Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

AThe DSM-IV-TR Multiaxial Evaluation SystemPPENDIX (^) J
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ders, Fourth Edition, Text Revision (DSM-IV-TR)Axis IV—Psychosocial and Environmental Problemsenvironmental problems, and level of functioning that might be overlooked if the focus were on assessing a single presenting problem.” Each individual is evaluated on fidefisive and systematic evaluation with attention to the various men-tal disorders and general medical conditions, psychosocial and Axis III—General Medical Conditionsmanner:Axis I—Clinical Disorders and Other Conditions That May case evaluation on a multiaxial system, “to facilitate comprehen-Axis II—Personality Disorders and Mental RetardationThe American Psychiatric Association (APA, 2000) endorses These include all mental disorders (except personality disor-Be a Focus of Clinical AttentionThese are problems that may affect the diagnosis, treatment, These disorders usually begin in childhood or adolescence These include any current general medical condition that is ned by the and persist in a stable form into adult life.the legal system or crime, and other types of psychosocial economics, access to health care services, interaction with potentially relevant to the understanding or management of the individual’s mental disorder.and environmental problems.ders and mental retardation).and prognosis of mental disorders named on axes I and II. Examples include: problems related to primary support group, social environment, education, occupation, housing, Diagnostic and Statistical Manual of Mental Disor- ve axes. They are in the following
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