Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
Chapter 24: Dissociative Disorders
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the
children, has abandoned the family and moved to another state. During this developmental
stage, this abandonment will have the strongest negative effect on the children’s:
a. Motor skills
b. Self-concept
c. Body image
d. Cognitive skills
ANS: B
Trust and consistency play a major role in the development of a child’s self-concept.
Abandonment provides neither. The mother’s absence may not affect the motor or cognitive
skills of the children. Body image is only one component of self-concept.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 276
OBJ: 3 TOP: Self-Concept in Childhood
KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
2. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the
children, has abandoned the family and moved to another state. During this developmental
stage, this abandonment will have the strongest negative effect on the children’s:
a. Motor skills
b. Self-concept NURSINGTB.COM
c. Body image
d. Cognitive skills
ANS: B
Trust and consistency play a major role in the development of a child’s self-concept.
Abandonment provides neither. The mother’s absence may not affect the motor or cognitive
skills of the children. Body image is only one component of self-concept.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 279
OBJ: 3 TOP: Self-Concept in Childhood
KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
3. The hospice nurse notices that, following the death of his wife of 50 years, a surviving
husband’s affect is anxious, and he reports a feeling of detachment from his body, stating, “I
feel like I am seeing myself from outside of my body.” The caregiver knows that this client is
displaying the characteristics of the dissociative disorder of:
a. Dissociative fugue
b. Dissociative amnesia
c. Dissociative identity disorder
d. Depersonalization disorder
ANS: D
NURSINGTB.COM
, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
Depersonalization serves as a defense mechanism in response to severe anxiety. The person
often is described as “working on automatic” or “functioning as a robot.” The characteristics
listed describe the behavioral or social signs and symptoms of depersonalized disorder. Fugue
is characterized by traveling that occurs suddenly and unexpectedly with no recall of the
traveling. Amnesia is the inability to remember personal information, and dissociative identity
disorder was formerly known as multiple personality disorder.
PTS: 1 DIF: Cognitive Level: Application REF: p. 281
OBJ: 5 TOP: Depersonalization/Derealization Disorder
KEY: Nursing Process Step: Evaluation MSC: Client Needs: Psychosocial Integrity
4. The nurse witnesses different personalities emerging in the client with dissociative identity
disorder (DID). The primary personality is referred to as the:
a. Host
b. Alter
c. Ego
d. Identity
ANS: A
Host is the term for the primary personality, which may not be aware of the alters (the other
personalities). Ego is one component of the three-part theory of the ego, id, and super-ego
identified by Sigmund Freud when referring to his belief of how personalities are structured.
Identity refers to how one sees oneself.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 281
OBJ: 6 TOP: Dissociative Identity Disorder
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
NURSINGTB.COM
5. When developing the nursing care plan for a client with dissociative identity disorder (DID),
the nurse knows that one of the major goals of therapy is to assist the client in:
a. Naming all personalities for clarification
b. Integrating the personalities into one functional personality
c. Realizing when different personalities are about to emerge
d. Learning how to move from one personality to another
ANS: B
It is important for therapy to assist the client in combining the personalities into one, so that
the individual is able to function and cope effectively with daily stressors. Naming the
personalities might occur without thought but is not necessary. In addition, realizing when
alters are about to emerge and learning how to move among personalities are not goals of
treatment.
PTS: 1 DIF: Cognitive Level: Application REF: p. 282
OBJ: 7 TOP: Dissociative Identity Disorder
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
6. During a home visit, the client tells the nurse that she feels that her medication is no longer
helping her dissociative diagnosis of depersonalization disorder because she has noticed that
she is not thinking clearly, is having difficulty with her memory and judgment, and is often
disoriented to the time. The nurse knows that the doctor must be contacted and that this client
most likely will be:
NURSINGTB.COM
Chapter 24: Dissociative Disorders
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the
children, has abandoned the family and moved to another state. During this developmental
stage, this abandonment will have the strongest negative effect on the children’s:
a. Motor skills
b. Self-concept
c. Body image
d. Cognitive skills
ANS: B
Trust and consistency play a major role in the development of a child’s self-concept.
Abandonment provides neither. The mother’s absence may not affect the motor or cognitive
skills of the children. Body image is only one component of self-concept.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 276
OBJ: 3 TOP: Self-Concept in Childhood
KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
2. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the
children, has abandoned the family and moved to another state. During this developmental
stage, this abandonment will have the strongest negative effect on the children’s:
a. Motor skills
b. Self-concept NURSINGTB.COM
c. Body image
d. Cognitive skills
ANS: B
Trust and consistency play a major role in the development of a child’s self-concept.
Abandonment provides neither. The mother’s absence may not affect the motor or cognitive
skills of the children. Body image is only one component of self-concept.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 279
OBJ: 3 TOP: Self-Concept in Childhood
KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance
3. The hospice nurse notices that, following the death of his wife of 50 years, a surviving
husband’s affect is anxious, and he reports a feeling of detachment from his body, stating, “I
feel like I am seeing myself from outside of my body.” The caregiver knows that this client is
displaying the characteristics of the dissociative disorder of:
a. Dissociative fugue
b. Dissociative amnesia
c. Dissociative identity disorder
d. Depersonalization disorder
ANS: D
NURSINGTB.COM
, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
Depersonalization serves as a defense mechanism in response to severe anxiety. The person
often is described as “working on automatic” or “functioning as a robot.” The characteristics
listed describe the behavioral or social signs and symptoms of depersonalized disorder. Fugue
is characterized by traveling that occurs suddenly and unexpectedly with no recall of the
traveling. Amnesia is the inability to remember personal information, and dissociative identity
disorder was formerly known as multiple personality disorder.
PTS: 1 DIF: Cognitive Level: Application REF: p. 281
OBJ: 5 TOP: Depersonalization/Derealization Disorder
KEY: Nursing Process Step: Evaluation MSC: Client Needs: Psychosocial Integrity
4. The nurse witnesses different personalities emerging in the client with dissociative identity
disorder (DID). The primary personality is referred to as the:
a. Host
b. Alter
c. Ego
d. Identity
ANS: A
Host is the term for the primary personality, which may not be aware of the alters (the other
personalities). Ego is one component of the three-part theory of the ego, id, and super-ego
identified by Sigmund Freud when referring to his belief of how personalities are structured.
Identity refers to how one sees oneself.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 281
OBJ: 6 TOP: Dissociative Identity Disorder
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
NURSINGTB.COM
5. When developing the nursing care plan for a client with dissociative identity disorder (DID),
the nurse knows that one of the major goals of therapy is to assist the client in:
a. Naming all personalities for clarification
b. Integrating the personalities into one functional personality
c. Realizing when different personalities are about to emerge
d. Learning how to move from one personality to another
ANS: B
It is important for therapy to assist the client in combining the personalities into one, so that
the individual is able to function and cope effectively with daily stressors. Naming the
personalities might occur without thought but is not necessary. In addition, realizing when
alters are about to emerge and learning how to move among personalities are not goals of
treatment.
PTS: 1 DIF: Cognitive Level: Application REF: p. 282
OBJ: 7 TOP: Dissociative Identity Disorder
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
6. During a home visit, the client tells the nurse that she feels that her medication is no longer
helping her dissociative diagnosis of depersonalization disorder because she has noticed that
she is not thinking clearly, is having difficulty with her memory and judgment, and is often
disoriented to the time. The nurse knows that the doctor must be contacted and that this client
most likely will be:
NURSINGTB.COM
