Registered Practical Nurse (RPN) Practice Test

What additional factors must be considered alongside the three axes of the DSM-5 for an accurate picture of a client?

1. Demographic information

2. Referral sources

3. Current functioning and life stressors

4. Family history

The correct answer is: Current functioning and life stressors

Considering current functioning and life stressors is essential for a comprehensive understanding of a client's mental health. The DSM-5's three axes provide a framework for diagnosing mental disorders; however, they do not encompass all influential factors in a person's life. Current functioning refers to how well a client is managing daily life, work, relationships, and self-care, which can significantly affect their mental health status. Life stressors, such as financial difficulties, job loss, or recent trauma, can exacerbate existing conditions or provoke new ones. By incorporating an assessment of current functioning and life stressors, clinicians can tailor interventions more effectively, leading to more informed treatment planning. This holistic approach allows for the consideration of both the psychiatric diagnosis and the broader context of the client's life, ultimately enhancing the care provided.