Select the best response for the nurse who receives a query from ...

[sarasara]

Select the best response for the nurse who receives a query from another mental health professional seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis.
 
  a. There is no functional difference between the two. Both identify human disorders.
  b. The DSM-IV-TR diagnosis disregards culture, whereas the nursing diagnosis takes culture into account.
  c. The DSM-IV-TR diagnosis is associated with present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems.
  d. The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for phenomena a patient is experiencing.

Question 2

A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality?
 
  a. Need for environmental control
  b. Time orientation
  c. Space comfort zone
  d. Territorial needs

[milbourne11]

Answer to Question 1

D
The medical diagnosis is concerned with the patient's disease state, causes, and cures, whereas the nursing diagnosis focuses on the patient's response to stress and possible caring interventions. Both tools consider culture. The DSM-IV-TR is multiaxial. Nursing diagnoses also consider potential problems.

Answer to Question 2

B
Mental dysfunction can lead to incorrect perception of time, causing the client to be continually late. In addition, some cultures do not see schedules and specific appointment times as important, causing the client to be continually late in the eyes of the caregiver. Environmental control refers to an individual's need to control his or her perception of the environment. Comfort zones are highly culture based, meaning that individual interpretation of personal space varies among cultures. Territorial needs provide a sense of identity and security for some clients.

[sarasara]

Excellent

[dawsa925]

TYSM