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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.
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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.
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
- A. Public stigma
- B. Self-stigma
- C. Label avoidance
- D. Negative life events
Correct Answer: B
Rationale: Self-stigma, where individuals internalize negative stereotypes about mental illness, is particularly significant in Asian communities due to cultural emphasis on collectivism and fear of shame, making it a critical focus for culturally sensitive mental health programs.
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
- A. Provide a commonly understood diagnostic category for clinical practice.
- B. Describe treatment modalities for psychiatric disorders and mental illnesses.
- C. Identify various etiologies for mental disorders based on family histories.
- D. Provide optimal outcomes for treatment for individuals with mental illnesses.
Correct Answer: A
Rationale: The primary purpose of the DSM-IV-TR is to provide a standardized, commonly understood diagnostic framework for mental disorders to ensure consistency in clinical practice, research, and communication among healthcare professionals.
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.
As part of a class activity, nursing students are engaged in a small group discussion about the epidemiology of mental illness. Which statement best explains the importance of epidemiology in understanding the impact of mental disorders?
- A. Epidemiology helps promote understanding of the patterns of occurrence associated with mental disorders.
- B. Epidemiology helps explain research findings about the neurophysiology that causes mental disorders.
- C. Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.
- D. Epidemiology predicts when a specific psychiatric client will recover from a specific mental disorder.
Correct Answer: A
Rationale: Epidemiology studies the distribution and determinants of mental disorders in populations, helping to identify patterns of occurrence, risk factors, and prevalence to inform public health strategies.