NSG 526 Exam 1 2026 Questions and
Answers
What is not considered a mental disorder? - Correct answer--An expectable or
culturally approved response to a common stressor or loss, such as the death of a
loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and conflicts that are
primarily between the individual and society (unless the behaviors are due to a
dysfunction)
What is considered a mental disorder per the DSM5? - Correct answer--Associated
with significant distress or disability in social, occupation, or other important
activities
-Significant disturbance in cognition, emotion regulation, or behavior that reflects
a dysfunction in the psychological, biological or developmental processes
underlying mental functioning
Purpose of Scope of Practice? - Correct answer--Define NP roles
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,-Identify competencies assumed to be held by all NPs who function in a particular
role
-Varies broadly from state to state
Purpose of Standard of Practice? - Correct 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 Psychiatric Interview? - Correct answer-Understand the patient's illness
to evaluate the effect on their lives and create a beginning diagnosis and treatment
plan
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,What is a Therapeutic Alliance? - Correct answer--Create a relationship with client
by being calming, warm, understanding, kind, respectful, concerned and focused
-Able to help patient better if a therapeutic alliance was formed
Important components of a therapeutic alliance? - Correct answer--Therapist and
patient work collaboratively to create therapeutic change through an affectionate
bond
-Agreement on goals of therapy
-The therapist's ability to be empathetic and involved in therapy
-The ability of the patient to do the work of therapy
What is Psychotherapy? - Correct answer-Holistic treatment that relies on the
nurse's processing of that the patient is experiencing
Peplau's most universal contribution to PMHNPs? - Correct answer--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
-Promoted interventions to lower anxiety, with the aim of improving clients'
abilities to think and function at more satisfactory levels
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, Per Peplau, skills of a MH nurse? - Correct answer--Observation, interpretation,
and intervention
(The PMHNP observes and listens to the client, developing impressions about the
client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships? - Correct
answer--The processes by which the nurse helps clients make positive changes in
their health care status and well-being
-Believed that illness offered a unique opportunity for experiential learning,
personal growth, and improved coping strategies and that PMH-APRNs play a
unique role in facilitating this growth
Therapeutic Communication Techniques? - Correct answer--Silence
-Accepting
-Giving recognition
-Giving information
-Offering self
-Giving broad openings
-Offering general leads
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Answers
What is not considered a mental disorder? - Correct answer--An expectable or
culturally approved response to a common stressor or loss, such as the death of a
loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and conflicts that are
primarily between the individual and society (unless the behaviors are due to a
dysfunction)
What is considered a mental disorder per the DSM5? - Correct answer--Associated
with significant distress or disability in social, occupation, or other important
activities
-Significant disturbance in cognition, emotion regulation, or behavior that reflects
a dysfunction in the psychological, biological or developmental processes
underlying mental functioning
Purpose of Scope of Practice? - Correct answer--Define NP roles
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,-Identify competencies assumed to be held by all NPs who function in a particular
role
-Varies broadly from state to state
Purpose of Standard of Practice? - Correct 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 Psychiatric Interview? - Correct answer-Understand the patient's illness
to evaluate the effect on their lives and create a beginning diagnosis and treatment
plan
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,What is a Therapeutic Alliance? - Correct answer--Create a relationship with client
by being calming, warm, understanding, kind, respectful, concerned and focused
-Able to help patient better if a therapeutic alliance was formed
Important components of a therapeutic alliance? - Correct answer--Therapist and
patient work collaboratively to create therapeutic change through an affectionate
bond
-Agreement on goals of therapy
-The therapist's ability to be empathetic and involved in therapy
-The ability of the patient to do the work of therapy
What is Psychotherapy? - Correct answer-Holistic treatment that relies on the
nurse's processing of that the patient is experiencing
Peplau's most universal contribution to PMHNPs? - Correct answer--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
-Promoted interventions to lower anxiety, with the aim of improving clients'
abilities to think and function at more satisfactory levels
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Per Peplau, skills of a MH nurse? - Correct answer--Observation, interpretation,
and intervention
(The PMHNP observes and listens to the client, developing impressions about the
client's situation)
What is the main idea for Peplau's Theory of Interpersonal Relationships? - Correct
answer--The processes by which the nurse helps clients make positive changes in
their health care status and well-being
-Believed that illness offered a unique opportunity for experiential learning,
personal growth, and improved coping strategies and that PMH-APRNs play a
unique role in facilitating this growth
Therapeutic Communication Techniques? - Correct answer--Silence
-Accepting
-Giving recognition
-Giving information
-Offering self
-Giving broad openings
-Offering general leads
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
