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
... [Show More] 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. - ANS-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. - ANS-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 - ANS-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. - ANS-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. - ANS-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. - ANS-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. - ANS-D) The man may or may not be
mentally ill. [Show Less]