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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.
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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 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.
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.
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.
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.