Question 1

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?

Accepted Answer

The primary purpose of the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) is to provide a commonly understood diagnostic category for clinical practice, ensuring that clinicians and researchers can reliably diagnose and communicate about mental disorders.

Question 2

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:

Accepted Answer

Life stressors are considered in Axis IV of the DSM-IV-TR, which provides information about psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders. This axis helps give a more complete picture of the patient's situation beyond the clinical diagnosis.

Question 3

A patients global assessment functioning reveals that he has minimal symptoms with good functioning in allareas. Which score would the nurse correlate with these findings?

Accepted Answer

B

Question 4

A female patient was admitted to the hospital with pneumonia, and in the course of her treatment, it was determined that she was experiencing alcohol dependence because she began experiencing alcohol withdrawal while she was in the hospital. When the psychiatrist who was called in as a consultant documented the patients mental disorder, he identified her alcohol dependence on which axis?

Accepted Answer

Alcohol dependence is classified as a mental disorder and is documented on Axis I according to the DSM-IV-TR classification system, which includes clinical disorders and other conditions that may be a focus of clinical attention.

Question 5

A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR. The students demonstrate understanding of the axes when they identify that each axis represents which of the following?

Accepted Answer

The DSM-IV-TR uses a multiaxial system to ensure a comprehensive evaluation of a patient's condition by covering different domains of information, including clinical disorders, personality disorders and intellectual disabilities, general medical conditions, psychosocial and environmental problems, and global assessment of functioning.

Question 6

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?

Accepted Answer

Axis IV is used in the DSM-IV to identify psychosocial and environmental problems that may affect the diagnosis, treatment, and prognosis of mental disorders. The death of Mrs. Green's dog and her mother's diagnosis with cancer are significant stressors that would be documented under Axis IV.

Question 7

Which of the following would a nurse identify as being categorized as Axis I in the DSM-IV-TR? Select all that apply.

Accepted Answer

Axis I of the DSM-IV-TR includes clinical disorders and other conditions that may be a focus of clinical attention, such as Posttraumatic Stress Disorder (B) and Anorexia Nervosa (C).

Question 8

A psychiatricmental 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?

Accepted Answer

Empowerment in recovery involves patients actively participating in their own care and decision-making processes, which aligns with the scenario described.

Question 9

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? Select all that apply.

Accepted Answer

Axis III is used in the DSM-IV to code physical disorders and conditions that are potentially relevant to understanding or managing the individual's mental disorder. Chronic obstructive pulmonary disorder (C) and Cellulitis (D) are examples of physical health conditions that would be coded on Axis III.

Question 10

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. Hes had quite a few research papers due this past week. After ruling out other problems, the nurse determines that the patient is experiencing a culturebound syndrome. Which of the following would the nurse most likely suspect?

Accepted Answer

Brain fog is not officially recognized as a medical or psychological condition but is a term used colloquially to describe symptoms of cognitive dysfunction, including forgetfulness, lack of mental clarity, poor concentration, and the inability to focus. It is often reported in the context of stress, anxiety, or overwork, which fits the scenario of a student with many academic pressures. The other options (A, C, D) refer to culture-bound syndromes that are specific to certain cultural or ethnic groups and do not specifically relate to the symptoms of cognitive dysfunction described in the scenario.

Quiz 1: Mental Health and Mental Disorders