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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.
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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.
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 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 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.
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.