ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 2 : Menta Health and Mental Disorders Questions
Question 1 of 5
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:
Correct Answer: A
Rationale: The DSM-IV-TR includes five axes, with Axis IV capturing psychosocial and environmental problems (e.g., life stressors) that contribute to the patient?s condition, complementing the Global Assessment of Functioning (GAF) on Axis V for a complete picture.
Question 2 of 5
A patient?s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
Correct Answer: A
Rationale: The Global Assessment of Functioning (GAF) score of 91-100 indicates minimal or no symptoms with good functioning in all areas. A score of 94 aligns with this description, reflecting superior functioning.
Question 3 of 5
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 patient?s mental disorder, he identified her alcohol dependence on which axis?
Correct Answer: A
Rationale: Alcohol dependence is classified as a clinical disorder under Axis I in the DSM-IV-TR, which includes major mental disorders and substance-related disorders.
Question 4 of 5
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?
Correct Answer: C
Rationale: Diabetes mellitus, a general medical condition, is documented on Axis III in the DSM-IV-TR, which captures physical health conditions that may impact the patient?s mental health.
Question 5 of 5
As part of a 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?
Correct Answer: A
Rationale: Epidemiology studies the distribution and determinants of mental disorders in populations, helping to identify patterns of occurrence, risk factors, and prevalence to inform public health strategies.