A client is admitted with the following diagnosis: Axis I: ...

[lak]

A client is admitted with the following diagnosis:
 
  Axis I: 300.01 Panic disorder without agoraphobia
  Axis II: 301.83 Borderline personality disorder
  Axis III: No diagnosis
  Axis IV: Unemployment
  What conclusions can the nurse make relative to the client's Axis III information?
  1. This client has problems with environment, but they are not related to mental disorder.
  2. The client's environment has not been evaluated.
  3. The client's health status has not been evaluated.
  4. The client has no diagnosed physiological health problems relevant to mental disorder at the time of admission.

Question 2

The mother of a client diagnosed with schizophrenia is tearful and wonders aloud if she passed the illness on to her child, and if her grandchild will also develop the disease. The nurse should reply with which statement?
 
  1. I see you are feeling upset. Do you want to talk?
  2. Schizophrenia does have a strong genetic link, but at present there is no specific genetic test for it.
  3. Your grandchild has nothing to worry about.
  4. You and your child should volunteer for genetic research.

[krakiolit]

Answer to Question 1

4
Rationale: Clinicians use Axis III to record physical disorders and medical conditions that must be taken into account in planning treatment at the time of admission. Axis IV is used to identify problems or issues of a psychosocial and environmental nature.

Answer to Question 2

2
Rationale: Schizophrenia has an 80 chance of heritability. At present there is no specific genetic test available. Clients and families should be presented with information about the benefits of genetic research for future generations of people with schizophrenia. Telling the client there is nothing to worry about is false reassurance and is not therapeutic. Acknowledging the client's distress is appropriate, but the nurse must address the client's concerns directly.

[lak]

Excellent

[at]

Wow, this really help