A client in the mental health unit has a history of Asthma. Which axis would the nurse document this information?
Axis 3
AXIS 2
Axis 4
Axis1
The Correct Answer is A
Choice A 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 B rationale: Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.
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: 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The therapeutic range of lithium is generally considered to be 0.6-1.5 mEq/L. However, some patients may require higher or lower levels depending on their individual response to the medication and their clinical condition. Lithium has a narrow therapeutic range hence the blood level of the drug should be closely monitored to minimize the risk of toxicity and sub-therapeutic effects.
Choice B rationale: 0.1-0.5 is too low hence the drug will provide sub-optimal effects thus providing inadequate mood stabilization.
Choice C rationale: 0.2-0.5 is too low hence the drug will provide sub-optimal effects thus providing inadequate mood stabilization.
Choice D rationale: 0.4-1.6 the lower limit is too low and may result in sub-therapeutic effects while the upper limit is too high and increases the risk of lithium toxicity which can manifest as nausea, vomiting, tremors, seizures, and death in severe cases.
Correct Answer is B
Explanation
Choice A rationale: An observation is a factual statement of what the nurse sees, hears, feels, or smells.
Choice B rationale: This is because the nurse is interpreting the client's behavior and not describing it objectively.
Choice C rationale: subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
Choice D rationale: Objective data is information that the nurse obtains through physical examination, tests, or measurements.
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