MULTIPLE CHOICE QUESTIONS AND
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ALREADY
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A client is experiencing pain that has no organic etiology. This
pain allows the client to avoid going to work at a job that he
hates. What best describes what this client is experiencing?
a. Altered social interaction
b. Disturbed thought processes
c. Primary gain
d. Secondary gain - THE CORRECT ANSWER-primary gain
** primary gain describes the benefit to the client avoiding
unpleasant activity due to experiencing psychologically based
pain. the client will do this to decrease their anxiety
what is dissociative amnesia - THE CORRECT ANSWER-the inability to
recall important information that is **too extensive to be
explained by ordinary forgetfulness**
this will usually happen after severe psychosocial stress
,the individual has amnesia for his or her identity and total life
history
a. localized amnesia
b. selective amnesia
c. generalized amnesia - THE CORRECT ANSWER-c. generalized
amnesia
the individual is unable to recall all incidents associated with a
stressful period
a. localized amnesia
b. selective amnesia
c. generalized amnesia - THE CORRECT ANSWER-a. localized amnesia
the individual can recall only certain incidents associated with a
stressful event for a specific period after the event
a. localized amnesia
b. selective amnesia
c. generalized amnesia - THE CORRECT ANSWER-b. selective amnesia
what is dissociative fugue - THE CORRECT ANSWER-sudden and
unexpected travel, inability to remember his past, confusion
about personal identity. assume new identities altogether
, dissociative identity disorder / multiple personality disorder -
THE CORRECT ANSWER-characterized by the existence of two or more
personality states in a single individual
depersonalization-derealization disorder - THE CORRECT ANSWER-a
temporary change in quality of self-awareness
- feelings of unreality
- changes in body image
- feelings of detachment
- a sense of observing oneself from outside the body
according to psychodynamic theory, which primary defense
mechanism would the nurse expect to find in a client with
dissociative amnesia
a. suppression
b. sublimation
c. displacement
d. repression - THE CORRECT ANSWER-repression
** Freud believed that individuals with dissociative amnesia
will repress distressing mental contents from their conscious
awareness
when working on a client diagnosed with somatic symptom
disorder, which is the most appropriate nursing action