varcarolis test bank
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1. : Varcarolis: Essen-tials of Psychiatric Mental Health Nursing
2. : Test Bank
3. : Chapter 2: Mental Health and Mental Ill-ness
4. MULTIPLE CHOICE:
5. 1. A nurse explains multiaxial diagnoses to a psychiatric technician. Which
information is accurate?:
6. It is a template for treatment planning.: a.
7. Nursing and medical diagnoses are included.: b.
8. Assessments of several aspects of functioning are included.: c.
9. It incorporates the framework of a specific biopsychosocial theory.: d.
10. C: ANS:
11. : The use of five axes requires assessment beyond diagnosis of a mental disorder and includes relevant medical
conditions, psychosocial and environmental problems, and global assessment of functioning. The DSM-IV-TR is not
a template for treatment planning and does not use a specific biopsychosocial theory. Nursing diagnoses are not
included in multiaxial diagnoses.
12. 2. Which documentation of diagnosis would a nurse expect for a person
with mental illness?:
13. I Rheumatoid arthritis: a.
14. : II 100
15. : III Posttraumatic stress disorder
16. : IV Arrested for shoplifting 2 months ago
17. : V None
18. I Mental retardation: b.
19. : II Histrionic personality disorder
20. : III 75
21. : IV Hypertension
22. : V Home destroyed by tornado last year
23. I Schizophrenia, paranoid: c.
24. : II Death of spouse last year
25. : III 40
26. : IV None
27. : V Alcohol abuse
1/8
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28. I Generalized anxiety disorder: d.
29. : II Avoidant personality disorder
30. : III Fibromyalgia
31. : IV Declared bankruptcy 6 months ago
32. : V 60
33. D: ANS:
34. : The option beginning with a diagnosis of generalized anxiety disorder places a clinical disorder on Axis I, a
personality disorder on Axis II, a medical problem on Axis III, a psychosocial problem on Axis IV, and GAF on Axis V.
The other options misplace and incorrectly order the clinical data.
35. 3. A patient is admitted to the psychiatric hospital for assessment and eval-
uation. What behavior might indicate that the patient has a mental disorder?
The patient::
36. accurately describes the difference between the "as if" and the "for real.": a.
37. describes mood as consistently sad, discouraged, and hopeless.: b.
38. responds to the rules, routines, and customs of the group.: c.
39. can perform tasks attempted within the limits of own abilities.: d.
40. B: ANS:
41. : A patient who reports having a consistently negative mood is describing a mood alteration. The other options
describe mentally healthy behaviors.
42. 4. The goal for a patient is to increase resiliency. Which outcome should a
nurse add to the plan of care? The patient will::
43. describe feelings associated with loss and stress.: a.
44. identify healthy coping behaviors in response to stressful events.: b.
45. allow others to assume responsibility for major areas of own life.: c.
46. meet own needs without considering the rights of others.: d.
47. : The patient's ability to identify healthy coping behaviors indicates adaptive, healthy behavior and demonstrates
an increased ability to recover from severe stress. Describing feelings associated with loss and stress does not move
the patient toward adaptation. The remaining options are maladaptive behaviors.
48. 5. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diag-
nosis on a patient's insurance form. Which resource should the nurse use to
discern the criteria used to establish this diagnosis?:
49. DSM-IV-TR: a.
2/8
Study online at https://quizlet.com/_k0w0vr
1. : Varcarolis: Essen-tials of Psychiatric Mental Health Nursing
2. : Test Bank
3. : Chapter 2: Mental Health and Mental Ill-ness
4. MULTIPLE CHOICE:
5. 1. A nurse explains multiaxial diagnoses to a psychiatric technician. Which
information is accurate?:
6. It is a template for treatment planning.: a.
7. Nursing and medical diagnoses are included.: b.
8. Assessments of several aspects of functioning are included.: c.
9. It incorporates the framework of a specific biopsychosocial theory.: d.
10. C: ANS:
11. : The use of five axes requires assessment beyond diagnosis of a mental disorder and includes relevant medical
conditions, psychosocial and environmental problems, and global assessment of functioning. The DSM-IV-TR is not
a template for treatment planning and does not use a specific biopsychosocial theory. Nursing diagnoses are not
included in multiaxial diagnoses.
12. 2. Which documentation of diagnosis would a nurse expect for a person
with mental illness?:
13. I Rheumatoid arthritis: a.
14. : II 100
15. : III Posttraumatic stress disorder
16. : IV Arrested for shoplifting 2 months ago
17. : V None
18. I Mental retardation: b.
19. : II Histrionic personality disorder
20. : III 75
21. : IV Hypertension
22. : V Home destroyed by tornado last year
23. I Schizophrenia, paranoid: c.
24. : II Death of spouse last year
25. : III 40
26. : IV None
27. : V Alcohol abuse
1/8
, varcarolis test bank
Study online at https://quizlet.com/_k0w0vr
28. I Generalized anxiety disorder: d.
29. : II Avoidant personality disorder
30. : III Fibromyalgia
31. : IV Declared bankruptcy 6 months ago
32. : V 60
33. D: ANS:
34. : The option beginning with a diagnosis of generalized anxiety disorder places a clinical disorder on Axis I, a
personality disorder on Axis II, a medical problem on Axis III, a psychosocial problem on Axis IV, and GAF on Axis V.
The other options misplace and incorrectly order the clinical data.
35. 3. A patient is admitted to the psychiatric hospital for assessment and eval-
uation. What behavior might indicate that the patient has a mental disorder?
The patient::
36. accurately describes the difference between the "as if" and the "for real.": a.
37. describes mood as consistently sad, discouraged, and hopeless.: b.
38. responds to the rules, routines, and customs of the group.: c.
39. can perform tasks attempted within the limits of own abilities.: d.
40. B: ANS:
41. : A patient who reports having a consistently negative mood is describing a mood alteration. The other options
describe mentally healthy behaviors.
42. 4. The goal for a patient is to increase resiliency. Which outcome should a
nurse add to the plan of care? The patient will::
43. describe feelings associated with loss and stress.: a.
44. identify healthy coping behaviors in response to stressful events.: b.
45. allow others to assume responsibility for major areas of own life.: c.
46. meet own needs without considering the rights of others.: d.
47. : The patient's ability to identify healthy coping behaviors indicates adaptive, healthy behavior and demonstrates
an increased ability to recover from severe stress. Describing feelings associated with loss and stress does not move
the patient toward adaptation. The remaining options are maladaptive behaviors.
48. 5. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diag-
nosis on a patient's insurance form. Which resource should the nurse use to
discern the criteria used to establish this diagnosis?:
49. DSM-IV-TR: a.
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