Clinical Modalities Exam 1 questions
with complete solutions
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
the key to successful psychotherapy - correct answer ✔✔therapeutic alliance
-It is the strength of the bond and connection that can be built between you and your therapist over
time. Without a trusting and respectful therapeutic alliance, no meaningful therapy can happen.
Hildegard Peplau's Interpersonal relations In Nursing - correct answer ✔✔earliest modern nursing
theory. Enabled nursing to establish the groundwork for Advanced Practice Nursing (APN) (first role was
Clinical Nurse Specialist in Psychiatric Nursing).
Psychotherapy - correct answer ✔✔holistic treatment that relies on the nurse's processing of what the
patient is experiencing.
with complete solutions
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
the key to successful psychotherapy - correct answer ✔✔therapeutic alliance
-It is the strength of the bond and connection that can be built between you and your therapist over
time. Without a trusting and respectful therapeutic alliance, no meaningful therapy can happen.
Hildegard Peplau's Interpersonal relations In Nursing - correct answer ✔✔earliest modern nursing
theory. Enabled nursing to establish the groundwork for Advanced Practice Nursing (APN) (first role was
Clinical Nurse Specialist in Psychiatric Nursing).
Psychotherapy - correct answer ✔✔holistic treatment that relies on the nurse's processing of what the
patient is experiencing.
