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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.
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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 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.
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 nurse is preparing a presentation about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include?
- A. Mental disorders are defined by an underlying biological pathology.
- B. Numerous laboratory tests are used to aid in the diagnosis of mental disorders.
- C. Cluster of behaviors, thoughts, and feelings characterize mental disorders.
- D. Manifestations of mental disorders are within normal, expected parameters.
Correct Answer: C
Rationale: Mental disorders are characterized by a cluster of behaviors, thoughts, and feelings that cause distress or impairment, unlike medical disorders, which often have clear biological markers or laboratory tests.
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.