NUR412 Final Exam
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QUESTIONS
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NUR412 Final Exam
what are the purpose, structure, and limitations of the DSM-5?
purpose: standard classification of mental disorders
structure: organized by major diagnostic categories and includes specific criteria for
each disorder, along with dimensional symptom measures and cultural
considerations for diagnosis
limitations: medicalizes normal behaviors, faces cultural and diagnostic accuracy
challenges
what does Section III contain? how does it differ from formal diagnoses?
contains:
- emerging measures
- assessment tools
- conditions for further study
differ from formal diagnoses because they are not officially established disorders and
require more research before routine clinical use
how are comorbid diagnoses handled under DSM-5 principles?
comorbid diagnoses are allowed when an individual meets the DSM-5 criteria for
multiple disorders
with each condition diagnosed separately unless one disorder better explains the
symptoms
what are the stages of the clinical judgement measurement model? what
occurs at each stage?
1. recognize cues (psychosocial assessment)
2. analyze cues & prioritize hypothesis (recognize pattens, determine what's
concerning)
3. generate solutions (determine desired outcomes, best solution based on
evidence, and resources needed, collaborate with patient and family)
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4. take actions (implement treatment and education)
5. evaluate outcomes (determine progress, adjust care plan if necessary)
what are some behavior cues that signal an immediate safety risk on an
inpatient unit?
- command hallucinations
- persecutory delusions
- patient refusing food or hygiene
describe standards of safe practice when entering a patients room or
environment
perform a situational assessment:
- note patient behavior
- identify safety concerns (wear appropriate clothing, identify and do not block exits,
have easy access to security, maintain communication with team)
- use de-escalation techniques as needed
what are the 4 phases of therapeutic nurse/client relationship? define each.
1. pre-interaction (gather information, assess own biases, prepare for first
interaction)
2. orientation (collect data, assess knowledge, form mutual goals)
3. working (work together, promote behavior change, implement interventions)
4. termination (original goals met, new goals set, plan for continuity of care is
developed)
define transference and countertransference. how should they be handled?
transference: client displaces feelings toward the nurse
countertransference: nurse displaces feeling towards the client
should be handled with self-awareness, professional boundaries, supervision, and
therapeutic communication to ensure emotions do not interfere with client care
what are the motivational interviewing techniques? describe them.
reflection: restate what client said to confirm understanding. inflection must go down
and not up, it is not a question.
summarizing: restate concept discussed ti transition or close interview.