Walkthrough: Psychosocial Integrity Q3 – NCLEX-RN®

by Rhonda Lawes, PhD, RN

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    00:01 The nurses making rounds for for clients in a mental health unit.

    00:06 Which client shows symptoms of dissociative identity disorder? All right, we've got just two sentences, but let's break it down.

    00:14 First sentence. The nurse got that is making rounds for, four clients.

    00:20 Where are we? In a mental health unit.

    00:23 So these people are admitted for help.

    00:26 So I'm a nurse making rounds, four clients, mental health unit, which client shows symptoms of dissociative identity disorder.

    00:35 So it's really not asking me to prioritize.

    00:37 Its asking me to look for the client that is exhibiting symptoms of this diagnosis.

    00:43 Ready? All right. Write down your numbers.

    00:46 Number one, number two, number three, and number four.

    00:49 Just the numbers on your practice sheet.

    00:51 As you're working through the answer choices on your own, be sure to eliminate three of them and say why? Now before you pause it, remember the topic of the question.

    01:03 Which of these clients shows symptoms of dissociative identity disorder? Be sure to ask yourself that question, four times for each answer option as you're moving through the question.

    01:15 I'll see you back and as much time as it takes for you to get your best answer.

    01:27 Welcome back.

    01:28 All right, thank you for doing the work.

    01:31 Pausing the video and wrestling with the right answer choices.

    01:35 That is what's going to help you improve your skills.

    01:38 Just listening to me walk through the question isn't enough.

    01:42 You need to listen to what we're talking about.

    01:44 And then practice, try it on your own.

    01:47 That's what's going to help your brain get in the best shape possible for taking tests exams.

    01:52 And you're going to see an improvement in your exam performance.

    01:56 So let's look at these.

    01:57 We're looking for dissociative identity disorder, right? All right. So number one.

    02:02 The client who is crying, that's not normal.

    02:05 And states, "I want to stay in the room." Well, that's sad, but likely more a sign of depression, right? So that's not dissociative identity disorder.

    02:17 Now, as you're walking through this, that's a diagnosis, dissociative identity disorder.

    02:23 Did you think through, "What what does that really mean?" Remember, that's when a person has more than one personality, and they are unaware of each other.

    02:33 The personalities do not know about the other one.

    02:36 They don't remember things.

    02:38 So number one, that isn't a symptom.

    02:41 That isn't a sign of that DID or Dissociative Identity Disorder.

    02:46 Number two. So we've crossed out number one.

    02:48 Number two. The client who says, "Check on me later. I must take another shower." Is that sound like DID? No. That could be like some obsessive compulsive behavior, but it's not DID.

    03:03 So we're going to cross off number two.

    03:06 Number three.

    03:07 The client who was looking into a corner, talking quietly onto their self. Looks at the nurse and says, "Wait. Okay, so I have a client, who's looking into the corner, Doesn't tell me there's another person there talking quietly to their self, looks at the nurse and says, "Wait, is that dissociative identity disorder?" No, this looks like someone who could be having a delusion.

    03:36 This might be schizophrenia? Well, I hope it's number four, because I've eliminated number one, number two, and number three.

    03:44 But you know the rule, don't stop and just circle that answer.

    03:48 Play it all the way to the end.

    03:50 So let's take a look. Number four.

    03:52 Is this dissociative identity disorder? If the client who says to the nurse, "You must be in the wrong room? My name is not Ann." Yes, of these four statements, that seems to be the most indicative of someone who's experiencing dissociative identity disorder.

    04:12 Okay, time to reflect.

    04:14 How'd you do? Did you get this question right? Did you miss it on this time? Were you close? Hey, these are the things I want you to think about.

    04:23 If you picked a different answer than number four, why? What tripped you up? Did you follow the steps where you knew the topic of the question and you asked yourself that question, in your own words, four separate times and made a decision on whether that answer should stay in or be crossed out.

    04:42 If you did all that, and you got to the wrong answer, you know what to do.

    04:47 Figure out what tripped you up? What knowledge you may not have had? And add it to your notebook so you can keep reviewing that later.

    04:55 If you got the correct answer, how did you get there? Did you use the same process? Did you ask yourself that question all the way through options 1, 2, 3, and finally, four.

    05:08 Now, remember, we don't care what order you do it in.

    05:10 Sometimes when I'm bored, I just start in the middle.

    05:14 But what matters is that I hold myself accountable to either cross the answer off, the number off on my answer sheet and say why? That's what I have to do for every answer.

    05:26 Don't just gravitate to an answer that I like.

    05:30 I want to eliminate them one by one.

    05:32 I promise doing the work.

    05:34 Being systematic, being consistent, and how you answer these questions.

    05:39 You are going to do better on your very next exam.

    About the Lecture

    The lecture Walkthrough: Psychosocial Integrity Q3 – NCLEX-RN® by Rhonda Lawes, PhD, RN is from the course NCLEX-RN® Question Walkthrough: Psychosocial Integrity.

    Included Quiz Questions

    1. A client exhibiting two distinct personalities that are unaware of each other.
    2. A client who is crying.
    3. A client who is hearing voices.
    4. A client who frequently washes their hands.
    1. The various personalities control the client's behavior.
    2. It is associated with delusions.
    3. It is associated with memory loss.
    4. The distinct personalities are always similar.
    5. The client has a true sense of identity.

    Author of lecture Walkthrough: Psychosocial Integrity Q3 – NCLEX-RN®

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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