NSG 526 Clin Modal. EXAM 1 (Latest
) Qs and Ans with
Explanation, Pass with Confidence
1. The PMHNP has a new patient in the clinic. While looking at the materials
the patient filled out in the waiting area, the PMHNP ascertains the
patient has a substance abuse history. The PMHNP immediately says,
"stupid drug addicts, they're so annoying. There such a waste of time.
They never want to get better. "This is an example of:
A) Projection
B) Transference
C) Countertransference
D) ResistanceFsaf:
mailto:https://www.stuvia.com/user/Wisdoms
, Answer C. countertransference
2. Which comment(s) by an elderly person best indicates successful
completion of developmental tasks? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to charities more often."
C) "My relationship with my father made life more difficult for me."
D) "I often wonder what would have happened if I had chosen a
different career.":
Answer A. I am proud of my children's success in life
3. The purposes of the psychiatric interview include all except:
A) Gaining an understanding of the patient's illness.
B) Obtaining information efficiently.
C) Providing education about psychiatric disorders.
mailto:https://www.stuvia.com/user/Wisdoms
,D) Establishing a therapeutic alliance.:
Answer C. providing education about psychiatric disorders
4. a syndrome characterized by clinically significant disturbance in an
individ- ual's cognition, emotion, regulation, or behavior that
reflects a dysfunction in the psychological, biological, or
developmental process underlying mental funcioning
they are associated with significant distress, disability in social
occupational, or other important activities:
Answer mental disorder/psychiatric illness
5. criteria that are offered as guidelines for making diagnoses:
Answer Diagnostic Criteria
6. when the symptom presentation does not meet full criteria for any
disorder and the symptom cause clinically significant
distress/impairment what cate- gories should be used in the diagnosis:
Answer "other specified"
"unspecified"
7. when the symptom presentation does not meet full criteria and "other
spec- ified" and "unspecified" categories are used in the diagnosis, what
should the main diagnosis be corresponding to?:
Answer main diagnosis should correspond to the most predominant symptoms.
ex: Bipolar disorder, unspecified
8. the coding system that is used in the U.S. for diagnosing and
, documenting psychiatric disorders:
Answer ICD-10-CM
(international classification of disease-10th revision-clinical modification)
9. true or false: the diagnosis of a mental disorder is not equivalent to
a need for treatment:
Answer TRUE - clinicians should treat based on symptom severity, clinical presentation, etc.
10. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The
client's appetite, sleep patterns, and daily routine have not changed. How
should the nurse interpret the client's behaviors?
1. The client's behaviors
demonstrate mental illness
in the form of depression.
2. The client's behaviors are
extensive, which indicates the
presence of mental illness.
) Qs and Ans with
Explanation, Pass with Confidence
1. The PMHNP has a new patient in the clinic. While looking at the materials
the patient filled out in the waiting area, the PMHNP ascertains the
patient has a substance abuse history. The PMHNP immediately says,
"stupid drug addicts, they're so annoying. There such a waste of time.
They never want to get better. "This is an example of:
A) Projection
B) Transference
C) Countertransference
D) ResistanceFsaf:
mailto:https://www.stuvia.com/user/Wisdoms
, Answer C. countertransference
2. Which comment(s) by an elderly person best indicates successful
completion of developmental tasks? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to charities more often."
C) "My relationship with my father made life more difficult for me."
D) "I often wonder what would have happened if I had chosen a
different career.":
Answer A. I am proud of my children's success in life
3. The purposes of the psychiatric interview include all except:
A) Gaining an understanding of the patient's illness.
B) Obtaining information efficiently.
C) Providing education about psychiatric disorders.
mailto:https://www.stuvia.com/user/Wisdoms
,D) Establishing a therapeutic alliance.:
Answer C. providing education about psychiatric disorders
4. a syndrome characterized by clinically significant disturbance in an
individ- ual's cognition, emotion, regulation, or behavior that
reflects a dysfunction in the psychological, biological, or
developmental process underlying mental funcioning
they are associated with significant distress, disability in social
occupational, or other important activities:
Answer mental disorder/psychiatric illness
5. criteria that are offered as guidelines for making diagnoses:
Answer Diagnostic Criteria
6. when the symptom presentation does not meet full criteria for any
disorder and the symptom cause clinically significant
distress/impairment what cate- gories should be used in the diagnosis:
Answer "other specified"
"unspecified"
7. when the symptom presentation does not meet full criteria and "other
spec- ified" and "unspecified" categories are used in the diagnosis, what
should the main diagnosis be corresponding to?:
Answer main diagnosis should correspond to the most predominant symptoms.
ex: Bipolar disorder, unspecified
8. the coding system that is used in the U.S. for diagnosing and
, documenting psychiatric disorders:
Answer ICD-10-CM
(international classification of disease-10th revision-clinical modification)
9. true or false: the diagnosis of a mental disorder is not equivalent to
a need for treatment:
Answer TRUE - clinicians should treat based on symptom severity, clinical presentation, etc.
10. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The
client's appetite, sleep patterns, and daily routine have not changed. How
should the nurse interpret the client's behaviors?
1. The client's behaviors
demonstrate mental illness
in the form of depression.
2. The client's behaviors are
extensive, which indicates the
presence of mental illness.