1) A nursing instructor 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 psychi...
NSG 335 (Exam 1) Questions and
Complete Solutions
1) A nursing instructor 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 illness ✅a)
Provide a commonly understood diagnostic category for clinical practice
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 ✅a) Life stressors
A patients 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 ✅b) 82
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 dependence because she began experiencing alcohol
withdrawal while she was in the hospital. When the psychiatrist who was called in as
consultant documented the patients mental disorder, he identified her alcohol
dependence on which axis?
a) Axis I
b) Axis II
c) Axis III
d) Axis IV ✅b) axis II
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 ✅C) Axis III
As part of class activity, nursing students are engaged in a small group discussion
about the epidemiology of mental illness. Which statement best explains the importance
of epidemiology in understanding the impact of mental disorders?
a) Epidemiology helps promote understanding of the patterns of occurrence associated
with mental disorders
b) Epidemiology helps explain research findings about the neurophysiology that causes
mental disorders
c) epidemiology provides a thorough theoretical explanation of why specific mental
disorders occur
d) Epidemiology predicts when a specific psychiatric client will recover from a specific
mental disorder ✅a) epidemiology helps promote understanding of the patterns of
occurrence associated with mental disorders
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 ✅c) Label avoidance
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?
a) An evidence-based research finding
b) An experimental design to guide care
c) A domain of information
d) A laboratory test finding ✅c) A domain of information
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 ✅d) person with schizophrenia
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
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