A client is admitted with the following diagnosis:
Axis I: 300.01 Panic disorder without agoraphobia
Axis II: 301.83 Borderline personality disorder
Axis III: No diagnosis
Axis IV: Unemployment
What conclusions can the nurse make relative to the client's Axis III information?
1. This client has problems with environment, but they are not related to mental disorder.
2. The client's environment has not been evaluated.
3. The client's health status has not been evaluated.
4. The client has no diagnosed physiological health problems relevant to mental disorder at the time of admission.
4
Rationale: Clinicians use Axis III to record physical disorders and medical conditions that must be taken into account in planning treatment at the time of admission. Axis IV is used to identify problems or issues of a psychosocial and environmental nature.
You might also like to view...
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
a. Drainage from the surgical site is 30 mL less than yesterday. b. There is no redness, warmth, or drainage at the insertion site. c. The client reports adequate pain control with medications. d. Urine is clear yellow and urine output is greater than 40 mL/hr.
Planned change usually comes from which of the following people?
1. An individual supervisor 2. An administrator 3. An administrative group 4. The director of nursing
The strategic development department of the hospital has gathered data on length of stay, condition severity levels, and standards of practice for stroke patients, total hip replacement pa-tients, and total knee replacement patients
Data are being compared with other hospital data, national databases, and professional organization guidelines for the care of these types of patients. This practice or strategy is referred to as: a. analogizing. b. benchmarking. c. comparing. d. data exchanging.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century?
a. Technology increases in the field of medical laboratory research b. Advances in surgical techniques and procedures c. Sanitation and other public health activities d. Use of antibiotics to fight infections