NSG 526: Exam 1 Questions and Correct
Answers
DSM-5 TR: How is it utilized? Ans: — Utilized in diagnostic
assessment process only,
DSM-5 TR: What does it not suggest? Ans: — Treatment strategy.
Accurate Documentation: Why is it significant? Ans: — Significant
for legal protection, regulatory standards compliance,
reimbursement, liability reduction, consistency in therapeutic
intervention, and assistance with utilization review.
Joint Commission on Accreditation of Hospital Organization
(JCAHO): What do they emphasize? Ans: — Emphasizes
performance improvement, outcomes, and a multidisciplinary
approach to client-centered care, requiring compliance with
documentation regulations.
What does Nursing Documentation have to demonstrate for proper
reimbursement? Ans: — The necessity and delivery of billed
services to third-party payers, such as Medicare and private
insurers.
CPT Coding: What does it do? Ans: — Accurately describes
medical, surgical, and diagnostic services, facilitates cost
containment, and ensures proper charge capture for services
rendered.
SOAP Note Ans: — Documentation format for recording
SUBJECTIVE observations, OBJECTIVE findings, ASSESSMENT of the
client's current status, and the PLAN for treatment or follow-up
care.
SOAPIE Note: What is included beside the SOAP note? Ans: —
Includes IMPLEMENTATION considerations of the services to be
provided (I) and the EVALUATION of service provision (E), in
addition to the components of a SOAP note.
SOAPIER Note: What is included beside the SOAPIER note? Ans: —
Includes all elements of a SOAPIE note, plus the client's RESPONSE
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(R) to the diagnostic process, treatment planning, and intervention
efforts.
Freud's topographical theory Ans: — Sigmund Freud's theory of
the three levels of psychological awareness: unconscious,
preconscious, and conscious.
Unconscious mind (Freud) Ans: — Operates independently from
the conscious mind, influencing behavior without direct
awareness.
Preconscious level of awareness (Freud) Ans: — Includes
information not currently in awareness but can be brought into
consciousness if needed.
Conscious mind (Freud) Ans: — Where current thinking processes
and objects of attention reside, constituting a significant portion
of awareness.
Psychodynamic therapy model Ans: — Follows the psychoanalytic
model and utilizes tools such as free association, dream analysis,
transference, and countertransference.
Difference: Psychodynamic therapy vs. traditional psychoanalysis
Ans: — Involves increased involvement and interaction between
therapist and client, and focuses more on the present rather than
reconstructing developmental origins of conflicts.
Best candidates for brief psychotherapy Ans: — Relatively healthy,
well-functioning individuals with a clearly circumscribed area of
difficulty, who are intelligent, psychologically minded, and
motivated for change.
Inappropriate candidates for brief psychotherapy Ans: — Clients
with psychosis, severe depression, borderline personality
disorders, and severe character disorders.
Focus determination and session frequency in psychodynamic
therapy Ans: — Focus is agreed upon at the start of treatment, and
sessions are held weekly with the total number determined at the
onset of therapy.
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