A nurse counseling a patient with a dissociative identity disorder should understand that the assessment of highest priority is:

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Assessments that relate to patient safety take priority.Patients with dissociative identity disorders may be at risk for suicide or self-mutilation;therefore the nurse must be alert for hints of hopelessness,helplessness and worthlessness,low self-esteem,and impulses to self-mutilate.The distracters are important assessments but rank beneath safety.

A Nurse Counseling a Patient with a Dissociative Identity Disorder