the kitchen. While seated there, she has spoken like a young child. The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for: a. dissociative fugue state.
b. dissociative identity disorder.
c. body dysmorphic disorder.
d. depersonalization disorder.
B
Dissociative identity disorder involves the development of alter personalities which sometimes assume control of the individual, submerging the person's primary or "real" personality for a period of time. Symptoms include behaving as if he or she is a different person at times and behaving inconsistently with or contradictory to usual behavior, particularly when under stress. Dissociative fugue states involve moving to another area for weeks or months, accompanied by periods of amnesia, first for the earlier life and later for the "new" life lived while absent from the original setting. Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a normal-appearing person. Depersonalization disorder involves alteration in perception of self, such as feeling mechanical or unreal.
You might also like to view...
The nurse is contributing to the teaching for a high school health class regarding cerumen removal from the ear. Which of these instructions should the nurse recommend?
a. "Cerumen protects the auditory canal; just use a washcloth to clean the external ear." b. "Cerumen must be softened with Debrox before removal, and then an ear irrigation should be done." c. "Wax is removed only when there is evidence of infection." d. "Cerumen is removed regularly and thoroughly."
A client who has been casted for a fracture of the left ulna bone asks the nurse when the cast will come off. The nurse's response is based on the knowledge that this will occur when:
1. The x-ray of the fractured bone shows that the ends are well joined. 2. A cartilage collar can be clearly felt at the site of the original break. 3. A predetermined amount of time has passed; the time is determined by the severity of the break. 4. The remodeling phase of the bone healing process has been completed, allowing for application of mechanical stress.
Codeine has a greater maximal ability to suppress cough when compared with dextromethorphan. What is the most appropriate description of codeine when compared to dextromethorphan?
1. Codeine is more efficacious. 2. Codeine is less potent. 3. Codeine is more potent. 4. Codeine is less efficacious.
A 64-year-old patient is seen in the emergency department for palpitations and mild shortness of breath. The electrocardiogram reveals a normal P wave, P-R interval, and QRS complex with a regular rhythm and a rate of 108 beats per minute
The nurse should recognize this as which type of cardiac dysrhythmia? a. Sinus dysrhythmia b. Sinus tachycardia c. Supraventricular tachycardia d. Ventricular tachycardia