NSG 526 Advanced Clinical Modalities Assessment 1 Rated A+
Wilkes University
1. a syndrome characterized by clinically significant dis-
turbance in an individual's cognition, emotion, regu-
lation, or behavior that reflects a dysfunction in the mental disorder/psychi-
psychological, biological, or developmental process atric illness
underlying mental funcioning
they are associated with significant distress, disability
in social occupational, or other important activities
2. criteria that are offered as guidelines for making diag- Diagnostic Criteria
noses
3. when the symptom presentation does not meet full "other specified"
criteria for any disorder and the symptom cause clin- "unspecified"
ically significant distress/impairment what categories
should be used in the diagnosis
4. when the symptom presentation does not meet full main diagnosis should
criteria and "other specified" and "unspecified" cate- correspond to the most
gories are used in the diagnosis, what should the main predominant symptoms.
diagnosis be corresponding to? ex: Bipolar disorder, un-
specified
5. the coding system that is used in the U.S. for diagnos- ICD-10-CM
ing and documenting psychiatric disorders (international classifica-
tion of disease-10th revi-
sion-clinical modification)
6. true or false: the diagnosis of a mental disorder is not TRUE - clinicians should
equivalent to a need for treatment treat based on symptom
severity, clinical presenta-
,tion, etc.
,7. 1. A nurse is assessing a client who is experiencing 4. The client's behaviors
occasional demonstrate no functional
feelings of sadness because of the recent death of a impairment, indicating no
beloved pet. The client's appetite, sleep patterns, and mental illness.
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.
8. 2. At what point should the nurse determine that a 2. When maladaptive re-
client is at risk sponses to stress are cou-
for developing a mental illness? pled with interference in
1. When thoughts, feelings, and behaviors daily functioning.
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.
9.
, 6. During an intake assessment, a nurse asks both 3. "psychological factors,
physiological like excessive stress have
and psychosocial questions. The client angrily re- been found to attect med-
sponds, "I'm here for my heart, not ical conditions"
my head problems." Which is the nurse's best re-
sponse?
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."
10. 8. A fourth-grade boy teases and makes jokes about a 3. Reaction formation
cute girl
in his class. This behavior should be identified by a Reaction formation is the
nurse as indicative of which attempt to prevent unde-
defense mechanism? sirable thoughts
1. Displacement from being expressed by
2. Projection expressing
3. Reaction formation opposite thoughts or be-
4. Sublimation haviors.
11. 11. When under stress, a client routinely uses alcohol 4. the client says to the
to excess. spouse, "I don't drink too
Finding her drunk, her husband yells at the client much!"
about her chronic alcohol abuse.
Wilkes University
1. a syndrome characterized by clinically significant dis-
turbance in an individual's cognition, emotion, regu-
lation, or behavior that reflects a dysfunction in the mental disorder/psychi-
psychological, biological, or developmental process atric illness
underlying mental funcioning
they are associated with significant distress, disability
in social occupational, or other important activities
2. criteria that are offered as guidelines for making diag- Diagnostic Criteria
noses
3. when the symptom presentation does not meet full "other specified"
criteria for any disorder and the symptom cause clin- "unspecified"
ically significant distress/impairment what categories
should be used in the diagnosis
4. when the symptom presentation does not meet full main diagnosis should
criteria and "other specified" and "unspecified" cate- correspond to the most
gories are used in the diagnosis, what should the main predominant symptoms.
diagnosis be corresponding to? ex: Bipolar disorder, un-
specified
5. the coding system that is used in the U.S. for diagnos- ICD-10-CM
ing and documenting psychiatric disorders (international classifica-
tion of disease-10th revi-
sion-clinical modification)
6. true or false: the diagnosis of a mental disorder is not TRUE - clinicians should
equivalent to a need for treatment treat based on symptom
severity, clinical presenta-
,tion, etc.
,7. 1. A nurse is assessing a client who is experiencing 4. The client's behaviors
occasional demonstrate no functional
feelings of sadness because of the recent death of a impairment, indicating no
beloved pet. The client's appetite, sleep patterns, and mental illness.
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.
8. 2. At what point should the nurse determine that a 2. When maladaptive re-
client is at risk sponses to stress are cou-
for developing a mental illness? pled with interference in
1. When thoughts, feelings, and behaviors daily functioning.
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.
9.
, 6. During an intake assessment, a nurse asks both 3. "psychological factors,
physiological like excessive stress have
and psychosocial questions. The client angrily re- been found to attect med-
sponds, "I'm here for my heart, not ical conditions"
my head problems." Which is the nurse's best re-
sponse?
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."
10. 8. A fourth-grade boy teases and makes jokes about a 3. Reaction formation
cute girl
in his class. This behavior should be identified by a Reaction formation is the
nurse as indicative of which attempt to prevent unde-
defense mechanism? sirable thoughts
1. Displacement from being expressed by
2. Projection expressing
3. Reaction formation opposite thoughts or be-
4. Sublimation haviors.
11. 11. When under stress, a client routinely uses alcohol 4. the client says to the
to excess. spouse, "I don't drink too
Finding her drunk, her husband yells at the client much!"
about her chronic alcohol abuse.
