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A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder. Which statement would be most appropriate for the nurse to include about this process?
- A. It is a step-by-step process from being ill to being well.
- B. The patient focuses mainly on the emotional aspects of his condition.
- C. The patient is helped to live a meaningful life to his fullest potential.
- D. Although peer support is important, the self-acceptance is essential.
Correct Answer: C
Rationale: The recovery model emphasizes helping individuals with mental disorders live meaningful, fulfilling lives to their fullest potential, focusing on strengths and personal goals rather than a linear cure.
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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 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 nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?
- A. Committed patient
- B. Schizophrenic
- C. Schizophrenic patient
- D. Person with schizophrenia
Correct Answer: D
Rationale: Person-first language, such as 'person with schizophrenia,' is preferred to avoid defining the individual by their diagnosis, reducing stigma and promoting respectful communication.
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.
After teaching a group of students about mental health and mental illness, the instructor determines that the teaching was successful when the group identifies which of the following as reflecting mental disorders?
- A. Capacity to interact with others
- B. Ability to deal with ordinary stress
- C. Alteration in mood or thinking
- D. Lack of impaired functioning
Correct Answer: C
Rationale: Mental disorders are characterized by alterations in mood, thinking, or behavior that cause distress or impair functioning, as defined in the DSM-IV-TR.