A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

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Question 1 of 5

A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

Correct Answer: A

Rationale: The student statement that best indicates learning has occurred is option A, "Dissociative behaviors occur when individuals repress distressing mental information from their conscious awareness." This statement reflects an understanding of the psychoanalytical perspective on dissociative disorders, which suggests that these disorders result from the defense mechanism of repression. Repression involves pushing distressing thoughts, memories, or feelings into the unconscious mind to avoid conscious awareness of them. By recognizing this aspect of dissociative disorders, the student demonstrates an understanding of the underlying mechanism from a psychoanalytical perspective.

Question 2 of 5

Which of the following somatic symptom and dissociative disorders are identified with known effective pharmacological treatments for that disorder? Select all that apply.

Correct Answer: A

Rationale: A. Antidepressants have been used effectively in treating pain associated with somatic symptom disorder. This is a correct statement. The use of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants, has been shown to be effective in managing the pain symptoms experienced by individuals with somatic symptom disorder. These medications can help alleviate both physical pain and any associated psychological distress.

Question 3 of 5

A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes naire. How should the nurse evaluate this client data?

Correct Answer: A

Rationale: A score of 110 on the Recent Life Changes Questionnaire indicates a high level of stress due to significant life events such as the death of a close family member and loss of employment simultaneously. This level of stress can place the client at risk for physical and psychological illness. It is important for the nurse to evaluate and address this distress promptly to prevent further negative consequences on the client's health and well-being.

Question 4 of 5

A bright student confides in the school nurse about conflicts related to attending college or working to add needed financial support to the family. Which coping strategy is most appropriate for the nurse to recommend to the student at this time?

Correct Answer: B

Rationale: Given the situation where the student is facing conflicts related to attending college or working to support their family financially, recommending problem-solving training would be the most appropriate coping strategy. Problem-solving training involves teaching individuals how to identify and assess problems, generate possible solutions, evaluate those solutions, and implement the best course of action. This training can help the student develop practical skills to address the conflicting demands they are facing. It allows them to approach their challenges in a systematic and structured way, potentially leading to more effective decision-making and problem resolution. Meditation, relaxation, and journaling are valuable coping strategies for managing stress and enhancing overall well-being, but in this particular context of conflicting responsibilities, problem-solving training would offer more targeted support for the student's specific situation.

Question 5 of 5

A nursing instructor is asking students about diseases of adaptation and when they are likely to occur. Which student response indicates that learning has occurred?

Correct Answer: D

Rationale: Diseases of adaptation occur when an individual's physiological and psychological resources become depleted. These diseases are a result of the body's inability to adapt to stressors and can manifest in various forms such as chronic illness, anxiety disorders, or depression. When an individual's coping mechanisms are overwhelmed and their resources are exhausted, they are more likely to experience diseases of adaptation. This response indicates that the student understands the concept that these diseases are related to an individual's decreased ability to effectively handle stress.

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