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 would
be
a. "There is no functional difference between the two; both serve to identify a
human deviance.".
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 client is experiencing.".
ANS: D
The medical diagnosis is concerned with the client's disease state, causes, and cures, whereas the
nursing diagnosis focuses on the client's response to stress and possible caring interventions.
Options A and B are not true statements. Both consider culture. Option C: The DSM-IV-TR is
multiaxial. Nursing diagnoses also consider potential problems.
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