,NUR 253 Exam 3 – Mental Health Nursing –
Actual Questions & Answers (GCN) 100%
Guarantee Pass
1. A client is brought to the emergency department
after being found wandering confused in a playground.
The client is unable to identify who they are or where
they live. The nurse suspects:
A) Acute stress disorder
B) Dissociative fugue
C) Depersonalization disorder
D) Dissociative identity disorder
Correct Answer: B
Rationale: Dissociative fugue involves sudden,
unexpected travel away from home or work,
accompanied by inability to recall one's identity and
confusion about personal identity. The client's wandering
and inability to identify themselves matches this
description .
,2. Which statement by a client's family member may
indicate the client is experiencing dissociative amnesia
with dissociative fugue?
A) "My son is intentionally harming himself."
B) "My son assumed a new identity after the accident."
C) "My son is disoriented and detached from the
environment."
D) "My son developed negative feelings about his
capabilities."
Correct Answer: B
Rationale: Dissociative fugue is characterized by sudden,
unexpected travel and the assumption of a new identity .
The client may have amnesia for their former identity
after the episode resolves.
3. The most primitive defense mechanism is:
A) Rationalization
B) Projection
C) Dissociation
D) Denial
, Correct Answer: C
Rationale: Dissociation is an unconscious defense
mechanism that protects the individual from
overwhelming anxiety by separating conscious awareness
from memories, thoughts, and feelings .
4. A client reports feeling like an outside observer of
their own body and thoughts. The nurse should
document this as:
A) Derealization
B) Depersonalization
C) Dissociative amnesia
D) Dissociative fugue
Correct Answer: B
Rationale: Depersonalization involves a feeling of being
an observer of one's own body or mental processes.
Derealization is a sense that one's surroundings are
unreal or detached .
5. A client states, "I feel like I'm in a dream and nothing
around me is real." The nurse should document this as:
Actual Questions & Answers (GCN) 100%
Guarantee Pass
1. A client is brought to the emergency department
after being found wandering confused in a playground.
The client is unable to identify who they are or where
they live. The nurse suspects:
A) Acute stress disorder
B) Dissociative fugue
C) Depersonalization disorder
D) Dissociative identity disorder
Correct Answer: B
Rationale: Dissociative fugue involves sudden,
unexpected travel away from home or work,
accompanied by inability to recall one's identity and
confusion about personal identity. The client's wandering
and inability to identify themselves matches this
description .
,2. Which statement by a client's family member may
indicate the client is experiencing dissociative amnesia
with dissociative fugue?
A) "My son is intentionally harming himself."
B) "My son assumed a new identity after the accident."
C) "My son is disoriented and detached from the
environment."
D) "My son developed negative feelings about his
capabilities."
Correct Answer: B
Rationale: Dissociative fugue is characterized by sudden,
unexpected travel and the assumption of a new identity .
The client may have amnesia for their former identity
after the episode resolves.
3. The most primitive defense mechanism is:
A) Rationalization
B) Projection
C) Dissociation
D) Denial
, Correct Answer: C
Rationale: Dissociation is an unconscious defense
mechanism that protects the individual from
overwhelming anxiety by separating conscious awareness
from memories, thoughts, and feelings .
4. A client reports feeling like an outside observer of
their own body and thoughts. The nurse should
document this as:
A) Derealization
B) Depersonalization
C) Dissociative amnesia
D) Dissociative fugue
Correct Answer: B
Rationale: Depersonalization involves a feeling of being
an observer of one's own body or mental processes.
Derealization is a sense that one's surroundings are
unreal or detached .
5. A client states, "I feel like I'm in a dream and nothing
around me is real." The nurse should document this as:
