which patient statement suggests the presence of dissociative amnesia

ATI LPN

ATI Mental Health Practice A

1. Which patient statement suggests the presence of dissociative amnesia?

A. I keep forgetting where I put my keys.
B. I don’t remember the accident that brought me here or the past two days.
C. Sometimes I feel like I’m watching myself from outside my body.
D. I often lose track of time when I’m reading.

Correct answer: B

Rationale: The correct answer is B because the statement reflects a significant gap in memory related to a traumatic event, which is characteristic of dissociative amnesia. Choice A is more indicative of normal forgetfulness and absentmindedness. Choice C suggests depersonalization or dissociative identity disorder rather than dissociative amnesia. Choice D describes a common experience related to concentration while reading, not memory loss as seen in dissociative amnesia.

2. When a patient with schizophrenia is taking haloperidol, what is a priority assessment for the nurse?

A. Assessing for signs of tardive dyskinesia
B. Monitoring for signs of neuroleptic malignant syndrome
C. Checking for signs of depression
D. Monitoring for changes in appetite

Correct answer: B

Rationale: Monitoring for signs of neuroleptic malignant syndrome is crucial for patients taking haloperidol. Neuroleptic malignant syndrome is a rare but serious side effect that can occur with antipsychotic medications like haloperidol. It presents with symptoms such as high fever, unstable blood pressure, confusion, muscle rigidity, and autonomic dysfunction. Early detection and intervention are essential to prevent serious complications.

3. Which individual is likely experiencing symptoms of derealization?

A. I just feel like I’m looking at life through a fog and that can’t be my face in the mirror.
B. I cannot recall why I’m living in this town or how I got here.
C. There are just too many people living in my head now.
D. I feel like I’m going to die, I’m having a heart attack.

Correct answer: A

Rationale: The individual describing feeling like they are looking at life through a fog and questioning their reflection in the mirror is likely experiencing symptoms of derealization. Derealization involves feelings of detachment from one's surroundings, which can manifest as a sense of unreality or distortion of the environment. Choice B describes dissociative amnesia, which involves memory loss related to personal information or traumatic events. Choice C suggests dissociative identity disorder (DID), where a person experiences two or more distinct identities or personality states. Choice D indicates symptoms of a panic attack, such as fearing imminent death and physical sensations like a heart attack.

4. A healthcare professional is assessing a patient with major depressive disorder. Which finding is most concerning?

A. Decreased interest in activities
B. Feelings of worthlessness
C. Difficulty sleeping
D. Changes in appetite

Correct answer: C

Rationale: Among the symptoms listed, difficulty sleeping is particularly concerning in patients with major depressive disorder. Insomnia or other sleep disturbances can exacerbate depressive symptoms and increase the risk of suicidal ideation. Healthcare professionals should address sleep issues promptly to provide appropriate interventions and prevent further complications.

5. A patient with major depressive disorder is struggling to cope. Which intervention is most appropriate to help the patient develop better coping skills?

A. Encouraging the patient to express their feelings through art
B. Providing the patient with information about their diagnosis
C. Encouraging the patient to keep a journal of their thoughts and feelings
D. Providing the patient with a structured daily routine

Correct answer: D

Rationale: Providing a patient with major depressive disorder a structured daily routine can help them establish a sense of stability, which is crucial for coping with their condition. Routine provides predictability and helps in organizing activities, promoting a sense of accomplishment and control, which can be especially beneficial for individuals struggling with depression.