NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
a syndrome characterized by clinically significant distur-
bance in an individual's cognition, emotion, regulation, or
behavior that reflects a dysfunction in the psychological,
biological, or developmental process underlying mental
mental disorder/psychiatric illness
funcioning
they are associated with significant distress, disability in
social occupational, or other important activities
criteria that are ottered as guidelines for making diag-
Diagnostic Criteria
noses
when the symptom presentation does not meet full cri-
teria for any disorder and the symptom cause clinically "other specified"
significant distress/impairment what categories should "unspecified"
be used in the diagnosis
when the symptom presentation does not meet full crite-
main diagnosis should correspond to the most predomi-
ria and "other specified" and "unspecified" categories are
nant symptoms.
used in the diagnosis, what should the main diagnosis be
ex: Bipolar disorder, unspecified
corresponding to?
ICD-10-CM
the coding system that is used in the U.S. for diagnosing
(international classification of disease-10th revision-clini-
and documenting psychiatric disorders
cal modification)
true or false: the diagnosis of a mental disorder is not TRUE - clinicians should treat based on symptom severity,
equivalent to a need for treatment clinical presentation, etc.
1. A nurse is assessing a client who is experiencing occa-
sional
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
,NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
mental illness in the form of
depression.
2. The client's behaviors are extensive,
which indicates the presence of mental
illness. 4. The client's behaviors demonstrate no functional im-
3. The client's behaviors are not congruent pairment, indicating no mental illness.
with cultural norms.
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 2. When maladaptive responses to stress are coupled with
are coupled with interference in daily interference in daily functioning.
functioning.
3. When a client communicates
significant distress.
4. When a client uses defense mechanisms
as ego protection.
6. During an intake assessment, a nurse asks both physi-
ological
and psychosocial questions. The client angrily responds,
"I'm here for my heart, not
3. "psychological factors, like excessive stress have been
my head problems." Which is the nurse's best response?
found to attect medical conditions"
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
,NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
of questions?"
3. "Psychological factors, like excessive
stress, have been found to attect medical
conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section."
8. A fourth-grade boy teases and makes jokes about a cute
girl
3. Reaction formation
in his class. This behavior should be identified by a nurse
as indicative of which
Reaction formation is the
defense mechanism?
attempt to prevent undesirable thoughts
1. Displacement
from being expressed by expressing
2. Projection
opposite thoughts or behaviors.
3. Reaction formation
4. Sublimation
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?
4. the client says to the spouse, "I don't drink too much!"
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!"
10. Which nursing statement regarding the concept of
psychosis is most
accurate?
, NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive. 2. individuals experiencing psychoses experience little
2. Individuals experiencing psychoses distress
experience little distress.
3. Individuals experiencing psychoses are The nurse should understand that the client with psy-
aware of experiencing psychological chosis experiences little distress owing to his or her lack
problems. of awareness of reality. They are unaware of their psycho-
4. Individuals experiencing psychoses are logical problems
based in reality.
15. How would a nurse best complete the new DSM-5
definition of a mental disorder?
"A health condition characterized by significant dysfunc-
tion in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the
following?
1. Psychosocial, biological, or
developmental process underlying
3. psychological, biological, or developmental process un-
mental functioning
derlying 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
16. A nurse is assessing a client who appears to be expe-
riencing some anxiety during
questioning. Which symptoms might the client demon-
a syndrome characterized by clinically significant distur-
bance in an individual's cognition, emotion, regulation, or
behavior that reflects a dysfunction in the psychological,
biological, or developmental process underlying mental
mental disorder/psychiatric illness
funcioning
they are associated with significant distress, disability in
social occupational, or other important activities
criteria that are ottered as guidelines for making diag-
Diagnostic Criteria
noses
when the symptom presentation does not meet full cri-
teria for any disorder and the symptom cause clinically "other specified"
significant distress/impairment what categories should "unspecified"
be used in the diagnosis
when the symptom presentation does not meet full crite-
main diagnosis should correspond to the most predomi-
ria and "other specified" and "unspecified" categories are
nant symptoms.
used in the diagnosis, what should the main diagnosis be
ex: Bipolar disorder, unspecified
corresponding to?
ICD-10-CM
the coding system that is used in the U.S. for diagnosing
(international classification of disease-10th revision-clini-
and documenting psychiatric disorders
cal modification)
true or false: the diagnosis of a mental disorder is not TRUE - clinicians should treat based on symptom severity,
equivalent to a need for treatment clinical presentation, etc.
1. A nurse is assessing a client who is experiencing occa-
sional
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
,NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
mental illness in the form of
depression.
2. The client's behaviors are extensive,
which indicates the presence of mental
illness. 4. The client's behaviors demonstrate no functional im-
3. The client's behaviors are not congruent pairment, indicating no mental illness.
with cultural norms.
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 2. When maladaptive responses to stress are coupled with
are coupled with interference in daily interference in daily functioning.
functioning.
3. When a client communicates
significant distress.
4. When a client uses defense mechanisms
as ego protection.
6. During an intake assessment, a nurse asks both physi-
ological
and psychosocial questions. The client angrily responds,
"I'm here for my heart, not
3. "psychological factors, like excessive stress have been
my head problems." Which is the nurse's best response?
found to attect medical conditions"
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
,NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
of questions?"
3. "Psychological factors, like excessive
stress, have been found to attect medical
conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section."
8. A fourth-grade boy teases and makes jokes about a cute
girl
3. Reaction formation
in his class. This behavior should be identified by a nurse
as indicative of which
Reaction formation is the
defense mechanism?
attempt to prevent undesirable thoughts
1. Displacement
from being expressed by expressing
2. Projection
opposite thoughts or behaviors.
3. Reaction formation
4. Sublimation
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?
4. the client says to the spouse, "I don't drink too much!"
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!"
10. Which nursing statement regarding the concept of
psychosis is most
accurate?
, NSG 526 Clin Modal. Exam 1 Test Questions with Answers Rated A
1. Individuals experiencing psychoses are
aware that their behaviors are maladaptive. 2. individuals experiencing psychoses experience little
2. Individuals experiencing psychoses distress
experience little distress.
3. Individuals experiencing psychoses are The nurse should understand that the client with psy-
aware of experiencing psychological chosis experiences little distress owing to his or her lack
problems. of awareness of reality. They are unaware of their psycho-
4. Individuals experiencing psychoses are logical problems
based in reality.
15. How would a nurse best complete the new DSM-5
definition of a mental disorder?
"A health condition characterized by significant dysfunc-
tion in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the
following?
1. Psychosocial, biological, or
developmental process underlying
3. psychological, biological, or developmental process un-
mental functioning
derlying 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
16. A nurse is assessing a client who appears to be expe-
riencing some anxiety during
questioning. Which symptoms might the client demon-
