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Exam 1
The exam will consist of 50 multiple choice questions. The following are items that should
be studied as part of your review and will be on the quiz:
1) DSM 5 classification of Psychiatric illness.
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
individualfillnesses. fThe fDSM-5 fis forganized fin fan fattempt fto ffollow fthe flifespan fwith
fneurodevelopmental fdisorders fthat foccur fearly fin flife flisted ffirst fand fneurocognitive
fdisorders fthat foccur fat fthe fend fofflife flisted flast. fIt fis forganized fthis fway fto fassist
fthe fdiagnostic fdecision-making fprocess.
,NURS 526 EXAM 1 STUDY GUIDE WITH EXPLAINED
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PER fMODULE fMATERIAL: fWhen fworking fwith fthe fDSM-5 fthe fPMH-APRN fmust
fremember fthat fnormal freactions fto fstressful fevents fare fnot fconsidered fmental
fdisorders. fThe fDSM-5 fconceptualizes feach fof fthe fmental fdisorders fas fa fclinically
fsignificant fbehavioral for fpsychological fsyndrome for fpattern fthat foccurs fin fan
findividual fand fis fassociated fwith fpresent fdistress f(e.g., fa fpainful fsymptom),
fdisability f(i.e., fimpairment fin fone for fmore fimportant fareas fof ffunctioning), for fwith fa
fsignificantly fincreased frisk fof fsuffering fdeath, fpain, fdisability, for fan fimportant floss
fof ffreedom f(APA, f2013). fThis fsyndrome for fpattern fmust fnot fbe fmerely fan fexpected
fand ftransient fresponse fto fa fparticular fevent, fsuch fas fthe fdeath fof fa floved fone.
fWhatever fits foriginal fcauses, fthe fbehavior fmust fcurrently fbe fconsidered fa
fmanifestation fof fa fbehavioral, fppsychological, for fbiological fdysfunction fto fbe
,NURS 526 EXAM 1 STUDY GUIDE WITH EXPLAINED
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fclassified fas fa fmental fdisorder. fDeviant fbehaviors f(e.g., fpolitical, freligious, for
fsexual) fand fconflicts fbetween fthe findividual fand fsociety fare fnot fconsidered fmental
forders fper fse, fbut fif fthe fdeviance for fconflict fis fa fsymptom fof fdysfunction fin fthe
findividual, fthen fitfmay fbe fconsidered fa fsymptom fof fthe fillness.
2) Scope fand fstandards fof
fPractice:fScope fof fpractice:
, NURS 526 EXAM 1 STUDY GUIDE WITH EXPLAINED
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● Define fNP froles fand factions
● Identifies fcompetencies fassumed fto fbe fheld fby fall fNPs fwho ffunction fin fa fparticular frole
● Varies fbroadly ffrom fstate fto fstate
● Advanced fpractice fPMHNP fstandards fare fidentified fin fPsychiatric-Mental fHealth
fNursing: fScopefand fStandards fof fPractice
Standard fof fPractice
● Authoritative fstatements fregarding fthe fquality fand ftype fof fpractice fthat fshould fbe fprovided
● Provide fa fway fto fjudge fthe fnature fof fcare fprovided
● Reflect fthe fexpectation ffor fthe fcare fthat fshould fbe fprovided fto fclients fwith fvarious fillnesses
● Reflect fprofessional fagreement ffocused fon fthe fminimum flevels fof facceptable fperformance
● Can fbe fused fto flegally fdescribe fthe fstandard fof fcare fthat fmust fbe fmet fby fa fprovider
● May fbe fprecise fprotocols fthat fmust fbe ffollowed for fmore fgeneral fguidelines fthat
frecommend factions
3) Purpose fof fthe fPsychiatric fInterview: fis fto fgather finformation fnecessary fto
funderstand, fdiagnose, fand ftreat fthe fclient. fPer ftextbook f(Perese)-The fpurpose fof fthe
fpsychiatric finterview fare fto funderstand fthe fpatient’s fillness fto fevaluate fthe feffect fof
fthe fillness fon fthe fpatient’s flife fand fcreate fa fbeginning fdiagnosis fand ftreatment fplan.
4) Therapeutic falliance: fThe fclinician fuses fhis for fher ftherapeutic fself-calm, fwarm,
funderstanding, fkind, frespectful, fconcerned, fand ffocused fto fcreate fa ftherapeutic
falliance. fIt fis fthrough fthe ftherapeutic falliance fin fthe fcontext fof fan fongoing
frelationship fthat fthe fclinician fis fable fto fhelp fthe fpatient fchange. fThe fpatient fhas
flikely fhad fquestions fin fhis for fher fmind fand fsince fdeciding fto fseekfhelp fsuch fas f“Will
fI fbe fsafe for fthreatened, for fwill fI fbe frejected?” fand f“Can fthis fperson fhelp fme?”
-An fimportant fpart fin fbuilding fa ftherapeutic frelationship fis fto fhelp fthe fpatient ffeel
faccepted. fRegardless fof fthe fpatient’s factual fpresentation, fthe fclinician fshould fassume
fthat fthe fpatient fis fanxious fand fseek fto fmaintain fthe fanxiety fwithin fworkable flimits.