Questions and Answers
A nurse explaining the multiaxial DSM-IV-TR to a psychiatric technician can accurately say that it:
What number on the mental health continuum should the nurse select as best reflecting the individual’s state of mental health/illness?
What behavior might indicate that the client has a mental disorder?
The behavior that indicates the outcome of demonstrating mentally healthy behavior is that the client:
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To discern the criteria used to establish a psychiatric diagnosis, the nurse should consult the:
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Conclusions about current functioning should be made on the basis of:
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The nurse assessing a highly competitive college student would be most concerned about the aspect of mental health known as:
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The nurse should identify interventions to increase the client's:
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The reply that would help the client understand the prevalence of mental illness is:
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The best response for the nurse who receives a query from another mental health professional about the difference between a DSM-IV-TR diagnosis and a nursing diagnosis would be:
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The reply by the nursing student that best addresses the stated bias is:
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The most effective action the nurse could take regarding the client's uncommunicative behavior is to:
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The nurse should code the client's global assessment of functioning as:
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The peer should identify the work described as:
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The response by the nurse that will help the husband better understand his wife's condition is:
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The understanding on the part of the nurse that should result in providing the highest degree of client advocacy is:
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The aspect of mental health the nurse can assess as lacking in the client is:
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In the majority culture of the United States, the individual at greatest risk for being labeled mentally ill is:
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To effectively use the DSM-IV-TR, the nurse must be cognizant of the fact that this tool classifies:
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The psychiatric nurse addresses axis I of the DSM-IV-TR as the focus of treatment but must also consider the presence of a long-term disorder that affects treatment. This information is accessed by noting axis:
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For the psychiatric nurse whose client care focus is holistic, awareness of which DSM-IV-TR axes is most important?
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When the nurse providing psychoeducation about mental disorders is asked, 'What is the most prevalent mental disorder in the United States?' the response should be:
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Study Notes
Multiaxial DSM-IV-TR
- Focuses on assessing several aspects of functioning, not just treatment plans or diagnoses.
- Useful for understanding complex mental health conditions from multiple viewpoints.
Mental Health Continuum
- Individuals can be assessed on a continuum from mental illness to mental health.
- A 23-year-old student reporting mostly happiness and adequate grades reflects a score of 4, indicating good mental health.
Indicators of Mental Disorder
- Persistent sadness, hopelessness, and discouragement are signs of a potential mental disorder.
Mentally Healthy Behavior
- Mentally healthy individuals see themselves as capable of meeting demands and approaching their ideals.
DSM-IV-TR Resource
- The DSM-IV-TR is the primary resource to consult for understanding psychiatric disorders and their criteria.
Assessment of Functioning
- Mental health and illness should be viewed on a continuum from healthy to psychotic, integrating current functioning.
Control Over Behavior
- Individuals demonstrating a strong desire to be competitive but exhibiting aggressive behavior may lack control over their actions, raising mental health concerns.
Self-Concept in Clients
- Interventions should focus on improving a client's self-concept when they exhibit dependence on others and lack decision-making ability.
Prevalence of Mental Illness
- Nearly 50% of individuals aged 15 to 55 experience a psychiatric disorder at some point in their lives, countering stigma around mental health.
DSM-IV-TR vs. Nursing Diagnosis
- The DSM-IV-TR focuses on medical treatment options, while nursing diagnoses provide frameworks for interventions considering the client's unique experiences.
Addressing Bias in Mental Health
- Acknowledging the high success rate of treatment for certain mental disorders helps counter the stigma of hopelessness associated with psychiatric illnesses.
Axis IV in DSM-IV-TR
- The intake notes on Axis IV can provide context for social and environmental factors affecting a client's mental health.
Severe Depression Assessment
- Clients who are profoundly depressed and exhibit extreme withdrawal and lack of self-care may be coded with a low global assessment score of 10.
Clinical Epidemiology
- The study of treatment outcomes for different groups of depressed clients, assessing the effectiveness of medications versus supportive interventions.
Biological vs. Psychological Origins
- Modern findings suggest that conditions like schizophrenia are more likely to stem from biological factors rather than psychological influences.
Cultural Patterns in Mental Health
- Recognizing that symptoms of mental disorders reflect cultural influences is crucial for effective client advocacy.
Fulfilling Relationships
- Assessing a client's ability to maintain stable, fulfilling relationships is essential for understanding their overall mental health.
Labeling and Risk of Mental Illness
- Certain behaviors or beliefs, such as describing auditory hallucinations in charismatic religious settings, increase the risk of being labeled mentally ill.
Classification of Mental Disorders
- The DSM-IV-TR specifically classifies mental disorders, which helps in understanding and identifying therapeutic needs.
Long-Term Disorders and Treatment
- Axis II of the DSM-IV-TR provides context for long-term, underlying disorders that may affect treatment for acute conditions.
Holistic Client Care
- For effective holistic care, nurses should consider all five axes of the DSM-IV-TR to address complex needs of clients.
Prevalent Mental Disorders
- Substance abuse is identified as the most prevalent mental disorder in the United States, highlighting the need for targeted interventions and educational resources.
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Description
This quiz focuses on key concepts from Chapter 1 of mental health and mental illness, including the multiaxial system of the DSM-IV-TR. Use these flashcards to test your understanding of various aspects of mental health diagnoses and treatment plans. Perfect for nursing students and professionals in the mental health field.
