NSG 526 Clin Modal. EXAM 1
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1. a syndrome characterized by clinically significant disturbance in an individ-
ual's cognition, emotion, regulation, or behavior that reflects a dysfunction
in the psychological, biological, or developmental process underlying mental
funcioning
they are associated with significant distress, disability in social occupational,
or other important activities: mental disorder/psychiatric illness
2. criteria that are offered as guidelines for making diagnoses: Diagnostic Cri-
teria
3. when the symptom presentation does not meet full criteria for any disorder
and the symptom cause clinically significant distress/impairment what cate-
gories should be used in the diagnosis: "other specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other spec-
ified" and "unspecified" categories are used in the diagnosis, what should the
main diagnosis be corresponding to?: main diagnosis should correspond to the
most predominant symptoms.
ex: Bipolar disorder, unspecified
5. the coding system that is used in the U.S. for diagnosing and documenting
psychiatric disorders: ICD-10-CM
(international classification of disease-10th revision-clinical modification)
6. true or false: the diagnosis of a mental disorder is not equivalent to a need
for treatment: TRUE - clinicians should treat based on symptom severity, clinical
presentation, etc.
7. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client's
appetite, sleep patterns, and daily routine have not changed. How should the
nurse interpret the client's behaviors?
1. The client's behaviors demonstrate
mental illness in the form of
depression.
2. The client's behaviors are extensive,
which indicates the presence of mental
illness.
3. The client's behaviors are not congruent
with cultural norms.
4. The client's behaviors demonstrate no
functional impairment, indicating no
, NSG 526 Clin Modal. EXAM 1
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mental illness.: 4. The client's behaviors demonstrate no functional impairment,
indicating no mental illness.
8. 2. At what point should the nurse determine that a client is at risk
for developing a mental illness?
1. When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress
are coupled with interference in daily
functioning.
3. When a client communicates
significant distress.
4. When a client uses defense mechanisms
as ego protection.: 2. When maladaptive responses to stress are coupled with
interference in daily functioning.
9. 6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, "I'm here for my
heart, not
my head problems." Which is the nurse's best response?
1. "It is just a routine part of our assessment.
All clients are asked these same
questions."
2. "Why are you concerned about these types
of questions?"
3. "Psychological factors, like excessive
stress, have been found to affect medical
conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section.": 3. "psychological factors, like excessive stress have been found to affect
medical conditions"
10. 8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of
which
defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation: 3. Reaction formation
, NSG 526 Clin Modal. EXAM 1
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Reaction formation is the
attempt to prevent undesirable thoughts
from being expressed by expressing
opposite thoughts or behaviors.
11. 11. When under stress, a client routinely uses alcohol to excess.
Finding her drunk, her husband yells at the client about her chronic alcohol
abuse.
Which action alerts the nurse to the client's use of the defense mechanism of
denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in
his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, "I don't
drink too much!": 4. the client says to the spouse, "I don't drink too much!"
12. 10. Which nursing statement regarding the concept of psychosis is most
accurate?
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.: 2. individuals experiencing psychoses experience little distress
The nurse should understand that the client with psychosis experiences little distress
owing to his or her lack of awareness of reality. They are unaware of their psycho-
logical problems
13. 15. How would a nurse best complete the new DSM-5 definition of a mental
disorder?
"A health condition characterized by significant dysfunction in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the following?
1. Psychosocial, biological, or
developmental process underlying
mental functioning
2. Psychological, cognitive, or
, NSG 526 Clin Modal. EXAM 1
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developmental process underlying
mental functioning
3. Psychological, biological, or
developmental process underlying mental
functioning
4. Psychological, biological, or
psychosocial process underlying
mental functioning: 3. psychological, biological, or developmental process under-
lying mental functioning.
14. 16. A nurse is assessing a client who appears to be experiencing some
anxiety during
questioning. Which symptoms might the client demonstrate that would indi-
cate
anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span: 1. fidgeting
2. laughing inappropriately
4. nail biting
15. Which documentation of a patient's behavior best demonstrates a psy-
chiatric advanced practice nurse's professional observations regarding the
patient's psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during group. Vital signs
stable.
B) Calmer; more cooperative. Participated actively in group. No evidence of
psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume on television, caus-
ing conflict with others.
D) Wore four layers of clothing. States, "I need protection from evil bacteria
trying to pierce my skin.: D. wore four layers of clothing. states "i need protection
from evil bacteria trying to pierce my skin"
16. In using the communication technique of reflection, the psychiatric ad-
vanced practice nurse:
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1. a syndrome characterized by clinically significant disturbance in an individ-
ual's cognition, emotion, regulation, or behavior that reflects a dysfunction
in the psychological, biological, or developmental process underlying mental
funcioning
they are associated with significant distress, disability in social occupational,
or other important activities: mental disorder/psychiatric illness
2. criteria that are offered as guidelines for making diagnoses: Diagnostic Cri-
teria
3. when the symptom presentation does not meet full criteria for any disorder
and the symptom cause clinically significant distress/impairment what cate-
gories should be used in the diagnosis: "other specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other spec-
ified" and "unspecified" categories are used in the diagnosis, what should the
main diagnosis be corresponding to?: main diagnosis should correspond to the
most predominant symptoms.
ex: Bipolar disorder, unspecified
5. the coding system that is used in the U.S. for diagnosing and documenting
psychiatric disorders: ICD-10-CM
(international classification of disease-10th revision-clinical modification)
6. true or false: the diagnosis of a mental disorder is not equivalent to a need
for treatment: TRUE - clinicians should treat based on symptom severity, clinical
presentation, etc.
7. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client's
appetite, sleep patterns, and daily routine have not changed. How should the
nurse interpret the client's behaviors?
1. The client's behaviors demonstrate
mental illness in the form of
depression.
2. The client's behaviors are extensive,
which indicates the presence of mental
illness.
3. The client's behaviors are not congruent
with cultural norms.
4. The client's behaviors demonstrate no
functional impairment, indicating no
, NSG 526 Clin Modal. EXAM 1
Study online at https://quizlet.com/_eji3c2
mental illness.: 4. The client's behaviors demonstrate no functional impairment,
indicating no mental illness.
8. 2. At what point should the nurse determine that a client is at risk
for developing a mental illness?
1. When thoughts, feelings, and behaviors
are not reflective of the DSM-5 criteria.
2. When maladaptive responses to stress
are coupled with interference in daily
functioning.
3. When a client communicates
significant distress.
4. When a client uses defense mechanisms
as ego protection.: 2. When maladaptive responses to stress are coupled with
interference in daily functioning.
9. 6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, "I'm here for my
heart, not
my head problems." Which is the nurse's best response?
1. "It is just a routine part of our assessment.
All clients are asked these same
questions."
2. "Why are you concerned about these types
of questions?"
3. "Psychological factors, like excessive
stress, have been found to affect medical
conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section.": 3. "psychological factors, like excessive stress have been found to affect
medical conditions"
10. 8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of
which
defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation: 3. Reaction formation
, NSG 526 Clin Modal. EXAM 1
Study online at https://quizlet.com/_eji3c2
Reaction formation is the
attempt to prevent undesirable thoughts
from being expressed by expressing
opposite thoughts or behaviors.
11. 11. When under stress, a client routinely uses alcohol to excess.
Finding her drunk, her husband yells at the client about her chronic alcohol
abuse.
Which action alerts the nurse to the client's use of the defense mechanism of
denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in
his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, "I don't
drink too much!": 4. the client says to the spouse, "I don't drink too much!"
12. 10. Which nursing statement regarding the concept of psychosis is most
accurate?
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive.
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.: 2. individuals experiencing psychoses experience little distress
The nurse should understand that the client with psychosis experiences little distress
owing to his or her lack of awareness of reality. They are unaware of their psycho-
logical problems
13. 15. How would a nurse best complete the new DSM-5 definition of a mental
disorder?
"A health condition characterized by significant dysfunction in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the following?
1. Psychosocial, biological, or
developmental process underlying
mental functioning
2. Psychological, cognitive, or
, NSG 526 Clin Modal. EXAM 1
Study online at https://quizlet.com/_eji3c2
developmental process underlying
mental functioning
3. Psychological, biological, or
developmental process underlying mental
functioning
4. Psychological, biological, or
psychosocial process underlying
mental functioning: 3. psychological, biological, or developmental process under-
lying mental functioning.
14. 16. A nurse is assessing a client who appears to be experiencing some
anxiety during
questioning. Which symptoms might the client demonstrate that would indi-
cate
anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span: 1. fidgeting
2. laughing inappropriately
4. nail biting
15. Which documentation of a patient's behavior best demonstrates a psy-
chiatric advanced practice nurse's professional observations regarding the
patient's psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during group. Vital signs
stable.
B) Calmer; more cooperative. Participated actively in group. No evidence of
psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume on television, caus-
ing conflict with others.
D) Wore four layers of clothing. States, "I need protection from evil bacteria
trying to pierce my skin.: D. wore four layers of clothing. states "i need protection
from evil bacteria trying to pierce my skin"
16. In using the communication technique of reflection, the psychiatric ad-
vanced practice nurse:
