Question

A client is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse identifies which of the following comments by the client is MOST indicative of this disorder?

1) I keep having recurring nightmares.
2) I have a headache, and my stomach has bothered me for a week.
3) I always check the door locks three times before I leave home.
4) I don't know who I am, and I don't know where I live.

Answer 1

The most indicative comment of a dissociative disorder is 'I don't know who I am, and I don't know where I live,' as it shows a clear disruption in the continuity of identity and memory - core features of dissociative disorders.

Step-by-step explanation:

The question is asking which comment by the client most strongly suggests they are experiencing a dissociative disorder. Dissociative disorders involve a disconnection and lack of continuity between thoughts, memories, surroundings, actions, and identity. The fourth comment, 'I don't know who I am, and I don't know where I live,' is the most indicative of a dissociative disorder. This comment reflects disruptive memory loss and confusion about identity, which are hallmarks of disorders like dissociative amnesia and dissociative fugue. Studies such as those by Foote et al. (2006), Johnson et al. (2006), and Cardeña & Gleaves (2006) provide insight into the prevalence, impact, and comorbidity associated with these conditions. Recognition of dissociative symptoms is critical as it might lead to treatments for related conditions like post-traumatic stress disorder (PTSD), where recollecting memories can be disabling.