NSG526 / NSG 526 Exam 1 ( Update): Clinical
Modalities in Advanced Psychiatric Mental Health
Nursing Practice | Rated A Guide with Verified Answers
- Wilkes
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
criteria that are offered as guidelines for making diagnoses
Diagnostic Criteria
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"
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
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)
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.
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 functional impairment, indicating no
mental illness.
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.
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"
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
Reaction formation is the
attempt to prevent undesirable thoughts
, from being expressed by expressing
opposite thoughts or behaviors.
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!"
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
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
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