HEALTH EXAM WITH QUESTIONS AND
ANSWERS LATEST UPDATED
The DSM-IV-TR profiles psychiatric diagnoses on five axes. Each axis defines a specific
aspect of the diagnosis. Axis I identifies major clinical disorders. Axis II details
personality and developmental disorders. Axis III identifies general medical conditions.
Axis IV details psychosocial and environmental problems. Axis V rates the Global
Assessment of Functioning
A nurse explains the multiaxial DSM-IV-TR to a psychiatric technician and includes
information that it:
a. focuses on plans for treatment.
b. includes nursing and medical diagnoses.
c. classifies problems in multiple areas of functioning.
d. uses the framework of a specific biopsychosocial theory. - C
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 does not include treatment plans or
nursing diagnoses. It does not use specific biopsychosocial theories
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
resource would have the most complete information?
a. The ICD-10
b. Nursing Outcomes Classification
c. Diagnostic and Statistical Manual of Mental Disorders
d. The ANA Psychiatric-Mental Health Nursing Scope and Standards of Practice - C
The DSM-IV-TR details the diagnostic criteria for psychiatric clinical conditions. The
other references are good resources but do not define the diagnostic criteria.
Which comment most clearly shows a speaker views mental illness with stigma? a.
"Some mental illnesses are inherited."
b. "Most people with mental illness are unmotivated."
c. "Severe environmental stress sometimes causes mental illness."
, d. "Some mental illnesses are brain disorders resulting from changes in how impulses
are transmitted." - B
Stigma refers to stereotypical, negative beliefs. With respect to mental health and
mental illness, stigma often leads to discrimination and uncaring attitudes. Mental illness
has multiple causes, including stress, changes in brain structure or function, and genetic
transmission.
Complete this analogy. NANDA : clinical judgment :: NIC : _________________ a.
patient outcomes
b. nursing actions
c. diagnosis
d. symptoms - B
Which documentation of diagnosis would a nurse expect in a psychiatric treatment
setting?
a. I Acute renal failure
II 75
III Bipolar disorder I, mixed
IV Loss of disability benefits 2 months ago
V None
b. I Schizophrenia, paranoid type
II Death of spouse last year
III 60
IV None
V Diabetes, type 2
c. I Polysubstance dependence
II Narcissistic Personality Disorder
III 90
IV Hyperlipidemia
V Charges pending for assault d. I Major Depression
II Avoidant Personality Disorder
III Hypertension
IV Home destroyed by hurricane last year
V 80 - D
A college student said, "Most of the time I'm happy and feel good about myself. I have
learned that what I get out of something is proportional to the effort I put into it." Which
number on this mental health continuum should the nurse select?
Mental Illness Mental Health
12345-E
The student is happy and has an adequate self-concept. The student is reality oriented,
works effectively, and has control over own behavior. Mental health does not mean that
a person is happy all the time.