Key cognitive level analysis integrated processes

KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process: Implementation |
Client Need: Psychosocial Integrity
7. A client diagnosed with dissociative identity disorder (DID) switches personalities when
confronted with destructive behavior. The nurse recognizes that this dissociation serves which
function?
A. It is a means to attain secondary gain.
B. It is a means to explore feelings of excessive and inappropriate guilt.
C. It serves to isolate painful events so that the primary self is protected.
D. It serves to establish personality boundaries and limit inappropriate impulses.
ANS: C
The nurse should anticipate that a client who switches personalities when confronted with
destructive behavior is dissociating in order to isolate painful events so that the primary self is
protected. The transition between personalities is usually sudden, dramatic, and precipitated by
stress.

Townsend Chapter 29-
4
Psychiatric Mental Health Nursing, 8e
Instructor ETB
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment |
Client Need: Psychosocial Integrity
8. A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of
therapy for this client?
KEY: Cognitive Level: Application | Integrated Process: Nursing Process: Planning | Client
Need: Psychosocial Integrity
9. Which of the following statements accurately describes dissociative fugue?
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Assessment |
Client Need: Psychosocial Integrity

Townsend Chapter 29-
5
Psychiatric Mental Health Nursing, 8e
Instructor ETB