RIMS Nursing Officer - 2022
Mental Health Nursing (E5)
Easy
According to ICD-DSM classification, mental and behavioral disorders due to use of psychoactive substance belong to:
Appeared in: RIMS Nursing Officer - 2022
Explanation
- The International Classification of Diseases, 10th Revision (ICD-10) is a global standard for diagnostic health information.
- Chapter V of the ICD-10 covers 'Mental and Behavioural Disorders' and uses codes starting with the letter 'F'.
- The specific block designated for 'Mental and behavioural disorders due to psychoactive substance use' is F10-F19.
- This category includes a range of disorders from acute intoxication and harmful use to dependence syndrome and psychotic disorders induced by substances.
Why Other Options Were Wrong
- Option B: The F20-F29 block is reserved for schizophrenia and other primary psychotic disorders, not disorders caused by substance use.
- Option C: The F30-F39 block covers mood disorders. While substance use can cause mood disturbances, this block is for primary affective disorders like major depression or bipolar disorder.
- Option D: The F40-F49 block is for disorders primarily related to anxiety and stress, such as phobias, panic disorder, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain ICD-10 Classification of Mental and Behavioral Disorders as background academic context rather than a clinical decision trigger.
- Accurate ICD-10 coding is crucial for correct diagnosis, ensuring appropriate treatment planning (e.g., initiating withdrawal protocols vs. starting long-term antipsychotics), and for medical records and insurance billing.
- Nurses frequently use these codes in electronic health records and documentation to maintain clear, standardized communication about a patient's diagnosis across the interdisciplinary healthcare team.
- What if? If a patient presents with new-onset psychosis and has a history of heavy amphetamine use, the clinician must differentiate between a primary psychotic disorder (e.g., F20.9) and a substance-induced psychotic disorder (F15.5). The correct code dictates the treatment focus: primary antipsychotic medication versus detoxification and substance abuse counseling.
How to Approach the Question
- This is a factual recall question based on a standard classification system used in healthcare.
- First, identify the key concepts in the question stem: 'ICD classification' and 'disorders due to psychoactive substance use'.
- Next, recall the basic structure of the ICD-10 codes for mental health, which are categorized under the 'F' chapter.
- Systematically evaluate each option by matching the code range to the disorder category it represents.
- Select the option where the code range (F10-F19) correctly corresponds to the condition specified (psychoactive substance use disorders).
Concept Tested & Keywords
- Concept Tested: ICD-10 Classification of Mental and Behavioral Disorders
- Stem keywords: ICD-DSM classification, mental and behavioral disorders, psychoactive substance
- Lead-in keywords: belong to
- Negative lead-in flag: false
Question ID
Q4DvI3SyzHy6vxuvsQ_Kl2
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15664-15668
Practise the full RIMS Nursing Officer - 2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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