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DISSOCIATIVE IDENTITY DISORDERKey signs and symptoms Guilt and shame Lack of recall (beyond ordinary forgetfulness) Presence of two or more distinct identities orpersonality states Disturbances not due to direct physiologiceffects of a substanceKey test results Standard dissociative disorder tests demonstrate a degree of dissociation.

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Teaching topics Explanation of the disorder and treatmentplan Medication regimen and adverse effects Monitoring of medication levels Caring for clients during a seizure Avoiding alcohol and illicit drugs Referring to the Epilepsy Foundation ofAmericaCAUSES Congenital anomalies Penetrating wounds Infections Trauma resulting from situations, such asan automobile accident, diving into shallowwater, or fall TumorsASSESSMENT FINDINGS Absence of reflexes below the level of theinjury Flaccid muscle Loss of bowel and bladder control Neck pain Numbness and tingling Paralysis below the level of the injury Paresthesia below the level of the injury Respiratory distressDIAGNOSTIC TEST RESULTS CT scan shows spinal cord edema, vertebralfracture, and spinal cord compression.

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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Pharmacologicaland parenteral therapiesCognitive level: Application4.

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