Page 2259 - Saunders Comprehensive Review For NCLEX-RN

information often due to trauma or
because it provokes anxiety
b. Memory impairment may range from
partial to almost complete.
c. The client may assume a new identity in
a new environment, drift from place to
place, develop few relationships, and
then return home unable to remember
the amnesia.
2. Assessment
a. Localized: The client blocks out all
memories about a specified period.
b. Selective: The client recalls some but
not all memories about a specified
period.
c. Generalized: The client has a loss of all
memory about past life.
D. Depersonalization/derealization disorder
1. Description: An altered self-perception in which one’s
own reality is temporarily lost or changed
2. Assessment
a. Feelings of detachment
b. Intact reality testing

E. Interventions

1. Orient the client.
2. Develop a trusting relationship with the client.
3. Encourage verbal expression of painful experiences,
anxieties, and concerns.
4. Explore methods of coping.
5. Identify sources of conflict.
6. Focus on the client’s strengths and skills.
7. Provide nondemanding, simple routines.
8. Allow the client to progress at her or his own pace.
9. Implement stress reduction techniques.
10. Plan for individual, group, or family psychotherapy to
integrate dissociated aspects of personality or
memory and to expand self-awareness.
VIII. Mood Disorders

A. Bipolar and related disorders

1. Description (Box 65-5)
a. Bipolar disorder is characterized by
extreme changes in mood, energy, and
the ability to function.
b. The classifications of bipolar include
Bipolar I disorder, Bipolar II disorder,

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