DSM-V-TR Multi-Axial System Quiz
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Questions and Answers

What is the purpose of the multi-axial system in DSM-V-TR?

  • To eliminate the need for clinical assessments in psychiatry
  • To classify all mental disorders under a single category
  • To focus solely on the biological aspects of mental illness
  • To assess several domains of information for effective treatment planning (correct)

    • Which Axis is specifically assigned for reporting Personality Disorders?

  • Axis III
  • Axis II (correct)
  • Axis I
  • Axis IV

    • What defines a disorder classified under Axis I?

  • It is used for reporting psychiatric clinical disorders. (correct)
  • It is relevant only for patients under 18 years of age.
  • It focuses on environmental factors affecting mental health.
  • It includes intellectual disabilities.

    • When was the DSM-V-TR first released?

    <p>2022</p> Signup and view all the answers

    Which of the following disorders would NOT be classified under Axis I?

    <p>Personality Disorders</p> Signup and view all the answers

    What is recorded under Axis V in the multi-axial assessment?

    <p>Global Assessment of Functioning</p> Signup and view all the answers

    Which version of DSM was released in 1994?

    <p>DSM IV</p> Signup and view all the answers

    What type of information is addressed in Axis III?

    <p>Medical or Physical Conditions</p> Signup and view all the answers

    What type of disorders are classified under Axis II?

    <p>Personality disorders</p> Signup and view all the answers

    Which of the following is NOT a type of disorder listed in Axis II?

    <p>Schizophrenia</p> Signup and view all the answers

    Which condition listed is an example of a general medical condition found under Axis III?

    <p>Lung cancer</p> Signup and view all the answers

    Which of the following is a contributing factor assessed in Axis IV?

    <p>Educational problems</p> Signup and view all the answers

    What is the primary focus of Axis V in the diagnosis process?

    <p>Global assessment of functioning</p> Signup and view all the answers

    Which cluster of personality disorders includes antisocial personality disorder?

    <p>Cluster B</p> Signup and view all the answers

    Which type of factors is NOT evaluated in Axis IV?

    <p>Chronic physical illness</p> Signup and view all the answers

    Why was Axis II established as a separate category in diagnoses?

    <p>To emphasize chronic symptoms overshadowed by Axis I conditions</p> Signup and view all the answers

    Which category in the GAF scale indicates the absence of symptoms and a high level of functioning?

    <p>91-100</p> Signup and view all the answers

    What notable change was made regarding Axis I, II, and III in DSM-V-TR?

    <p>They were merged into one axis with 20 disorders.</p> Signup and view all the answers

    Which disorder was added as a diagnostic entity in DSM-V-TR?

    <p>Prolonged grief disorder</p> Signup and view all the answers

    What term was updated to replace 'neuroleptic medication' in DSM-V-TR?

    <p>Antipsychotic medication</p> Signup and view all the answers

    Which of the following is NOT one of the categories used to describe changes in DSM-V-TR?

    <p>Elimination of symptom codes</p> Signup and view all the answers

    In the GAF scale, what does a score of 21-30 typically indicate?

    <p>Delusion or hallucination affecting communication</p> Signup and view all the answers

    Which type of disorders is included under neurodevelopmental disorders in DSM-V-TR?

    <p>Autism spectrum disorders</p> Signup and view all the answers

    What is one of the criticisms of the old DSM system's axes structure that led to its revision in DSM-V?

    <p>It was too simplistic for complex diagnoses.</p> Signup and view all the answers

    What aspect does the WHODAS 2.0 NOT assess?

    <p>Environmental barriers</p> Signup and view all the answers

    Which of the following domains is NOT included in the WHODAS 2.0?

    <p>Mental health status</p> Signup and view all the answers

    What is assessed under the 'Cognition' domain of WHODAS 2.0?

    <p>Communication and thinking activities</p> Signup and view all the answers

    Which factor is NOT considered in the significant revisions to DSM related to racism and discrimination?

    <p>Gender differences in academic performance</p> Signup and view all the answers

    What does the 'Getting along' domain assess in WHODAS 2.0?

    <p>Interaction difficulties with others</p> Signup and view all the answers

    Under the WHODAS 2.0, which life domain assesses day-to-day activities?

    <p>Life activities</p> Signup and view all the answers

    What is one of the main purposes of the WHODAS 2.0?

    <p>To assess health and disability at the population level</p> Signup and view all the answers

    Which of the following is NOT a feature assessed under the 'Self-care' domain of WHODAS 2.0?

    <p>Working effectively</p> Signup and view all the answers

    Study Notes

    DSM-V-TR Overview

    • The DSM-V-TR is the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, Text Revision.
    • It's published by the American Psychiatric Association (APA).
    • It provides diagnostic criteria for various mental disorders.
    • It has evolved through multiple editions, reflected in the many versions of DSM
    • The latest version is DSM-V-TR (2022, April).

    Learning Objectives

    • Students will be able to:
      • Explain the evolution of DSM diagnostic criteria.
      • Describe diagnostic criteria using multi-axial assessment.
      • Explain DSM-V-TR classification in psychiatric nursing.

    Evolution of DSM

    • DSM editions include:
      • DSM I (1952)
      • DSM II (1968)
      • DSM III (1980)
      • DSM III-R (1987)
      • DSM IV (1994)
      • DSM IV-TR (2000)
      • DSM V (2013)
      • DSM V-TR (2022)

    Multi-Axial Assessment

    • A multi-axial system involves assessment on several axes.
    • Each axis provides information pertaining to a domain, which helps the care team plan treatment and predict the outcome.
    • This approach enhances the understanding of mental disorders by examining various factors influencing the individual's situation

    DSM Axes

    • Axis I: Psychiatric Clinical Disorders (e.g., anxiety, depressive, psychotic disorders).
    • Axis II: Personality Disorders or Mental Retardation.
    • Axis III: Medical or Physical Conditions.
    • Axis IV: Contributing Environmental or Psychosocial Factors (e.g., problems with support, environment, housing)
    • Axis V: Global Assessment of Functioning (GAF). Measures the level of functioning.

    Axis I Disorders

    • Disorders often first diagnosed in childhood, adolescence, and adulthood (excluding Mental Retardation).
    • Examples: substance-related disorders, schizophrenia, mood disorders, anxiety disorders, somatoform disorders, and more.

    Axis II Disorders

    • Personality Disorders and Mental Retardation, usually diagnosed in adults.
    • Classes: Cluster A, B, and C

    Axis III

    • Reporting current general medical conditions.
    • Medical conditions that are potentially relevant for understanding or managing the individual's mental health disorder.
    • Examples: infectious diseases, cancer, diabetes.

    Axis IV

    • Reporting environmental factors and psychosocial factors impacting an individual.
    • Examples: primary support group problems, problems with the social environment, educational/occupational/housing/economic factors, access to healthcare, problems with the legal system/crime and other psychosocial factors

    Axis V - GAF

    • Clinician's judgement on the individual's overall level of functioning.
    • Useful for planning treatment and measuring its impact, predicting outcomes.
    • Measured through a scale (e.g., 91-100 = happy, healthy, no symptoms; 0-10 = persistent danger of harming self or others)

    Changes in DSM-V-TR

    • Removal of Axis I, II, and III - they're now grouped into a single axis
    • Removal of Axis IV
    • Axis V has been changed to the WHO Disability Assessment Schedule (WHO-DAS) which covers different domains of life.

    WHO Disability Assessment Schedule (WHO-DAS)

    • A practical, generic assessment instrument.
    • Measures the level of functioning in six life domains:
      1. Cognition
      2. Mobility
      3. Self-care
      4. Getting along
      5. Life activities
      6. Participation

    DSM-V-TR Content Updates

    • Updated descriptive text based on reviewed literature.
    • Revisions include prevalence, risk, prognostic factors, relationships between gender, culture, and prognostic features.
    • Concerns about racism and discrimination are addressed in revisions.

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    DSM-V-TR Lecture Notes PDF

    Description

    Test your knowledge on the multi-axial system used in the DSM-V-TR. This quiz covers the purposes of each axis, the classifications of disorders, and the history of the DSM. Challenge yourself and see how well you understand this essential component of psychiatric assessment!

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