NSG 526 EXAM 1 WITH COMPLETE SOLUTION (2025/2026) SCORED TO
PASS!!
Question 1
Which of the following is NOT considered a mental disorder according to the DSM-5?
A) A significant disturbance in cognition associated with distress.
B) A dysfunction in the psychological or biological processes underlying mental functioning.
C) An expectable or culturally approved response to a common stressor or loss, such as the death
of a loved one.
D) A condition associated with significant disability in social or occupational activities.
E) A significant disturbance in emotion regulation.
Correct Answer: C) -An expectable or culturally approved response to a common stressor or
loss, such as the death of a loved one
Rationale: An expectable or culturally approved response to a common stressor or loss, such
as the death of a loved one, is not considered a mental disorder.
Question 2
According to the DSM-5, a mental disorder is a syndrome characterized by a clinically
significant disturbance in an individual's:
A) Socially deviant behavior.
B) Cognition, emotion regulation, or behavior.
C) Political or religious beliefs.
D) Conflicts that are primarily between the individual and society.
E) Expectable response to a common stressor.
Correct Answer: B) -Significant disturbance in cognition, emotion regulation, or behavior
that reflects a dysfunction in the psychological, biological or developmental processes
underlying mental functioning
Rationale: A mental disorder involves a significant disturbance in cognition, emotion
regulation, or behavior that reflects a dysfunction in underlying processes.
Question 3
What is the purpose of a Scope of Practice for a Nurse Practitioner?
A) To provide a way to judge the nature of care provided.
B) To define NP roles and identify competencies.
,C) To reflect professional agreement on minimum levels of acceptable performance.
D) To legally describe the standard of care that must be met.
E) To outline specific protocols that must be followed.
Correct Answer: B) -Define NP roles -Identify competencies assumed to be held by all NPs
who function in a particular role
Rationale: The purpose of a Scope of Practice is to define NP roles and identify the
competencies assumed for that role.
Question 4
What is the purpose of a Standard of Practice?
A) To define the roles of Nurse Practitioners.
B) To vary broadly from state to state.
C) To provide authoritative statements regarding the quality and type of practice that should be
provided.
D) To identify competencies held by all NPs.
E) To outline the educational requirements for licensure.
Correct Answer: C) -Authoritative statements regarding the quality and type of practice that
should be provided
Rationale: Standards of Practice are authoritative statements regarding the quality and
type of practice that should be provided.
Question 5
What is the primary purpose of a Psychiatric Interview?
A) To establish a therapeutic alliance.
B) To understand the patient's illness, evaluate its effect on their life, and create a beginning
diagnosis and treatment plan.
C) To rely on the nurse's processing of the patient's experience.
D) To define the roles of the Nurse Practitioner.
E) To provide a way to judge the nature of care provided.
Correct Answer: B) -Understand the patient's illness to evaluate the effect on their lives and
create a beginning diagnosis and treatment plan
,Rationale: The purpose of a Psychiatric Interview is to understand the patient's illness to
evaluate its effect on their lives and create a beginning diagnosis and treatment plan.
Question 6
A Therapeutic Alliance is best described as a relationship where:
A) The therapist and patient work collaboratively to create therapeutic change through an
affectionate bond.
B) The therapist provides all the solutions to the patient's problems.
C) The patient is solely responsible for the work of therapy.
D) The focus is on the therapist's ability to be empathetic.
E) There is no agreement on the goals of therapy.
Correct Answer: A) -Therapist and patient work collaboratively to create therapeutic
change through an affectionate bond
Rationale: A Therapeutic Alliance involves the therapist and patient working
collaboratively to create therapeutic change through an affectionate bond.
Question 7
What is an important component of a therapeutic alliance?
A) The therapist's ability to remain detached and uninvolved.
B) Disagreement on the goals of therapy.
C) The ability of the patient to do the work of therapy.
D) A hierarchical relationship where the therapist is in control.
E) The therapist's reliance on non-therapeutic techniques.
Correct Answer: C) -The ability of the patient to do the work of therapy
Rationale: Important components of a therapeutic alliance include agreement on goals, the
therapist's empathy, and the ability of the patient to do the work of therapy.
Question 8
What is Psychotherapy?
A) A treatment that relies on medication only.
B) A holistic treatment that relies on the nurse's processing of what the patient is experiencing.
C) A diagnostic tool used to assess mental status.
D) A method for defining the scope of practice.
, E) A set of precise protocols that must be followed.
Correct Answer: B) -Holistic treatment that relies on the nurse's processing of that the
patient is experiencing
Rationale: Psychotherapy is a holistic treatment that relies on the nurse's processing of what
the patient is experiencing.
Question 9
What was Peplau's most universal contribution to PMHNPs?
A) Her application of Freud's psychosexual stages to nursing.
B) Her description of the effects of different levels of anxiety on perception and learning.
C) Her theory of interpersonal relationships.
D) Her model of the four phases of nursing.
E) Her emphasis on milieu therapy.
Correct Answer: B) -Her application of Sullivan's theory of anxiety to nursing practice -
Described the effects of different levels of anxiety (mild, moderate, severe, and panic) on
perception and learning
Rationale: Peplau's most universal contribution was her application of Sullivan's theory of
anxiety to nursing practice and her description of the effects of different levels of anxiety.
Question 10
According to Peplau, what are the skills of a Mental Health nurse?
A) Observation, interpretation, and intervention.
B) Reassuring, approving, and advising.
C) Probing, challenging, and defending.
D) Diagnosis, prescription, and evaluation.
E) Assessment, planning, and implementation.
Correct Answer: A) -Observation, interpretation, and intervention
Rationale: Per Peplau, the skills of a MH nurse are Observation, interpretation, and
intervention.
Question 11
What is the main idea of Peplau's Theory of Interpersonal Relationships?
A) The processes by which the nurse helps clients make positive changes in their health care
PASS!!
Question 1
Which of the following is NOT considered a mental disorder according to the DSM-5?
A) A significant disturbance in cognition associated with distress.
B) A dysfunction in the psychological or biological processes underlying mental functioning.
C) An expectable or culturally approved response to a common stressor or loss, such as the death
of a loved one.
D) A condition associated with significant disability in social or occupational activities.
E) A significant disturbance in emotion regulation.
Correct Answer: C) -An expectable or culturally approved response to a common stressor or
loss, such as the death of a loved one
Rationale: An expectable or culturally approved response to a common stressor or loss, such
as the death of a loved one, is not considered a mental disorder.
Question 2
According to the DSM-5, a mental disorder is a syndrome characterized by a clinically
significant disturbance in an individual's:
A) Socially deviant behavior.
B) Cognition, emotion regulation, or behavior.
C) Political or religious beliefs.
D) Conflicts that are primarily between the individual and society.
E) Expectable response to a common stressor.
Correct Answer: B) -Significant disturbance in cognition, emotion regulation, or behavior
that reflects a dysfunction in the psychological, biological or developmental processes
underlying mental functioning
Rationale: A mental disorder involves a significant disturbance in cognition, emotion
regulation, or behavior that reflects a dysfunction in underlying processes.
Question 3
What is the purpose of a Scope of Practice for a Nurse Practitioner?
A) To provide a way to judge the nature of care provided.
B) To define NP roles and identify competencies.
,C) To reflect professional agreement on minimum levels of acceptable performance.
D) To legally describe the standard of care that must be met.
E) To outline specific protocols that must be followed.
Correct Answer: B) -Define NP roles -Identify competencies assumed to be held by all NPs
who function in a particular role
Rationale: The purpose of a Scope of Practice is to define NP roles and identify the
competencies assumed for that role.
Question 4
What is the purpose of a Standard of Practice?
A) To define the roles of Nurse Practitioners.
B) To vary broadly from state to state.
C) To provide authoritative statements regarding the quality and type of practice that should be
provided.
D) To identify competencies held by all NPs.
E) To outline the educational requirements for licensure.
Correct Answer: C) -Authoritative statements regarding the quality and type of practice that
should be provided
Rationale: Standards of Practice are authoritative statements regarding the quality and
type of practice that should be provided.
Question 5
What is the primary purpose of a Psychiatric Interview?
A) To establish a therapeutic alliance.
B) To understand the patient's illness, evaluate its effect on their life, and create a beginning
diagnosis and treatment plan.
C) To rely on the nurse's processing of the patient's experience.
D) To define the roles of the Nurse Practitioner.
E) To provide a way to judge the nature of care provided.
Correct Answer: B) -Understand the patient's illness to evaluate the effect on their lives and
create a beginning diagnosis and treatment plan
,Rationale: The purpose of a Psychiatric Interview is to understand the patient's illness to
evaluate its effect on their lives and create a beginning diagnosis and treatment plan.
Question 6
A Therapeutic Alliance is best described as a relationship where:
A) The therapist and patient work collaboratively to create therapeutic change through an
affectionate bond.
B) The therapist provides all the solutions to the patient's problems.
C) The patient is solely responsible for the work of therapy.
D) The focus is on the therapist's ability to be empathetic.
E) There is no agreement on the goals of therapy.
Correct Answer: A) -Therapist and patient work collaboratively to create therapeutic
change through an affectionate bond
Rationale: A Therapeutic Alliance involves the therapist and patient working
collaboratively to create therapeutic change through an affectionate bond.
Question 7
What is an important component of a therapeutic alliance?
A) The therapist's ability to remain detached and uninvolved.
B) Disagreement on the goals of therapy.
C) The ability of the patient to do the work of therapy.
D) A hierarchical relationship where the therapist is in control.
E) The therapist's reliance on non-therapeutic techniques.
Correct Answer: C) -The ability of the patient to do the work of therapy
Rationale: Important components of a therapeutic alliance include agreement on goals, the
therapist's empathy, and the ability of the patient to do the work of therapy.
Question 8
What is Psychotherapy?
A) A treatment that relies on medication only.
B) A holistic treatment that relies on the nurse's processing of what the patient is experiencing.
C) A diagnostic tool used to assess mental status.
D) A method for defining the scope of practice.
, E) A set of precise protocols that must be followed.
Correct Answer: B) -Holistic treatment that relies on the nurse's processing of that the
patient is experiencing
Rationale: Psychotherapy is a holistic treatment that relies on the nurse's processing of what
the patient is experiencing.
Question 9
What was Peplau's most universal contribution to PMHNPs?
A) Her application of Freud's psychosexual stages to nursing.
B) Her description of the effects of different levels of anxiety on perception and learning.
C) Her theory of interpersonal relationships.
D) Her model of the four phases of nursing.
E) Her emphasis on milieu therapy.
Correct Answer: B) -Her application of Sullivan's theory of anxiety to nursing practice -
Described the effects of different levels of anxiety (mild, moderate, severe, and panic) on
perception and learning
Rationale: Peplau's most universal contribution was her application of Sullivan's theory of
anxiety to nursing practice and her description of the effects of different levels of anxiety.
Question 10
According to Peplau, what are the skills of a Mental Health nurse?
A) Observation, interpretation, and intervention.
B) Reassuring, approving, and advising.
C) Probing, challenging, and defending.
D) Diagnosis, prescription, and evaluation.
E) Assessment, planning, and implementation.
Correct Answer: A) -Observation, interpretation, and intervention
Rationale: Per Peplau, the skills of a MH nurse are Observation, interpretation, and
intervention.
Question 11
What is the main idea of Peplau's Theory of Interpersonal Relationships?
A) The processes by which the nurse helps clients make positive changes in their health care
