A nurse is reviewing a client's medical record. The nurse should anticipate which of the following as a classification within the Diagnostic and Statistical Manual of Mental Disorders 5th edition Text Revision (DSM-5 TR)?
Pediatric milestones
Genetic disorders
Gastrointestinal disorders
Neurodevelopmental disorders
The Correct Answer is D
A. Pediatric milestones refer to developmental achievements in children but are not a DSM-5 TR classification.
B. Genetic disorders are medical diagnoses and are generally documented in medical records, but they are not classifications within the DSM-5 TR.
C. Gastrointestinal disorders are medical conditions and fall outside the scope of DSM-5 TR classifications.
D. Neurodevelopmental disorders are a recognized category in the DSM-5 TR, which includes conditions such as autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disabilities, and learning disorders. These classifications are used by mental health professionals to diagnose and guide treatment planning.
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Related Questions
Correct Answer is C
Explanation
A. Asking about understanding of treatment is informational and does not encourage the client to explore or clarify emotions.
B. Asking about resources or information is also focused on logistics, not feelings.
C. "Tell me what kind of coping skills you have" invites the client to express and clarify their feelings, strategies, and emotional responses. This is a key component of therapeutic communication, as it encourages self-reflection and deeper discussion of emotions.
D. "You feel like you have the support needed" is a closed-ended statement rather than an open-ended prompt, limiting the client’s opportunity to clarify or expand on their feelings.
Correct Answer is B
Explanation
A. Alcohol withdrawal is assessed using tools such as the Clinical Institute Withdrawal Assessment (CIWA), not the AIMS.
B. The Abnormal Involuntary Movement Scale (AIMS) is a standardized tool used to detect and monitor tardive dyskinesia, which is a late-onset movement disorder associated with long-term use of antipsychotic medications. It evaluates involuntary movements of the face, mouth, extremities, and trunk.
C. Lithium toxicity is monitored through serum lithium levels and clinical signs (e.g., tremors, confusion), not the AIMS.
D. Opiate withdrawal is assessed with specific withdrawal scales such as the Clinical Opiate Withdrawal Scale (COWS), not the AIMS.
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