NSG 526 Clin Modal. EXAM 1
1. a syndrome characterized by clinically significant disturbance in an
individual'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
Criteria
3. when the symptom presentation does not meet full criteria for any
disorder and the symptom cause clinically significant distress/impairment
what categories should be used in the diagnosis: "other specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other
specified" 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 mental
illness.: 4. The client's behaviors demonstrate no
, NSG 526 Clin Modal. EXAM 1
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
, NSG 526 Clin Modal. EXAM 1
4. Sublimation: 3. Reaction formation
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
psychological 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?
, NSG 526 Clin Modal. EXAM 1
1. Psychosocial, biological, or developmental process
underlying mental functioning
2. Psychological, cognitive, or
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 underlying 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
indicate
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
psychiatric 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.
1. a syndrome characterized by clinically significant disturbance in an
individual'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
Criteria
3. when the symptom presentation does not meet full criteria for any
disorder and the symptom cause clinically significant distress/impairment
what categories should be used in the diagnosis: "other specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other
specified" 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 mental
illness.: 4. The client's behaviors demonstrate no
, NSG 526 Clin Modal. EXAM 1
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
, NSG 526 Clin Modal. EXAM 1
4. Sublimation: 3. Reaction formation
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
psychological 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?
, NSG 526 Clin Modal. EXAM 1
1. Psychosocial, biological, or developmental process
underlying mental functioning
2. Psychological, cognitive, or
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 underlying 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
indicate
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
psychiatric 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.
