multiple personalities within the self and be able to recog-[Presence of more than one personality within the individual] Possible Etiologies (“related to”)[Severe level of anxiety, repressed][Childhood trauma][Childhood abuse][Threat to physical integrity][Threat to self-concept] DefiInterventions with 1. The nurse must develop a trusting relationship with the Goals/Objectivesthe ultimate goal being integration into one personality.Client will verbalize understanding of the existence of Short-term Goalnize stressful situations that precipitate transition from one to another.Long-term GoalClient will verbalize understanding of the need for, enter into, and cooperate with long-term therapy for this disorder, with original personality and with each of the subpersonalities.Trust is the basis of a therapeutic relationship. Each of the ning Characteristics (“evidenced by”)Selected RationalesDissociative Disorders ●^197
2 2506_Ch10_191-200.indd 0197 506 Ch 10 191 - 200 .indd 3. Help client identify the need each subpersonality serves in^0 4. Help the client identify stressful situations that precipitate 5. Use nursing interventions necessary to deal with maladaptive 2. Help the client understand the existence of the subpersonali- 197 tively and to eliminate the need for transition to another personality.stressful situations.tially be treated as such.behaviors associated with individual subpersonalities. For ex-ample, if one personality is suicidal, precautions must be taken to guard against client’s self-harm. If another personality has a ties. personalities and the client’s ability to face unresolved issues without dissociation.the personal identity of the individual. personalities views itself as a separate entity and must ini-the transition from one personality to another. Carefully observe and record these transitions. unfulfirequired to assist the client in responding more adap-Client may be unaware of this dissociative response to lled needs is the fi rst step toward integration of the This knowledge is Knowledge of these 1 10/1/10 9:35:32 AM 0 / 1 / 10 9 : 35 : 32 AM