Looking for mental health test questions and answers? Check out this comprehensive psychiatric nursing practice test with multiple-choice questions and answers. This free nursing exam preparation resource covers topics related to dissociative disorders, including dissociative identity disorder, dissociative amnesia, and depersonalization/derealization disorder. Test your knowledge and enhance your understanding of assessment, interventions, comorbidities, and therapeutic approaches for dissociative disorders. Whether you’re a nursing student or a healthcare professional, this test bank provides a valuable tool for self-assessment and review. Get ready to ace your nursing exams with this informative quiz!
Subject: Psychiatric Nursing
Time: 45 Minutes
1. Dissociative disorders are characterized by:
A. Intense fear and panic attacks
B. Inability to remember important personal information
C. Persistent obsessions and compulsions
D. Frequent mood swings and emotional instability
2. Which of the following is not a type of dissociative disorder?
A. Dissociative identity disorder
B. Dissociative amnesia
C. Dissociative fugue
D. Dissociative schizophrenia
3. Dissociative identity disorder (DID) is characterized by:
A. A split personality with distinct identities
B. Excessive worry and anxiety about specific situations
C. Extreme mood swings and impulsivity
D. Inability to control repetitive behaviors
4. Dissociative amnesia involves:
A. Sudden travel to a new location without memory of one’s past
B. Developing phobias and intense fear of specific objects or situations
C. Inability to recall important personal information
D. Frequent hallucinations and delusions
5. Which of the following is a possible cause of dissociative disorders?
A. Genetic factors
B. Substance abuse
C. Childhood trauma
D. All of the above
6. The primary goal of assessment in dissociative disorders is to:
A. Identify the underlying medical conditions causing the symptoms
B. Establish a therapeutic alliance with the client
C. Determine the client’s level of cognitive functioning
D. Rule out other psychiatric disorders
7. The assessment tool commonly used in dissociative disorders is:
A. Hamilton Rating Scale for Depression (HAM-D)
B. Structured Clinical Interview for DSM-5 (SCID-5)
C. Mini-Mental State Examination (MMSE)
D. Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
8. When assessing a client with dissociative amnesia, it is important to:
A. Explore the client’s traumatic experiences in detail
B. Encourage the client to confront their repressed memories
C. Provide a safe and supportive environment
D. Administer antipsychotic medication immediately
9. The nurse suspects a client may have dissociative identity disorder (DID) based on:
A. Frequent panic attacks and generalized anxiety
B. Inability to recall personal information after a traumatic event
C. Discrepancies in the client’s personal history and accounts
D. Social withdrawal and avoidance of social interactions
10. In dissociative fugue, the client may:
A. Experience sudden episodes of intense fear and panic
B. Assume a new identity and travel away from home
C. Develop excessive worries and obsessions
D. Display delusions and hallucinations
11. Which of the following statements about depersonalization/derealization disorder is true?
A. It involves a fear of gaining weight and distorted body image
B. The client experiences periods of detachment from one’s self or surroundings
C. It is characterized by excessive preoccupation with a perceived flaw in appearance
D. The client has intrusive thoughts and repetitive behaviors
12. When assessing a client with dissociative disorders, the nurse should prioritize:
A. Identifying the client’s support system
B. Assessing the client’s risk of self-harm or suicide
C. Evaluating the client’s cognitive functioning
D. Administering a psychiatric medication assessment tool
13. Which of the following is not a common comorbidity seen in dissociative disorders?
A. Major depressive disorder
B. Posttraumatic stress disorder (PTSD)
C. Borderline personality disorder
D. Schizophrenia
14. Which of the following therapeutic approaches is most effective in treating dissociative disorders?
A. Psychodynamic therapy
B. Cognitive-behavioral therapy (CBT)
C. Electroconvulsive therapy (ECT)
D. Group therapy
15. In working with a client with dissociative identity disorder (DID), the nurse should prioritize:
A. Helping the client integrate their different identities
B. Encouraging the client to recall traumatic memories
C. Administering antianxiety medication
D. Providing education about stress management techniques
16. The nurse is conducting an assessment of a client with dissociative disorders. Which question is most appropriate to ask?
A. “Have you ever had any hallucinations or delusions?”
B. “Tell me about any childhood trauma or abuse you have experienced.”
C. “How often do you experience panic attacks?”
D. “Have you noticed any changes in your appetite or sleep patterns?”
17. Dissociative disorders are often associated with:
A. Decreased risk of self-harm or suicide
B. Impaired occupational functioning
C. Enhanced reality testing abilities
D. Stable interpersonal relationships
18. The nurse is providing care for a client with dissociative disorders. Which intervention is appropriate?
A. Encouraging the client to confront repressed memories
B. Minimizing the client’s need for structure and routine
C. Administering high doses of antipsychotic medication
D. Implementing grounding techniques during dissociative episodes
19. Which of the following is not a symptom commonly seen in dissociative disorders?
A. Intrusive thoughts and obsessions
B. Flashbacks and nightmares
C. Depersonalization and derealization
D. Identity confusion and identity alteration
20. The nurse is caring for a client with dissociative identity disorder (DID). Which statement by the nurse is appropriate?
A. “You need to stop switching between your identities.”
B. “Can you tell me more about your different identities and how they interact?”
C. “I don’t believe that having multiple identities is a real condition.”
D. “You should try to forget about your past and move forward.”
21. Dissociative disorders are more commonly diagnosed in:
A. Adolescents and young adults
B. Elderly individuals
C. Children under the age of 5
D. Men rather than women
22. Which of the following factors may contribute to the development of dissociative disorders?
A. Social isolation and lack of support
B. Excessive use of social media
C. Strong family ties and social connections
D. Regular exercise and a healthy lifestyle
23. The nurse is caring for a client with dissociative amnesia. Which intervention is appropriate?
A. Encouraging the client to confront traumatic memories immediately
B. Providing a calm and safe environment for the client
C. Administering antianxiety medication to reduce dissociative symptoms
D. Encouraging the client to engage in avoidance behaviors to prevent distress
24. Dissociative disorders are most commonly associated with:
A. Overactivity in the prefrontal cortex
B. Decreased brain volume in the hippocampus
C. Excessive serotonin levels in the brain
D. Impaired functioning of the amygdala
25. The nurse is conducting an assessment of a client with dissociative disorders. Which finding is consistent with depersonalization?
A. The client experiences intrusive thoughts and repetitive behaviors
B. The client feels detached from one’s body or self
C. The client has sudden memory gaps or periods of amnesia
D. The client assumes a new identity and travels away from home
26. Which of the following statements about dissociative disorders is false?
A. They are often related to traumatic experiences
B. They can significantly impair daily functioning
C. They are highly responsive to medication treatment
D. They may coexist with other psychiatric disorders
27. The nurse is caring for a client with dissociative disorders. Which intervention is appropriate for managing dissociative symptoms?
A. Encouraging the client to suppress emotions and avoid triggers
B. Providing education about stress management techniques
C. Administering high doses of antipsychotic medication
D. Minimizing contact with the client’s support system
28. Dissociative disorders are often misdiagnosed as:
A. Bipolar disorder
B. Attention-deficit/hyperactivity disorder (ADHD)
C. Autism spectrum disorder (ASD)
D. Schizophrenia
29. The nurse is caring for a client with dissociative identity disorder (DID). Which intervention is appropriate?
A. Assisting the client in integrating their different identities
B. Encouraging the client to avoid any triggers that may induce switching
C. Administering high doses of anxiolytic medication
D. Minimizing the client’s contact with their support system
30. The nurse is conducting an assessment of a client with dissociative disorders. Which question is most appropriate to assess for dissociative amnesia?
A. “Tell me about any experiences of childhood trauma or abuse.”
B. “How often do you experience periods of feeling detached or unreal?”
C. “Can you describe any experiences of switching identities?”
D. “Do you have any intrusive thoughts or obsessions?”
Answers:
- B
- D
- A
- C
- D
- B
- B
- C
- C
- B
- B
- B
- D
- B
- A
- B
- B
- D
- A
- B
- A
- A
- B
- B
- B
- C
- B
- D
- A
- A