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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.
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A patient?s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
- A. 94
- B. 82
- C. 75
- D. 63
Correct Answer: A
Rationale: The Global Assessment of Functioning (GAF) score of 91-100 indicates minimal or no symptoms with good functioning in all areas. A score of 94 aligns with this description, reflecting superior functioning.
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.
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was killed when a car accidentally ran over it; in addition to that, she just found out that her mother has been diagnosed with colon cancer. This information would be addressed in which DSM-IV axis?
- A. Axis I
- B. Axis II
- C. Axis III
- D. Axis IV
Correct Answer: D
Rationale: Psychosocial and environmental problems, such as the death of a pet and a family member?s serious illness, are documented on Axis IV in the DSM-IV-TR, as they contribute to the patient?s mental health context.
The nurse is reviewing the medical record of a patient and notes the information below. Which of the following would be found on Axis III?
- A. Cocaine dependence
- B. Bipolar I disorder
- C. Chronic obstructive pulmonary disorder
- D. Cellulitis
- E. Homelessness
- F. Arrest for cocaine possession with intent to sell
Correct Answer: C,D
Rationale: Axis III in the DSM-IV-TR includes general medical conditions such as chronic obstructive pulmonary disorder and cellulitis. Cocaine dependence and bipolar I disorder are Axis I, homelessness is Axis IV, and arrests are not typically included in DSM axes.
A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students demonstrate understanding of the axes when they identify that each axis represents which of the following?
- A. An evidence-based research finding
- B. An experimental design to guide care
- C. A domain of information
- D. A laboratory test finding
Correct Answer: C
Rationale: Each axis in the DSM-IV-TR represents a distinct domain of information (e.g., clinical disorders, personality disorders, medical conditions, psychosocial stressors, and functioning) to provide a comprehensive diagnostic picture.