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A 25-year-old woman who recently had abdominal surgery was admitted to the psychiatric unit, where it was determined that she had a borderline personality disorder. During the first week on the unit, it was determined that she also has diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR diagnosis?
- A. Axis I
- B. Axis II
- C. Axis III
- D. Axis IV
Correct Answer: C
Rationale: Diabetes mellitus, a general medical condition, is documented on Axis III in the DSM-IV-TR, which captures physical health conditions that may impact the patient?s mental health.
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A college-aged student and his friend arrive at the student health center. The friend reports that the patient has been having difficulties concentrating, remembering, and thinking. He?s had quite a few research papers due this past week. After ruling out other problems, the nurse determines that the patient is experiencing a culture-bound syndrome. Which of the following would the nurse most likely suspect?
- A. Ataque de nervios
- B. Brain fog
- C. Mal de ojo
- D. Shenjing shuairo
Correct Answer: B
Rationale: Brain fog, often associated with stress or academic overload in Western college settings, is a culture-bound syndrome characterized by difficulties in concentration, memory, and thinking, fitting the described symptoms.
Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR?
- A. Paranoid personality disorder
- B. Posttraumatic stress disorder
- C. Anorexia nervosa
- D. Mental retardation
- E. Unemployment
- F. Coronary artery disease
Correct Answer: B,C
Rationale: Axis I in the DSM-IV-TR includes clinical disorders such as posttraumatic stress disorder and anorexia nervosa. Paranoid personality disorder and mental retardation are Axis II, unemployment is Axis IV, and coronary artery disease is Axis III.
A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR. The nurse understands that although the first three axes appear to contain all the diagnostic information about a patient, a truly accurate picture of the client is incomplete without considering other factors such as an estimate of current functioning and:
- A. Life stressors
- B. Cultural background
- C. Marital status
- D. Genetic history
Correct Answer: A
Rationale: The DSM-IV-TR includes five axes, with Axis IV capturing psychosocial and environmental problems (e.g., life stressors) that contribute to the patient?s condition, complementing the Global Assessment of Functioning (GAF) on Axis V for a complete picture.
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?
- A. Self-direction
- B. Peer support
- C. Respect
- D. Hope
Correct Answer: D
Rationale: Hope is a foundational concept in the recovery model, as it inspires individuals to believe in their potential for recovery and motivates engagement in treatment and personal growth.
A nursing student is reviewing journal articles about major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The student interprets this as which of the following?
- A. Rate
- B. Prevalence
- C. Point prevalence
- D. Incidence
Correct Answer: D
Rationale: Incidence refers to the number of new cases of a disorder (e.g., major depression) diagnosed within a specific time period, such as the past year.