CLINICAL MODALITIES EXAM 1
QUESTIONS & VERIFIED ANSWERS
RATED 100% CORRECT
DSM 5 classification of Psychiatric illness - correct answer ✔✔The 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? - correct 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 - correct 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 - 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 the Psychiatric Interview - correct answer ✔✔to 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 - correct answer ✔✔The 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 - correct answer ✔✔An 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 - correct answer ✔✔1. 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
QUESTIONS & VERIFIED ANSWERS
RATED 100% CORRECT
DSM 5 classification of Psychiatric illness - correct answer ✔✔The 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? - correct 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 - correct 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 - 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 the Psychiatric Interview - correct answer ✔✔to 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 - correct answer ✔✔The 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 - correct answer ✔✔An 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 - correct answer ✔✔1. 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
