Nokea
A psychiatric-mental health nurse is providing care for a patient with a mental disorder. The patient is participating in the decision-making process. The nurse interprets this as which component of recovery?
- A. Self-direction
- B. Empowerment
- C. Person-centered
- D. Holistic
Correct Answer: A
Rationale: Self-direction, a key component of the recovery model, involves patients actively participating in their treatment decisions, reflecting autonomy and personal agency.
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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.
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.
While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the patients is really psycho. Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?
- A. Lack of knowledge
- B. Public stigma
- C. Label avoidance
- D. Self-stigma
Correct Answer: B
Rationale: The receptionist?s use of 'psycho' reflects public stigma, a negative stereotype about mental illness. The nurse?s action aims to address this stigma by promoting respectful language and attitudes.
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.
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.