NSG 526 CLINICAL MODALITIES EXAM 1
2026 | COMPLETE NURSING STUDY GUIDE
& PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
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Rationales Included
,when the symptom presentation does not meet full main diagnosis should correspond to the most predominant symptoms.
criteria and "other specified" and "unspecified" categories ex: Bipolar disorder, unspecified
are used in the diagnosis, what should the main diagnosis
be corresponding to?
the coding system that is used in the U.S. for diagnosing ICD-10-CM
and documenting psychiatric disorders (international classification of disease-10th revision-clinical modification)
true or false: the diagnosis of a mental disorder is not TRUE - clinicians should treat based on symptom severity, clinical presentation,
equivalent to a need for treatment etc.
1. A nurse is assessing a client who is experiencing 4. The client's behaviors demonstrate no functional impairment, indicating no
occasional mental illness.
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.
2. At what point should the nurse determine that a client 2. When maladaptive responses to stress are coupled with interference in daily
is at risk functioning.
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.
,6. During an intake assessment, a nurse asks both 3. "psychological factors, like excessive stress have been found to affect medical
physiological conditions"
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."
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 nurse Reaction formation is the
as indicative of which attempt to prevent undesirable thoughts
defense mechanism? from being expressed by expressing
1. Displacement opposite thoughts or behaviors.
2. Projection
3. Reaction formation
4. Sublimation
11. When under stress, a client routinely uses alcohol to 4. the client says to the spouse, "I don't drink too much!"
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!"
10. Which nursing statement regarding the concept of 2. individuals experiencing psychoses experience little distress
psychosis is most
accurate? The nurse should understand that the client with psychosis experiences little
1. Individuals experiencing psychoses are distress owing to his or her lack of awareness of reality. They are unaware of their
aware that their behaviors are maladaptive. psychological problems
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
, 15. How would a nurse best complete the new DSM-5 3. psychological, biological, or developmental process underlying mental
definition of a mental disorder? functioning.
"A health condition characterized by significant
dysfunction in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the
following?
1. Psychosocial, biological, or
developmental process underlying
mental functioning
2. Psychological, cognitive, or
developmental process underlying
mental functioning
3. Psychological, biological, or
developmental process underlying mental
functioning
4. Psychological, biological, or
psychosocial process underlying
mental functioning
16. A nurse is assessing a client who appears to be 1. fidgeting
experiencing some anxiety during 2. laughing inappropriately
questioning. Which symptoms might the client 4. nail biting
demonstrate that would indicate
anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span
Which documentation of a patient's behavior best D. wore four layers of clothing. states "i need protection from evil bacteria trying
demonstrates a psychiatric advanced practice nurse's to pierce my skin"
professional observations regarding the patient's
psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during
group. Vital signs stable.
B) Calmer; more cooperative. Participated actively in
group. No evidence of psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume
on television, causing conflict with others.
D) Wore four layers of clothing. States, "I need protection
from evil bacteria trying to pierce my skin.
2026 | COMPLETE NURSING STUDY GUIDE
& PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,when the symptom presentation does not meet full main diagnosis should correspond to the most predominant symptoms.
criteria and "other specified" and "unspecified" categories ex: Bipolar disorder, unspecified
are used in the diagnosis, what should the main diagnosis
be corresponding to?
the coding system that is used in the U.S. for diagnosing ICD-10-CM
and documenting psychiatric disorders (international classification of disease-10th revision-clinical modification)
true or false: the diagnosis of a mental disorder is not TRUE - clinicians should treat based on symptom severity, clinical presentation,
equivalent to a need for treatment etc.
1. A nurse is assessing a client who is experiencing 4. The client's behaviors demonstrate no functional impairment, indicating no
occasional mental illness.
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.
2. At what point should the nurse determine that a client 2. When maladaptive responses to stress are coupled with interference in daily
is at risk functioning.
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.
,6. During an intake assessment, a nurse asks both 3. "psychological factors, like excessive stress have been found to affect medical
physiological conditions"
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."
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 nurse Reaction formation is the
as indicative of which attempt to prevent undesirable thoughts
defense mechanism? from being expressed by expressing
1. Displacement opposite thoughts or behaviors.
2. Projection
3. Reaction formation
4. Sublimation
11. When under stress, a client routinely uses alcohol to 4. the client says to the spouse, "I don't drink too much!"
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!"
10. Which nursing statement regarding the concept of 2. individuals experiencing psychoses experience little distress
psychosis is most
accurate? The nurse should understand that the client with psychosis experiences little
1. Individuals experiencing psychoses are distress owing to his or her lack of awareness of reality. They are unaware of their
aware that their behaviors are maladaptive. psychological problems
2. Individuals experiencing psychoses
experience little distress.
3. Individuals experiencing psychoses are
aware of experiencing psychological
problems.
4. Individuals experiencing psychoses are
based in reality.
, 15. How would a nurse best complete the new DSM-5 3. psychological, biological, or developmental process underlying mental
definition of a mental disorder? functioning.
"A health condition characterized by significant
dysfunction in an individual's
cognitions, or
behaviors that reflect a disturbance in ..." which of the
following?
1. Psychosocial, biological, or
developmental process underlying
mental functioning
2. Psychological, cognitive, or
developmental process underlying
mental functioning
3. Psychological, biological, or
developmental process underlying mental
functioning
4. Psychological, biological, or
psychosocial process underlying
mental functioning
16. A nurse is assessing a client who appears to be 1. fidgeting
experiencing some anxiety during 2. laughing inappropriately
questioning. Which symptoms might the client 4. nail biting
demonstrate that would indicate
anxiety? (Select all that apply.)
1. Fidgeting
2. Laughing inappropriately
3. Palpitations
4. Nail biting
5. Limited attention span
Which documentation of a patient's behavior best D. wore four layers of clothing. states "i need protection from evil bacteria trying
demonstrates a psychiatric advanced practice nurse's to pierce my skin"
professional observations regarding the patient's
psychotic symptoms?
A) Isolates self from others. Frequently fell asleep during
group. Vital signs stable.
B) Calmer; more cooperative. Participated actively in
group. No evidence of psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume
on television, causing conflict with others.
D) Wore four layers of clothing. States, "I need protection
from evil bacteria trying to pierce my skin.
