WILKES NSG 526 EXAM 1
QUESTIONS AND VERIFIED
SOLUTIONS 2026 LATEST STUDY
GUIDE .
,1. a syndrome characterized by clinically significant disturbance in an individ- ual's cognition, emotion,
regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental process
underlying mental funcioning
they are associated with significant distress, disability in social occupational, or other important activities ✔✔ CORRECT
ANSWER mental disorder/psychiatric illness
2. criteria that are offered as guidelines for making diagnoses ✔✔ CORRECT ANSWER Diagnostic Criteria
3. when the symptom presentation does not meet full criteria for any disorder and the symptom cause clinically
significant distress/impairment what cate- gories should be used in the diagnosis ✔✔ CORRECT ANSWER "other
specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other spec- ified" and "unspecified" categories are
used in the diagnosis, what should the main diagnosis be corresponding to? ✔✔ CORRECT ANSWER main diagnosis should
correspond to the most predominant symptoms.
ex ✔✔ CORRECT ANSWER Bipolar disorder, unspecified
5. the coding system that is used in the U.S. for diagnosing and documenting psychiatric disorders ✔ ✔
CORRECT ANSWER ICD-10-CM
(international classification of disease-10th revision-clinical modification)
6. true or false ✔✔ CORRECT ANSWER the diagnosis of a mental disorder is not equivalent to a need for
treatment ✔✔ CORRECT ANSWER TRUE - clinicians should treat based on symptom severity, clinical presentation, etc.
7. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine
have not changed. How should the nurse interpret the client's behaviors?
1. The client's behaviors demonstrate mental illness in
the form of depression.
2. The client's behaviors are extensive, which indicates
the presence of mental illness.
,3. The client's behaviors are not congruent with cultural
norms.
4. The client's behaviors demonstrate no functional
impairment, indicating no
mental illness. ✔✔ CORRECT ANSWER 4. The client's behaviors demonstrate no functional impairment, indicating no mental illness.
8. 2. At what point should the nurse determine that a client is at risk for developing a mental
illness?
1. When thoughts, feelings, and behaviors are not reflective
of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with
interference in daily functioning.
3. When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection. ✔✔ CORRECT ANSWER 2. When maladaptive responses to stress are coupled with interference in daily functioning.
9. 6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, "I'm here for my heart, not
my head problems." Which is the nurse's best response?
1. "It is just a routine part of our assessment.
All clients are asked these same questions."
2. "Why are you concerned about these types of questions?"
3. "Psychological factors, like excessive stress, have been
found to affect medical conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section." ✔✔ CORRECT ANSWER 3. "psychological factors, like excessive stress have been found to attect medical conditions"
, 10. 8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of which defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation ✔✔ CORRECT ANSWER 3. Reaction formation
Reaction formation is the
attempt to prevent undesirable thoughts from being expressed
by expressing opposite thoughts or behaviors.
11. 11. When under stress, a client routinely uses alcohol to excess.
Finding her drunk, her husband yells at the client about her chronic alcohol abuse.
Which action alerts the nurse to the client's use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, "I don't
drink too much!" ✔✔ CORRECT ANSWER 4. the client says to the spouse, "I don't drink too much!"
12. 10. Which nursing statement regarding the concept of psychosis is most accurate?
1. Individuals experiencing psychoses are aware that their
behaviors are maladaptive.
2. Individuals experiencing psychoses experience little
distress.
3. Individuals experiencing psychoses are aware of
experiencing psychological problems.
QUESTIONS AND VERIFIED
SOLUTIONS 2026 LATEST STUDY
GUIDE .
,1. a syndrome characterized by clinically significant disturbance in an individ- ual's cognition, emotion,
regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental process
underlying mental funcioning
they are associated with significant distress, disability in social occupational, or other important activities ✔✔ CORRECT
ANSWER mental disorder/psychiatric illness
2. criteria that are offered as guidelines for making diagnoses ✔✔ CORRECT ANSWER Diagnostic Criteria
3. when the symptom presentation does not meet full criteria for any disorder and the symptom cause clinically
significant distress/impairment what cate- gories should be used in the diagnosis ✔✔ CORRECT ANSWER "other
specified"
"unspecified"
4. when the symptom presentation does not meet full criteria and "other spec- ified" and "unspecified" categories are
used in the diagnosis, what should the main diagnosis be corresponding to? ✔✔ CORRECT ANSWER main diagnosis should
correspond to the most predominant symptoms.
ex ✔✔ CORRECT ANSWER Bipolar disorder, unspecified
5. the coding system that is used in the U.S. for diagnosing and documenting psychiatric disorders ✔ ✔
CORRECT ANSWER ICD-10-CM
(international classification of disease-10th revision-clinical modification)
6. true or false ✔✔ CORRECT ANSWER the diagnosis of a mental disorder is not equivalent to a need for
treatment ✔✔ CORRECT ANSWER TRUE - clinicians should treat based on symptom severity, clinical presentation, etc.
7. 1. A nurse is assessing a client who is experiencing occasional
feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine
have not changed. How should the nurse interpret the client's behaviors?
1. The client's behaviors demonstrate mental illness in
the form of depression.
2. The client's behaviors are extensive, which indicates
the presence of mental illness.
,3. The client's behaviors are not congruent with cultural
norms.
4. The client's behaviors demonstrate no functional
impairment, indicating no
mental illness. ✔✔ CORRECT ANSWER 4. The client's behaviors demonstrate no functional impairment, indicating no mental illness.
8. 2. At what point should the nurse determine that a client is at risk for developing a mental
illness?
1. When thoughts, feelings, and behaviors are not reflective
of the DSM-5 criteria.
2. When maladaptive responses to stress are coupled with
interference in daily functioning.
3. When a client communicates significant
distress.
4. When a client uses defense mechanisms
as ego protection. ✔✔ CORRECT ANSWER 2. When maladaptive responses to stress are coupled with interference in daily functioning.
9. 6. During an intake assessment, a nurse asks both physiological
and psychosocial questions. The client angrily responds, "I'm here for my heart, not
my head problems." Which is the nurse's best response?
1. "It is just a routine part of our assessment.
All clients are asked these same questions."
2. "Why are you concerned about these types of questions?"
3. "Psychological factors, like excessive stress, have been
found to affect medical conditions."
4. "We can skip these questions, if you like.
It isn't imperative that we complete this
section." ✔✔ CORRECT ANSWER 3. "psychological factors, like excessive stress have been found to attect medical conditions"
, 10. 8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative of which defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation ✔✔ CORRECT ANSWER 3. Reaction formation
Reaction formation is the
attempt to prevent undesirable thoughts from being expressed
by expressing opposite thoughts or behaviors.
11. 11. When under stress, a client routinely uses alcohol to excess.
Finding her drunk, her husband yells at the client about her chronic alcohol abuse.
Which action alerts the nurse to the client's use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet.
2. The client yells at her son for slouching in his chair.
3. The client burns dinner on purpose.
4. The client says to the spouse, "I don't
drink too much!" ✔✔ CORRECT ANSWER 4. the client says to the spouse, "I don't drink too much!"
12. 10. Which nursing statement regarding the concept of psychosis is most accurate?
1. Individuals experiencing psychoses are aware that their
behaviors are maladaptive.
2. Individuals experiencing psychoses experience little
distress.
3. Individuals experiencing psychoses are aware of
experiencing psychological problems.
