WILKES NSG 526 EXAM 2026 ACTUAL EXAM
SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ DSM-5 TR: What does it not suggest? Answer: Treatment strategy.
◉ Accurate Documentation: Why is it significant? Answer:
Significant for legal protection, regulatory standards compliance,
reimbursement, liability reduction, consistency in therapeutic
intervention, and assistance with utilization review.
◉ Joint Commission on Accreditation of Hospital Organization
(JCAHO): What do they emphasize? Answer: Emphasizes
performance improvement, outcomes, and a multidisciplinary
approach to client-centered care, requiring compliance with
documentation regulations.
◉ What does Nursing Documentation have to demonstrate for
proper reimbursement? Answer: The necessity and delivery of billed
services to third-party payers, such as Medicare and private
insurers.
◉ CPT Coding: What does it do? Answer: Accurately describes
medical, surgical, and diagnostic services, facilitates cost
,containment, and ensures proper charge capture for services
rendered.
◉ SOAP Note Answer: Documentation format for recording
SUBJECTIVE observations, OBJECTIVE findings, ASSESSMENT of the
client's current status, and the PLAN for treatment or follow-up care.
◉ SOAPIE Note: What is included beside the SOAP note? Answer:
Includes IMPLEMENTATION considerations of the services to be
provided (I) and the EVALUATION of service provision (E), in
addition to the components of a SOAP note.
◉ SOAPIER Note: What is included beside the SOAPIER note?
Answer: Includes all elements of a SOAPIE note, plus the client's
RESPONSE (R) to the diagnostic process, treatment planning, and
intervention efforts.
◉ Freud's topographical theory Answer: Sigmund Freud's theory of
the three levels of psychological awareness: unconscious,
preconscious, and conscious.
◉ Unconscious mind (Freud) Answer: Operates independently from
the conscious mind, influencing behavior without direct awareness.
, ◉ Preconscious level of awareness (Freud) Answer: Includes
information not currently in awareness but can be brought into
consciousness if needed.
◉ Conscious mind (Freud) Answer: Where current thinking
processes and objects of attention reside, constituting a significant
portion of awareness.
◉ Psychodynamic therapy model Answer: Follows the
psychoanalytic model and utilizes tools such as free association,
dream analysis, transference, and countertransference.
◉ Difference: Psychodynamic therapy vs. traditional psychoanalysis
Answer: Involves increased involvement and interaction between
therapist and client, and focuses more on the present rather than
reconstructing developmental origins of conflicts.
◉ Best candidates for brief psychotherapy Answer: Relatively
healthy, well-functioning individuals with a clearly circumscribed
area of difficulty, who are intelligent, psychologically minded, and
motivated for change.
◉ Inappropriate candidates for brief psychotherapy Answer: Clients
with psychosis, severe depression, borderline personality disorders,
and severe character disorders.
SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ DSM-5 TR: What does it not suggest? Answer: Treatment strategy.
◉ Accurate Documentation: Why is it significant? Answer:
Significant for legal protection, regulatory standards compliance,
reimbursement, liability reduction, consistency in therapeutic
intervention, and assistance with utilization review.
◉ Joint Commission on Accreditation of Hospital Organization
(JCAHO): What do they emphasize? Answer: Emphasizes
performance improvement, outcomes, and a multidisciplinary
approach to client-centered care, requiring compliance with
documentation regulations.
◉ What does Nursing Documentation have to demonstrate for
proper reimbursement? Answer: The necessity and delivery of billed
services to third-party payers, such as Medicare and private
insurers.
◉ CPT Coding: What does it do? Answer: Accurately describes
medical, surgical, and diagnostic services, facilitates cost
,containment, and ensures proper charge capture for services
rendered.
◉ SOAP Note Answer: Documentation format for recording
SUBJECTIVE observations, OBJECTIVE findings, ASSESSMENT of the
client's current status, and the PLAN for treatment or follow-up care.
◉ SOAPIE Note: What is included beside the SOAP note? Answer:
Includes IMPLEMENTATION considerations of the services to be
provided (I) and the EVALUATION of service provision (E), in
addition to the components of a SOAP note.
◉ SOAPIER Note: What is included beside the SOAPIER note?
Answer: Includes all elements of a SOAPIE note, plus the client's
RESPONSE (R) to the diagnostic process, treatment planning, and
intervention efforts.
◉ Freud's topographical theory Answer: Sigmund Freud's theory of
the three levels of psychological awareness: unconscious,
preconscious, and conscious.
◉ Unconscious mind (Freud) Answer: Operates independently from
the conscious mind, influencing behavior without direct awareness.
, ◉ Preconscious level of awareness (Freud) Answer: Includes
information not currently in awareness but can be brought into
consciousness if needed.
◉ Conscious mind (Freud) Answer: Where current thinking
processes and objects of attention reside, constituting a significant
portion of awareness.
◉ Psychodynamic therapy model Answer: Follows the
psychoanalytic model and utilizes tools such as free association,
dream analysis, transference, and countertransference.
◉ Difference: Psychodynamic therapy vs. traditional psychoanalysis
Answer: Involves increased involvement and interaction between
therapist and client, and focuses more on the present rather than
reconstructing developmental origins of conflicts.
◉ Best candidates for brief psychotherapy Answer: Relatively
healthy, well-functioning individuals with a clearly circumscribed
area of difficulty, who are intelligent, psychologically minded, and
motivated for change.
◉ Inappropriate candidates for brief psychotherapy Answer: Clients
with psychosis, severe depression, borderline personality disorders,
and severe character disorders.
