Psychiatric Mental Health Nursing 4th Edition by Frisch, Noreen Cavan, Frisch, Lawrence E. – Test Bank
CHAPTER 5 DIAGNOSTIC SYSTEMS FOR PSYCHIATRIC NURSING
TRUE/FALSE
1.Epidemiology is the study of factors that lead to the occurrence of disease in a population of people.
ANS: T PTS: 1
2.The International Classification of Diseases (ICD) has nothing to do with insurance coverage and reimbursement for services.
ANS: F PTS: 1
3.An updated version of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-IV) came out in 2000 and is referred to as the DSM-IV-TR.
ANS: T PTS: 1
4.The NANDA taxonomy of nursing diagnoses was first published in 1990 and has been in use since that time.
ANS: F PTS: 1
5.Over one-half of the approved or accepted nursing diagnoses address nursing concerns in the psychosocial-spiritual realm of client care.
ANS: T PTS: 1
6.The nursing diagnosis represents the part of nursing practice that the nurse is licensed to address independently.
ANS: T PTS: 1
COMPLETION
1.The major classification system for diagnosing mental disorders is contained in the publication called the ____________________.
ANS:
DSM-IV
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic and Statistical Manual of Mental Disorders, fourth edition
Diagnostic and Statistical Manual of Mental Disorders, 4th edition
PTS: 1
2.According to the DSM-IV classification system, the condition of mental retardation would be listed under the axis known as ____________________.
ANS: Axis II
PTS: 1
3.According to the DSM-IV classification system, information about living in a group residence and the interactions with other residents would be indicated on the axis known as ____________________.
ANS: Axis IV
PTS: 1
4.According to the DSM-IV classification system, information about general medical conditions would appear on the axis known as ____________________.
ANS: Axis III
PTS: 1
5.You are working with a client who smears feces, has some trouble maintaining minimal personal hygiene, and presents some danger of hurting self or others. Looking at the Global Assessment of Functioning Scale, you would expect this client to have a rating ranging from ____________________ to ____________________.
ANS:
11, 20
eleven, twenty
PTS: 1
6.According to the DSM-IV classification system, the diagnosis of Obsessive-Compulsive Disorder is listed on the axis known as ____________________.
ANS: Axis I
PTS: 1
7.According to the DSM-IV classification system, the diagnosis of Narcissistic Personality Disorder is listed on the axis known as ____________________.
ANS: Axis II
PTS: 1
8.The minimal information necessary to meet information demands of nursing practice is known by the acronym ____________________.
ANS: NMDS
PTS: 1
9.The comprehensive coding system that is more inclusive than ICD-9 in that it includes nursing diagnoses and nursing interventions is known by the acronym ____________________.
ANS: SNOMED
PTS: 1
10.Through collaborative efforts of nurses all around the world under the auspices of the International Council of Nursing (ICN), a universal reference terminology for nursing practice is being developed, which is known as the ____________________.
ANS:
International Classification for Nursing Practice
ICNP
PTS: 1
MULTIPLE CHOICE
1.Which of the following statements regarding the International Classification of Diseases (ICD) system codes is true? The ICD codes:
a. |
allow for a limited listing of the rarer clinical diagnoses |
b. |
describe clinical symptoms specific to the client |
c. |
can be evaluated by a computer for epidemiological analysis |
d. |
are expressed by two whole numbers and three decimal places |
ANS: B
The only true statement is that ICD codes describe clinical symptoms specific to a client. The other three options are false.
PTS: 1 DIF: Comprehension REF: ICD-9
2.Compared to the ICD-9 diagnoses, the DSM-IV provides:
a. |
a clearer view of an individual client’s situation |
b. |
less information relevant to diagnoses |
c. |
less information describing the phenomena of mental disorders |
d. |
an easier method for accounting and billing practices |
ANS: A
Compared to the ICD-9 diagnoses, the DSM-IV provides a clearer view of an individual’s situation. The DSM-IV uses a multiaxial system that allows development and other disorders to be considered along with psychiatric diagnoses of more recent onset. The axial system facilitates comprehensive evaluation and provides a format for organizing clinical information and for describing the unique character of a client’s condition.
PTS: 1 DIF: Comprehension REF: DSM-IV-TR
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