The nurse in the community mental health clinic assesses a client ...

[jlmhmf]

The nurse in the community mental health clinic assesses a client and determines the presence of an Axis II diagnosis. What conclusions can the nurse draw?
 
  1. The client is in need of further evaluation.
  2. The client has a personality disorder.
  3. The client will need a special diet.
  4. The client is a candidate for the least restrictive environment.

Question 2

A client tells the nurse, I refuse to take quetiapine (Seroquel) because it is manufactured by Al Qaeda. If I take it, I'll die. This is an example of:
 
  1. A negative symptom of schizophrenia called alogia.
  2. A negative symptom of schizophrenia called avolition.
  3. A positive symptom of schizophrenia called delusion.
  4. A characteristic of schizophrenia called ambivalence.

[ms_sulzle]

Answer to Question 1

2
Rationale: Axis II contains the personality disorders usually diagnosed in adults, and developmental disorders including mental retardation, diagnosed in children and adolescents. Axis II is also used to report maladaptive personality traits. Information about diet and the level of care needed are written in the admission orders, not the multiaxial diagnosis.

Answer to Question 2

3
Rationale: The client's statement is an example of the positive symptom of schizophrenia called delusion, which is a mistaken or false fixed belief about the self or the environment. The client's statement is not an example of ambivalence which is defined as concurrent conflicting emotions, thoughts, or actions toward a person, object, or concept. It is also not an example of the tendency to use minimal words to speak called alogia, or of a lack of motivation called avolition.

[jlmhmf]

Excellent

[covalentbond]

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