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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Splitting is a defense mechanism in which the client perceives people or situations as all good or all bad, with no middle ground. This can create conflict and division among healthcare team members, as the client may idealize one staff member while devaluing another, potentially disrupting team cohesion and continuity of care.

B. Regression involves reverting to earlier developmental behaviors (e.g., childish or dependent actions) under stress, but it does not typically cause division among staff.

C. Denial is the refusal to acknowledge reality or facts of a situation. While it can affect treatment adherence, it does not usually create interpersonal conflict among caregivers.

D. Reaction formation is the expression of behavior that is opposite to true feelings (e.g., acting overly friendly toward someone the client dislikes). While it may be confusing, it generally does not have the same divisive effect on the healthcare team as splitting.

A. Loss of a job B. Financial stability C. Exercising caution in behavior D. Engaging in extracurricular activities

Correct Answer is A

Explanation

A. Loss of a job is a significant psychosocial stressor that can contribute to feelings of hopelessness, depression, and increased risk of suicidal ideation or attempts. It is recognized as a risk factor for suicide.
B. Financial stability is generally protective against suicide, reducing stress and promoting a sense of security.
C. Exercising caution in behavior is not a known risk factor; it may reflect responsible coping rather than increased risk.
D. Engaging in extracurricular activities is usually protective, as it provides social support, structure, and a sense of purpose.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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