Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

able stress, the individual blocks off part of his or her life from tasy state. The following categories are defiin the usually integrated functions of consciousness, memory, identity, or perception (APA, 2000). During periods of intoler-● consciousness. The stressful emotion becomes a separate entity, as the individual “splits” from it and mentally drifts into a fan-and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM 1. The essential feature of the dissociative disorders is a disruption BACKGROUND ASSESSMENT DATA a. the following:ordinary forgetfulness. Types of impairment in recall include The extent of the disturbance is too great to be explained by b. sonal information, usually of a traumatic or stressful nature. DissociativeDissociative Disordersciated with a traumatic event for a specifiLocalizedSelectivefollowing the event (usually a few hours to a few days). - Amnesia:IV-TR) (^) Amnesia:Amnesia: (APA, 2000): I nabilit y to recall only certain incidents Inability to recall all incidents asso- An inability to recall important per-C HAPTER ned in the c time period Diagnostic^10
2 2506_Ch10_191-200.indd 0191 506 Ch 10 191 - 200 .indd 2. 0191 Dissociativeidentity and an inability to recall one’s previous identity. c. home or customary work locale with assumption of a new d. Following recovery, there is no recollection of events that e. associated with a traumatic event for a specifiSystematizedone’s entire life.Continuousquent to a specifilowing the event.indiv idual can not remember events t hat relate to a specifi(The memory does not return after a short period, as in category of information, such as one’s family, or to one particular person or event. localized amnesia. The individual is unable to form new Generalizedmemories.)^ Fugue.^ Amnesia:^ Amnesia:Amnesia: c time up to and including the present. A sudden, unexpected travel away from Inability to recall events subse- Failure of recall encompassing With this type of amnesia, the c period fol-^191 c 1 10/1/10 9:35:30 AM 0 / 1 / 10 9 : 35 : 30 AM