Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Analyze possible personal challenges to professional practice when caring for clients with dissociative, somatoform, and factitious disorders.

Question 21

Type: MCSA

The nurse is caring for a 15-month-old who is admitted to the hospital for the fifth time in six months with severe diarrhea. The patients mother has been diagnosed with Munchausen by proxy syndrome (MBPS) as she has been giving her child large doses of laxatives to make the child sick. The nurse is having difficulty dealing with the situation. Which of the following is the best way for the nurse to proceed?

1. Confront the mother about making her child sick.

2. Seek clinical supervision to cope with situation.

3. Refuse to take care of the child and family.

4. Have as little contact with the mother as possible.

Correct Answer: 2

Rationale 1: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.

Rationale 2: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.

Rationale 3: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.

Rationale 4: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Analyze possible personal challenges to professional practice when caring for clients with dissociative, somatoform, and factitious disorders.

Question 22

Type: MCSA

A client is newly diagnosed with dissociative identity disorder. To support this client, who is struggling to accept the diagnosis, the nurse would:

1. Flood the client with stressful stimuli.

2. Actively listen to each identity state and provide support.

3. Assess for secondary gain to confront the client.

4. Discourage the use of psychometric tests.