Clinical Modalities in Advanced Psychiatric
Mental Health Nursing Practice - Wilkes
Actual Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Expert-Verified explanation
,### Question 1:
When the symptom presentation does not meet full criteria and "other specified" or
"unspecified" categories are utilized, what should the main diagnosis correspond to?
A) Previous diagnoses
B) Current treatment plan
C) Most predominant symptoms
D) Assessment scores
Answer: C) Most predominant symptoms
Explanation:
In situations where complete diagnostic criteria are unmet, it is crucial that the main
diagnosis correspond to the patient’s most prominent symptoms. This ensures that the
diagnosis is still reflective of the patient’s condition and guides effective treatment
strategies, ultimately leading to better patient management and outcomes.
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### Question 2:
What is the coding system used in the U.S. for diagnosing and documenting psychiatric
disorders?
A) DSM-5
B) DSM-IV
C) ICD-10-CM
D) HPI
Answer: C) ICD-10-CM
Explanation:
,The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical
Modification) is the standardized coding system used in the United States for the
diagnosis and documentation of both physical and mental health disorders. This system
allows medical professionals to categorize conditions accurately, which is essential for
treatment, billing, and statistical analysis in healthcare research.
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### Question 3:
True or False: The diagnosis of a mental disorder is not equivalent to a need for treatment.
A) True
B) False
C) Only in severe cases
D) Only in mild cases
Answer: A) True
Explanation:
The diagnosis of a mental disorder does not automatically necessitate treatment for every
individual. Clinicians must evaluate the severity of symptoms, the impact on functioning,
and the patient's preferences before determining an appropriate course of action. This
tailored approach ensures that interventions are both relevant and effective.
### Question 4:
What is a syndrome characterized by clinically significant disturbance in an individual's
cognition, emotion, regulation, or behavior that reflects dysfunction in psychological,
biological, or developmental processes underlying mental functioning?
A) Mental disorder
B) Anxiety disorder
, C) Personality disorder
D) Substance Use Disorder
Answer: A) Mental disorder
Explanation:
A mental disorder, or psychiatric illness, is defined as a significant disturbance affecting
cognition, emotions, and behaviors, resulting from dysfunction in various underlying
mechanisms. This can lead to notable distress and impair one's ability to engage in daily
social or occupational activities. Proper understanding of mental disorders sets the
foundation for accurate diagnosis and effective treatment.
---
### Question 5:
Which criteria are offered as guidelines for making diagnoses?
A) Differential diagnosis
B) Diagnostic Criteria
C) Treatment guidelines
D) Prognostic indicators
Answer: B) Diagnostic Criteria
Explanation:
Diagnostic criteria are established standards that guide healthcare professionals in
evaluating and diagnosing mental health disorders. These criteria, often sourced from
manuals like the DSM-5, enable clinicians to recognize specific patterns and symptoms
necessary for accurate assessments and tailored treatment plans, ensuring a structured
approach to mental health diagnoses.