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When planning care for a specific client, of what significance to the psychiatric nurse is
the fact that the DSM-IV-TR is multiaxial?
a) Pertinent aspects of client functioning and problems are reported.
b) Standardized treatment plans are available for each diagnosis.
c) Nursing diagnoses are included for each medical diagnosis.
d) No particular significance exists. - CORRECT ANSWER-a) Pertinent aspects of client
functioning and problems are reported.
A nurse conducting research is seeking data about outcomes for depressed patients
who have been treated with electroconvulsive therapy. The nurse is engaged in the field
of
A) experimental epidemiology.
B) descriptive epidemiology.
C) clinical epidemiology.
D) analytic epidemiology. - CORRECT ANSWER-C) clinical epidemiology.
A client tells the mental health nurse "I am terribly frightened! I hear whispering that
someone is going to kill me." Which criterion of mental health can the nurse assess as
lacking?
A) Control over behavior
B) Appraisal of reality
C) Effectiveness in work
D) Healthy self-concept - CORRECT ANSWER-B) Appraisal of reality
,A 14-year-old who belongs to a neighborhood gang is found by her parents to lie and
engage in sexually promiscuous behavior. They bring her to the mental health center.
The nurse performing the assessment is told by the 14-year-old that she is happy, does
well in school, and sees herself as popular and well regarded by her group. She states
her parents are just old fashioned and don't understand her. The assessment the nurse
will most likely make is that she:
A) is displaying deviant behavior.
B) cannot accurately appraise reality.
C) is seriously and persistently mentally ill.
D) should be considered for group home placement. - CORRECT ANSWER-A) is
displaying deviant behavior.
An important concept for nurses to remember when planning care for mentally ill clients
is that each client:
A) has areas of strength on which to build.
B) has right that must be respected.
C) comes with experiences that contribute to their problem.
D) share the same fears as mentally healthy individuals. - CORRECT ANSWER-A) has
areas of strength on which to build.
A nurse suspects that a client has a personality disorder in addition to displaying
symptoms of a mood disorder. To determine whether these observations are correct,
the nurse could look in the client's medical record on the DSM-IV-TR
A) axis I.
B) axis II.
C) axis III.
D) axis IV. - CORRECT ANSWER-B) axis II.
,A man frequently bursts out by loudly singing operatic arias. The neighbors in the next
apartment find the noise disturbing. They go to his apartment to confront him and find
that in he is wearing only his bathrobe and his apartment is messy. He acts outraged
and tells them he must sing several hours daily and will not promise to be quieter. The
conclusion that can be drawn is:
A) The man is demonstrating symptoms of bipolar disorder.
B) The man is socially deviant.
C) The man is egocentric.
D) The man may or may not be mentally ill. - CORRECT ANSWER-D) The man may or
may not be mentally ill.
A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
A) justifying the use of certain psychotropic medication.
B) providing data essential for insurance reimbursement.
C) providing a framework for selecting appropriate interventions.
D) identifying information to be placed on DSM-IV-TR axis III. - CORRECT ANSWER-C)
providing a framework for selecting appropriate interventions.
A client has begun to neglect her appearance, is withdrawn and stays in her room. Her
mother hears her seemingly talking to others, but no one is in the room with her. Last
night she threw a chair and broke the window of her bedroom. She tells the nurse
nothing is wrong. The nurse rating her current global assessment of functioning would
probably assign the code
A) 100.
B) 70.
C) 40.
D) 0. - CORRECT ANSWER-C) 40.
, The mental health or mental illness of a particular client can best be assessed by
considering
A) the degree of conformity of the individual to society's norms.
B) the degree to which an individual is logical and rational.
C) placement on a continuum from healthy to psychotic.
D) the rate of intellectual and emotional growth. - CORRECT ANSWER-C) placement
on a continuum from healthy to psychotic.
The quantitative study of the distribution of mental disorders in human populations is
called:
A) mortality.
B) prevalence.
C) epidemiology.
D) clinical epidemiology - CORRECT ANSWER-C) epidemiology.
What phrase best describes the DSM-IV-TR?
A) Is a multiaxial psychiatric assessment system
B) Is a compendium of treatment modalities
C) Offers a complete list of nursing diagnoses
D) Suggests common interventions for mental disorders. - CORRECT ANSWER-A) Is a
multiaxial psychiatric assessment system
Current information suggests that the most disabling mental disorders are the result of:
A) biological influences.
B) psychological trauma.
C) learned ways of behaving.
D) faulty patterns of early nurturance. - CORRECT ANSWER-A) biological influences.