A client has borderline personality disorder. Which Axis will the nurse document this information?

Axis 1

Axis 3

Axis 4

AXIS 2

Answer and Explanation

The Correct Answer is D

Choice A rationale: Axis 1 is used to document clinical disorders that are the primary focus of management such as schizophrenia, major depressive disorder, and bipolar disorder among others.
Choice B rationale: Axis 3 is used in the documentation of conditions, for instance, asthma, hypertension, and diabetes mellitus among others which are known to have effects on an individual’s mental health.
Choice C rationale: Axis 4 is used in the documentation of environmental and psychosocial issues contributing to a patient’s stress such as financial and family stressors.
Choice D rationale: this is accurate since Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.

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Correct Answer is A

Explanation

Lability refers to the rapid and unpredictable shift in an individual’s emotional states, for instance, an individual may move from laughing to crying within a span of seconds with no apparent reason. This may affect the individual’s ability to function and cope with daily life, as well as their relationships with others. It is caused by conditions such as brain injury, neurological disorders, mood disorders, or substance abuse.

A. A decrease in white blood cells B. A low hemoglobin levels C. An increase in white blood cells D. Blood in the urine

Correct Answer is A

Explanation

Choice A rationale: Clozapine is an antipsychotic medication associated with agranulocytosis which is a condition where the bone marrow does not provide enough white blood cells. This increases an individual’s risk of infections. Therefore, frequent blood tests should be performed on an individual taking this medication to monitor the WBC count and stop the medication if need be.
Choice B rationale: clozapine is not associated with a low hemoglobin level. Anemia may be caused by conditions such as iron deficiency, chronic conditions such as chronic kidney disease, and vitamin B12 deficiency.
Choice C rationale: An increase in white blood cell count is not a side effect of clozapine but can be caused by infections. Clozapine causes low white blood cell count.
Choice D rationale: blood in urine is not a side effect of clozapine but can be caused by the use of medications such as cyclophosphamide.

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A client has borderline personality disorder. Which Axis will the nurse document this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Lability is described as a rapid change in emotions. True or False

Correct Answer is A

Explanation

A client is on Clozaril (Clozapine). The nurse is aware that frequent blood work is essential during the first 6 months of treatment to monitor for the presence of what?

Correct Answer is A

Explanation

The nurse is administering medications to a client with a diagnosis of a mental illness with a mood disorder. The nurse would expect to see which medications were ordered for this client. (Select all that apply)

The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:

Barriers to therapeutic communication include probing, giving advice and

In the psychiatric unit bright colors in the environment of the client are often:

Showing empathy toward a client is an effective tool in establishing rapport. Which nurse statement is the best example of an empathetic response?

Which is an accepted criterion for inpatient admission to a mental health facility?

During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are the purposes of the treatment plan? (Select all that apply.)