A nurse is teaching a nursing student about the differences between psychiatric-mental health nursing diagnosis taxonomy and the psychiatric diagnosis taxonomy
that is contained in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR). What is the nurse's primary role in the process of psychiatric diagnosis?
A) Collaborating with the psychiatrist to identify appropriate psychiatric diagnoses
B) Compensating for the medical focus of the DSM-IV-TR with an increased emphasis on nursing diagnoses
C) Documenting and communicating assessment data that are appropriate to particular psychiatric diagnoses
D) Determining whether individual clients prefer a medical focus or a nursing focus for their care
Ans: C
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Nurses assist with psychiatric diagnosis by sharing important information about clients gathered during the nursing history, MSE, and daily observations. Thus, a nurse's working knowledge of the DSM-IV-TR maximizes efforts by interdisciplinary teams to help clients. Nurses do not normally contribute directly to the determination of a specific psychiatric diagnosis. Nursing taxonomy and psychiatric taxonomy are complementary, not mutually exclusive.
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