Psychiatric Mental Health Nursing ISBN
9780323810302, Covering Chapters 1-28
| Includes Rationales
- answer-1. A nurse explains multiaxial diagnoses to a psychiatric technician. Which information
is accurate?
a. - answer-It is a template for treatment planning.
b. - answer-Nursing and medical diagnoses are included.
c. - answer-Assessments of several aspects of functioning are included.
d. - answer-It incorporates the framework of a specific biopsychosocial theory.
ANS: - answer-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 is not a template for treatment planning and does not use a
specific biopsychosocial theory. Nursing diagnoses are not included in multiaxial diagnoses. -
answer-
1
, - answer-2. Which documentation of diagnosis would a nurse expect for a person with mental
illness?
a. - answer-I Rheumatoid arthritis
II 100 - answer-
III Posttraumatic stress disorder - answer-
IV Arrested for shoplifting 2 months ago - answer-
V None - answer-
b. - answer-I Mental retardation
II Histrionic personality disorder - answer-
III 75 - answer-
IV Hypertension - answer-
V Home destroyed by tornado last year - answer-
c. - answer-I Schizophrenia, paranoid
2
, II Death of spouse last year - answer-
III 40 - answer-
IV None - answer-
V Alcohol abuse - answer-
d. - answer-I Generalized anxiety disorder
II Avoidant personality disorder - answer-
III Fibromyalgia - answer-
IV Declared bankruptcy 6 months ago - answer-
V 60 - answer-
ANS: - answer-D
The option beginning with a diagnosis of generalized anxiety disorder places a clinical disorder
on Axis I, a personality disorder on Axis II, a medical problem on Axis III, a psychosocial problem
on Axis IV, and GAF on Axis V. The other options misplace and incorrectly order the clinical
data. - answer-
- answer-3. A patient is admitted to the psychiatric hospital for assessment and evaluation.
3