NSG 526 EXAM 1 MASTERY QUESTION BANK: COMPREHENSIVE REVIEW OF DSM-5-TR DIAGNOSTIC CRITERIA, THERAPEUTIC ALLIANCE CORE COMPONENTS, SCOPE & STANDARDS OF PRACTICE, AND LEGAL-ETHICAL PRINCIPLES FOR PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONERS (WILKES UNIVERS

NSG 526 EXAM 1 MASTERY QUESTION BANK: COMPREHENSIVE REVIEW OF DSM-5-TR DIAGNOSTIC CRITERIA, THERAPEUTIC ALLIANCE CORE COMPONENTS, SCOPE & STANDARDS OF PRACTICE, AND LEGAL-ETHICAL PRINCIPLES FOR PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONERS (WILKES UNIVERSITY | LATEST UPDATE) 1. According to the DSM-5, which of the following is NOT considered a mental disorder? A. Significant disturbance in cognition reflecting dysfunction B. Clinically significant behavioral syndrome associated with distress C. Socially deviant behavior without underlying dysfunction D. Disability in social or occupational activities Correct Answer: C Rationale: Socially deviant behavior such as political, religious, or sexual conflicts that are primarily between the individual and society are NOT considered mental disorders unless the behaviors are due to a dysfunction. Options A, B, and D are all criteria for mental disorders per the DSM-5. ________________________________________ 2. What is the primary purpose of the Scope of Practice for Nurse Practitioners? A. To provide treatment protocols for specific mental disorders B. To define the boundaries of the practitioner's license and identify competencies C. To establish reimbursement guidelines for insurance companies D. To create standardized treatment plans for all patients Correct Answer: B Rationale: The Scope of Practice defines NP roles, defines the boundaries of the practitioner's license, and identifies competencies assumed to be held by all NPs. It does not provide treatment protocols, reimbursement guidelines, or standardized treatment plans. ________________________________________ 3. Which ethical principle refers to the legal responsibility to act solely in the best interest of another party? A. Beneficence B. Autonomy C. Fiduciary duty D. Nonmaleficence Correct Answer: C Rationale: Fiduciary duty is the legal responsibility to act solely in the best interest of another party. Beneficence is doing good; autonomy is self-governance; nonmaleficence is doing no harm. ________________________________________ 4. The DSM-5 TR differs from the DSM-IV in which of the following ways? A. It continues to use the multiaxial system B. It uses the Global Assessment of Functioning (GAF) scale C. It no longer uses a multiaxial system and allows for rating along a continuum of severity D. It only includes categorical diagnoses without dimensional aspects Correct Answer: C Rationale: The DSM-5 TR no longer uses a multiaxial system and allows for rating of disorder along a continuum of severity. The GAF was replaced by the WHO-DAS 2.0, and dimensional aspects were included. ________________________________________ 5. Which component of therapeutic alliance involves the mutually negotiated aims of therapy? A. Bonds B. Tasks C. Goals D. Empathy Correct Answer: C Rationale: Goals are the mutually negotiated, understood, agreed upon, and regularly reviewed aims of the therapy. Bonds are constituted by core conditions, and tasks are activities carried out by both client and therapist. ________________________________________ 6. What is the highest score on the Global Assessment of Functioning (GAF) scale? A. 50 B. 75 C. 100 D. 150 Correct Answer: C Rationale: The GAF scale measures level of functioning from 0-100, with 100 representing high functioning with no symptoms of mental illness present. 0 indicates inadequate information. ________________________________________ 7. Which of the following is a new disorder included in the DSM-5? A. Substance abuse disorder B. Mental retardation C. Hoarding disorder D. Not otherwise specified disorder Correct Answer: C Rationale: Hoarding disorder is one of the handful of new disorders included in the DSM-5. Substance abuse was replaced by substance use disorder; mental retardation was replaced by intellectual developmental disorder. ________________________________________ 8. What is the therapeutic alliance comprised of according to the study guide? A. Trust, rapport, and communication B. Bonds, goals, and tasks C. Empathy, warmth, and genuineness D. Assessment, diagnosis, and treatment Correct Answer: B Rationale: The therapeutic alliance comprises bonds, goals, and tasks. Bonds are constituted by core conditions, goals are mutually negotiated aims, and tasks are activities carried out by both client and therapist. ________________________________________ 9. Which Axis in the DSM-IV multiaxial system would include personality disorders? A. Axis I B. Axis II C. Axis III D. Axis IV Correct Answer: B Rationale: Axis II includes personality disorders and mental retardation (now known as intellectual developmental disorder). Axis I includes mental health and substance use disorders; Axis III includes general medical conditions. ________________________________________ 10. Standards of Practice are best described as: A. Optional guidelines that may be followed B. Authoritative statements regarding the quality and type of practice that should be provided C. Legal requirements that vary by insurance company D. Personal preferences of the healthcare provider Correct Answer: B Rationale: Standards of Practice are authoritative statements regarding the quality and type of practice that should be provided. They reflect professional agreement focused on minimum levels of acceptable performance and can be used legally to describe the standard of care.