NSG 526 Clinical Modalities Exam 1 with complete
Questions and ANSWERS
DSM 5 classification of Psychiatric illness - answerThe DSM-5 is a diagnostic manual. It does not
provide theories of cause, management, or treatment options. It lists 22 major categories of mental
disorders with more than 150 individual illnesses. The DSM-5 is organized in an attempt to follow
the lifespan with neurodevelopmental disorders that occur early in life listed first and
neurocognitive disorders that occur at the end of life listed last. It is organized this way to assist
the diagnostic decision-making process.
What constitutes a mental disorder? - answer-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 processes underlying mental
functioning
-associated with significant distress or disability in social, occupational, or other important
activities
-an expectable or culturally approved response to a common stressor or loss, such as the death of a
loved one, is not a mental disorder
Scope and standards of Practice - answer● Define NP roles and actions
● Identifies competencies assumed to be held by all NPs who function in a particular role
● Varies broadly from state to state
● Advanced practice PMHNP standards are identified in Psychiatric-Mental Health Nursing:
Scope and Standards of Practice
Standard of Practice - answer● Authoritative statements regarding the quality and type of practice
that should be provided
● Provide a way to judge the nature of care provided
● Reflect the expectation for the care that should be provided to clients with various illnesses
● Reflect professional agreement focused on the minimum levels of acceptable performance
● Can be used to legally describe the standard of care that must be met by a provider
, ● May be precise protocols that must be followed or more general guidelines that recommend
actions
Purpose of the Psychiatric Interview - answerto gather information necessary to understand,
diagnose, and treat the client. Per textbook (Perese)-The purpose of the psychiatric interview are
to understand the patient's illness to evaluate the effect of the illness on the patient's life and
create a beginning diagnosis and treatment plan
Therapeutic alliance - answerThe clinician uses his or her therapeutic self-calm, warm,
understanding, kind, respectful, concerned, and focused to create a therapeutic alliance. It is
through the therapeutic alliance in the context of an ongoing relationship that the clinician is able
to help the patient change. The patient has likely had questions in his or her mind and since
deciding to seek help such as "Will I be safe or threatened, or will I be rejected?" and "Can this
person help me?"
Therapeutic alliance - answerAn important part in building a therapeutic relationship is to help
the patient feel accepted. Regardless of the patient's actual presentation, the clinician should
assume that the patient is anxious and seek to maintain the anxiety within workable limits. The
clinician needs to demonstrate empathy which is the ability to understand what the patient feels,
by using empathetic statements such as "It sounds to me as if you have been feeling some very
painful emotions."
Important components of therapeutic alliance - answer1. The therapist and patient work
collaboratively to create therapeutic change through an affectionate bond
2. Agreement on goals of therapy
3. The therapist's ability to be empathetic and involved in therapy
4. The ability of the patient to do the work of therapy
the key to successful psychotherapy - answertherapeutic alliance
-It is the strength of the bond and connection that can be built between you and your therapist
over time. Without a trusting and respectful therapeutic alliance, no meaningful therapy can
happen.
Questions and ANSWERS
DSM 5 classification of Psychiatric illness - answerThe DSM-5 is a diagnostic manual. It does not
provide theories of cause, management, or treatment options. It lists 22 major categories of mental
disorders with more than 150 individual illnesses. The DSM-5 is organized in an attempt to follow
the lifespan with neurodevelopmental disorders that occur early in life listed first and
neurocognitive disorders that occur at the end of life listed last. It is organized this way to assist
the diagnostic decision-making process.
What constitutes a mental disorder? - answer-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 processes underlying mental
functioning
-associated with significant distress or disability in social, occupational, or other important
activities
-an expectable or culturally approved response to a common stressor or loss, such as the death of a
loved one, is not a mental disorder
Scope and standards of Practice - answer● Define NP roles and actions
● Identifies competencies assumed to be held by all NPs who function in a particular role
● Varies broadly from state to state
● Advanced practice PMHNP standards are identified in Psychiatric-Mental Health Nursing:
Scope and Standards of Practice
Standard of Practice - answer● Authoritative statements regarding the quality and type of practice
that should be provided
● Provide a way to judge the nature of care provided
● Reflect the expectation for the care that should be provided to clients with various illnesses
● Reflect professional agreement focused on the minimum levels of acceptable performance
● Can be used to legally describe the standard of care that must be met by a provider
, ● May be precise protocols that must be followed or more general guidelines that recommend
actions
Purpose of the Psychiatric Interview - answerto gather information necessary to understand,
diagnose, and treat the client. Per textbook (Perese)-The purpose of the psychiatric interview are
to understand the patient's illness to evaluate the effect of the illness on the patient's life and
create a beginning diagnosis and treatment plan
Therapeutic alliance - answerThe clinician uses his or her therapeutic self-calm, warm,
understanding, kind, respectful, concerned, and focused to create a therapeutic alliance. It is
through the therapeutic alliance in the context of an ongoing relationship that the clinician is able
to help the patient change. The patient has likely had questions in his or her mind and since
deciding to seek help such as "Will I be safe or threatened, or will I be rejected?" and "Can this
person help me?"
Therapeutic alliance - answerAn important part in building a therapeutic relationship is to help
the patient feel accepted. Regardless of the patient's actual presentation, the clinician should
assume that the patient is anxious and seek to maintain the anxiety within workable limits. The
clinician needs to demonstrate empathy which is the ability to understand what the patient feels,
by using empathetic statements such as "It sounds to me as if you have been feeling some very
painful emotions."
Important components of therapeutic alliance - answer1. The therapist and patient work
collaboratively to create therapeutic change through an affectionate bond
2. Agreement on goals of therapy
3. The therapist's ability to be empathetic and involved in therapy
4. The ability of the patient to do the work of therapy
the key to successful psychotherapy - answertherapeutic alliance
-It is the strength of the bond and connection that can be built between you and your therapist
over time. Without a trusting and respectful therapeutic alliance, no meaningful therapy can
happen.
