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NSG 526 EXAM 1 UPDATED EXAM
WITH VERIFIED SOLUTIONS.
How is a SOAPIER note different from a SOAP? - correct
answers -It adds 2 additional elements
I: Implementation consideration of the services provided
E: the evaluation of service provision
R: client's response to the diagnostic process, treatment planning,
and intervention efforts
Phases of the therapeutic patient/nurse relationship? - correct
answers -Orientation
-establish rapport
-set parameters
-purpose of meeting
-formal/informal contracts of responsibilities
-termination begins
Working
-maintain relationship
-gather further data
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-promote clients problem solving skills, self esteem, use of
language
-facilitate changes
-overcome resistance behaviors
-evaluate problems and goals
Termination
-deal with intense feelings regarding the experience
-summarize goals and objectives
-evaluate outcome attainment
-review patient's plan for future
-finalize termination
The PMHNPs role in relationship building, maintaining and
terminating? - correct answers -Building
-define the structure, size, composition, purpose and time of
group
-task and maintenance functions may be discussed and
demonstrated
Working
-facilitates communicate and ensures that meetings begin and
end on time
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Termination
-ensure each member summarized individual accomplishments
-gives positive and negative feedback regarding the group
experience
What are the psychiatric symptoms measurement scales? -
correct answers --questionnaires, interviews, checklists, outcome
assessments
-standardized assessments ensure consistent, comprehensive
evaluations
-establish baseline for follow ups
(healthcare administrators and payors are increasingly requiring
standardized assessments to justify services or quality of care)
What is the Holmes and Rahe Stress Scale? - correct answers -A
social readjustment rating scale that lists 43 life events associated
with varying amounts of disruption and stress in average people's
lives.
-Each event, called a life change unit (LCU), has a different
"weight" for stress
-The more events the patient adds, the higher the score
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-The higher the score, and the larger the weight of the event, the
more likely the patient will become ill
-Each event has a dedicated number of LCUs (i.e. death of
spouse is 100 LCUs)
-Accumulation of 200 or more LCUs in a single year increases the
risk of developing a psychosomatic disorder in that year
What is not considered a mental disorder? - correct answers --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
answers --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 answers --Define NP
roles
NSG 526 EXAM 1 UPDATED EXAM
WITH VERIFIED SOLUTIONS.
How is a SOAPIER note different from a SOAP? - correct
answers -It adds 2 additional elements
I: Implementation consideration of the services provided
E: the evaluation of service provision
R: client's response to the diagnostic process, treatment planning,
and intervention efforts
Phases of the therapeutic patient/nurse relationship? - correct
answers -Orientation
-establish rapport
-set parameters
-purpose of meeting
-formal/informal contracts of responsibilities
-termination begins
Working
-maintain relationship
-gather further data
, Page | 2
-promote clients problem solving skills, self esteem, use of
language
-facilitate changes
-overcome resistance behaviors
-evaluate problems and goals
Termination
-deal with intense feelings regarding the experience
-summarize goals and objectives
-evaluate outcome attainment
-review patient's plan for future
-finalize termination
The PMHNPs role in relationship building, maintaining and
terminating? - correct answers -Building
-define the structure, size, composition, purpose and time of
group
-task and maintenance functions may be discussed and
demonstrated
Working
-facilitates communicate and ensures that meetings begin and
end on time
, Page | 3
Termination
-ensure each member summarized individual accomplishments
-gives positive and negative feedback regarding the group
experience
What are the psychiatric symptoms measurement scales? -
correct answers --questionnaires, interviews, checklists, outcome
assessments
-standardized assessments ensure consistent, comprehensive
evaluations
-establish baseline for follow ups
(healthcare administrators and payors are increasingly requiring
standardized assessments to justify services or quality of care)
What is the Holmes and Rahe Stress Scale? - correct answers -A
social readjustment rating scale that lists 43 life events associated
with varying amounts of disruption and stress in average people's
lives.
-Each event, called a life change unit (LCU), has a different
"weight" for stress
-The more events the patient adds, the higher the score
, Page | 4
-The higher the score, and the larger the weight of the event, the
more likely the patient will become ill
-Each event has a dedicated number of LCUs (i.e. death of
spouse is 100 LCUs)
-Accumulation of 200 or more LCUs in a single year increases the
risk of developing a psychosomatic disorder in that year
What is not considered a mental disorder? - correct answers --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
answers --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 answers --Define NP
roles
