Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1
234 Unit 3 CURRENTSOCIAL ANDEMOTIONALCONCERNS


  • Dissociative disorders have the essential fea-
    ture of disruption in the usually integrated
    functions of consciousness, memory, identity,
    and environmental perception. The four
    types are dissociative amnesia, dissociative
    fugue, dissociative identity disorder, and
    depersonalization disorder.

  • Survivors of trauma and abuse may be
    admitted to the hospital for safety concerns
    or stabilization of intense symptoms such as
    flashbacks or dissociative episodes.

  • The nurse can help the client to minimize
    dissociative episodes or flashbacks through
    grounding techniques and reality orientation.

  • Important nursing interventions for sur-
    vivors of abuse and trauma include protect-
    ing the client’s safety, helping the client
    learn to manage stress and emotions, and
    working with the client to build a network
    of community support.

  • Important self-awareness issues for the
    nurse include managing his or her own
    feelings and reactions about abuse, being
    willing to ask about abuse, and recognizing
    and dealing with any abuse issues the nurse
    may have experienced personally.
    For further learning, visit http://connection.lww.com.


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