Which documentation of diagnosis would a nurse expect for a ...

[javeds]

Which documentation of diagnosis would a nurse expect for a person with mental illness?
 
  a. I Rheumatoid arthritis
   II 100
   III Posttraumatic stress disorder
   IV Arrested for shoplifting 2 months earlier
   V None
  b. I Mental retardation
   II Histrionic personality disorder
   III 75
   IV Hypertension
   V Home destroyed by tornado last year
  c. I Schizophrenia, paranoid
   II Death of spouse last year
   III 40
   IV None
   V Alcohol abuse
  d. I Generalized anxiety disorder
   II Avoidant personality disorder
   III Fibromyalgia
   IV Declared bankruptcy 6 months ago
   V 60

Question 2

A nurse explains multiaxial diagnoses to a psychiatric technician. Which information is accurate?
 
  a. It is a template for treatment planning.
  b. Nursing and medical diagnoses are included.
  c. Assessments of several aspects of functioning are included.
  d. It incorporates the framework of a specific biopsychosocial theory.

[stanleka1]

Answer to Question 1

ANS: D
The option beginning with a diagnosis of generalized anxiety disorder places a clinical disorder on Axis I, a personality disorder on Axis II, a medical problem on Axis III, a psychosocial problem on Axis IV, and global assessment of functioning (GAF) on Axis V. The other options misplace and incorrectly order the clinical data.

Answer to Question 2

ANS: C
The use of five axes requires an assessment beyond the diagnosis of a mental disorder and includes relevant medical conditions, psychosocial and environmental problems, and global assessment of functioning. The Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision) (DSM-IV-TR) is not a template for treatment planning and does not use a specific biopsychosocial theory. Nursing diagnoses are not included in multiaxial diagnoses.

[javeds]

TY

[stanleka1]

Happy to Help