Nursing NCLEX Practice
Exam (Quiz #5: 25 Questions)
UPDATED ON OCTOBER 6, 2023 BY MATT VERA BSN, R.N.
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1. Question
Nurse Greta is aware that the following is classified as an Axis I disorder by the
Diagnosis and Statistical Manual of Mental Disorders, Text Revision (DSM-IV-TR) is:
A. Obesity
B. Borderline personality disorder
C. Major depression
D. Hypertension
Incorrect
Correct Answer: C. Major depression
The DSM-IV-TR classifies major depression as an Axis I disorder. Axis I
disorders tend to be the most commonly found in the public. They include
anxiety disorders, such as panic disorder, social anxiety disorder, and post-
, traumatic stress disorder. Other examples of Axis I disorders are as follows:
Dissociative disorders. Eating disorders (anorexia nervosa, bulimia nervosa,
etc.) Mood disorders (major depression, bipolar disorder, etc.) Published by the
American Psychiatric Association, the DSM is the mental health bible of sorts.
The DSM-IV organized all psychiatric disorders and other problems into five
different categories or axes.
Option A: Obesity was in Axis III. DSM-IV approached psychiatric
assessment and organization of biopsychosocial information using a
multi-axial formulation (American Psychiatric Association, 2013b). There
were five different axes. Axis I consisted of mental health and substance
use disorders (SUDs); Axis II was reserved for personality disorders and
mental retardation; Axis III was used for coding general medical
conditions; Axis IV was to note psychosocial and environmental problems
(e.g., housing, employment); and Axis V was an assessment of overall
functioning known as the GAF.
Option B: Mental disorders are diagnosed according to a manual
published by the American Psychiatric Association called the Diagnostic
and Statistical Manual of Mental Disorders. A diagnosis under the fourth
edition of this manual, which was often referred to as simply the DSM-IV,
had five parts, called axes. Each axis of this multi-axial system gave a
different type of information about the diagnosis. Borderline personality
disorder as an Axis II. Axis II provided information about personality
disorders and mental retardation.
Option D: Hypertension was in Axis III. Axis III provided information about
any medical conditions that were present which might impact the
patient’s mental disorder or its management. General Medical Condition
(GMC) Axis III is for reporting current general medical conditions that are
potentially relevant to the understanding or management of the
individual’s mental disorder. The purpose of recording General Medical
Conditions on Axis III is to encourage thoroughness in
evaluation/assessment and to enhance communication among
healthcare providers. Axis III also ensures that medical or physical
conditions that can directly or indirectly influence management and
treatment are not forgotten.
2. Question
Katrina, a newly admitted is extremely hostile toward a staff member she has just met,
without apparent reason. According to Freudian theory, the nurse should suspect that
the client is experiencing which of the following phenomena?
A. Intellectualization
B. Transference