Chapter 2 Mental health and mental disorder
Exams 2019
1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which
of the following would the instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnostic category for clinical practice.
B) Describe treatment modalities for psychiatric disorders and mental illnesses.
C) Identify various etiologies for mental disorders based on family histories.
D) Provide optimal outcomes for treatment for individuals with mental illnesses.
2. 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:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. 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?
A) 94
B) 82
C) 75
D) 63
4. 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?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
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, 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?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
6. 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?
A) Epidemiology helps promote understanding of the patterns of occurrence
associated with mental disorders.
B) Epidemiology helps explain research findings about the neurophysiology that
causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental
disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a
specific mental disorder.
7. A nurse is working in a community mental health center that provides care to a large
population of Asian descent. When developing programs for this community, which of
the following would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR.
The students demonstrate understanding of the axes when they identify that each axis
represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
Page 2
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Exams 2019
1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which
of the following would the instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnostic category for clinical practice.
B) Describe treatment modalities for psychiatric disorders and mental illnesses.
C) Identify various etiologies for mental disorders based on family histories.
D) Provide optimal outcomes for treatment for individuals with mental illnesses.
2. 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:
A) Life stressors
B) Cultural background
C) Marital status
D) Genetic history
3. 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?
A) 94
B) 82
C) 75
D) 63
4. 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?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
Page 1
This study source was downloaded by 100000847338926 from CourseHero.com on 06-14-2022 05:37:59 GMT -05:00
https://www.coursehero.com/file/8858901/Chapter-2-Mental-Health-and-Mental-Disorders/
, 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?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
6. 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?
A) Epidemiology helps promote understanding of the patterns of occurrence
associated with mental disorders.
B) Epidemiology helps explain research findings about the neurophysiology that
causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific mental
disorders occur.
D) Epidemiology predicts when a specific psychiatric client will recover from a
specific mental disorder.
7. A nurse is working in a community mental health center that provides care to a large
population of Asian descent. When developing programs for this community, which of
the following would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-TR.
The students demonstrate understanding of the axes when they identify that each axis
represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
Page 2
This study source was downloaded by 100000847338926 from CourseHero.com on 06-14-2022 05:37:59 GMT -05:00
https://www.coursehero.com/file/8858901/Chapter-2-Mental-Health-and-Mental-Disorders/
