NSG 526 EXAM 1 MASTERY QUESTION BANK:
COMPREHENSIVE REVIEW OF DSM-5-TR DIAGNOSTIC
CRITERIA, THERAPEUTIC ALLIANCE CORE COMPONENTS,
SCOPE & STANDARDS OF PRACTICE, AND LEGAL-ETHICAL
PRINCIPLES FOR PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONERS (WILKES UNIVERSITY | LATEST UPDATE)
1. According to the DSM-5, which of the following is NOT considered a
mental disorder?
A. Significant disturbance in cognition reflecting dysfunction
B. Clinically significant behavioral syndrome associated with distress
C. Socially deviant behavior without underlying dysfunction
D. Disability in social or occupational activities
Correct Answer: C
Rationale: Socially deviant behavior such as political, religious, or sexual
conflicts that are primarily between the individual and society are NOT
considered mental disorders unless the behaviors are due to a
dysfunction. Options A, B, and D are all criteria for mental disorders per
the DSM-5.
2. What is the primary purpose of the Scope of Practice for Nurse
Practitioners?
A. To provide treatment protocols for specific mental disorders
B. To define the boundaries of the practitioner's license and identify
,competencies
C. To establish reimbursement guidelines for insurance companies
D. To create standardized treatment plans for all patients
Correct Answer: B
Rationale: The Scope of Practice defines NP roles, defines the
boundaries of the practitioner's license, and identifies competencies
assumed to be held by all NPs. It does not provide treatment protocols,
reimbursement guidelines, or standardized treatment plans.
3. Which ethical principle refers to the legal responsibility to act solely
in the best interest of another party?
A. Beneficence
B. Autonomy
C. Fiduciary duty
D. Nonmaleficence
Correct Answer: C
Rationale: Fiduciary duty is the legal responsibility to act solely in the
best interest of another party. Beneficence is doing good; autonomy is
self-governance; nonmaleficence is doing no harm.
4. The DSM-5 TR differs from the DSM-IV in which of the following
ways?
A. It continues to use the multiaxial system
B. It uses the Global Assessment of Functioning (GAF) scale
C. It no longer uses a multiaxial system and allows for rating along a
,continuum of severity
D. It only includes categorical diagnoses without dimensional aspects
Correct Answer: C
Rationale: The DSM-5 TR no longer uses a multiaxial system and allows
for rating of disorder along a continuum of severity. The GAF was
replaced by the WHO-DAS 2.0, and dimensional aspects were included.
5. Which component of therapeutic alliance involves the mutually
negotiated aims of therapy?
A. Bonds
B. Tasks
C. Goals
D. Empathy
Correct Answer: C
Rationale: Goals are the mutually negotiated, understood, agreed upon,
and regularly reviewed aims of the therapy. Bonds are constituted by
core conditions, and tasks are activities carried out by both client and
therapist.
6. What is the highest score on the Global Assessment of Functioning
(GAF) scale?
A. 50
B. 75
C. 100
D. 150
, Correct Answer: C
Rationale: The GAF scale measures level of functioning from 0-100, with
100 representing high functioning with no symptoms of mental illness
present. 0 indicates inadequate information.
7. Which of the following is a new disorder included in the DSM-5?
A. Substance abuse disorder
B. Mental retardation
C. Hoarding disorder
D. Not otherwise specified disorder
Correct Answer: C
Rationale: Hoarding disorder is one of the handful of new disorders
included in the DSM-5. Substance abuse was replaced by substance use
disorder; mental retardation was replaced by intellectual developmental
disorder.
8. What is the therapeutic alliance comprised of according to the
study guide?
A. Trust, rapport, and communication
B. Bonds, goals, and tasks
C. Empathy, warmth, and genuineness
D. Assessment, diagnosis, and treatment
Correct Answer: B
Rationale: The therapeutic alliance comprises bonds, goals, and tasks.
Bonds are constituted by core conditions, goals are mutually negotiated
aims, and tasks are activities carried out by both client and therapist.
COMPREHENSIVE REVIEW OF DSM-5-TR DIAGNOSTIC
CRITERIA, THERAPEUTIC ALLIANCE CORE COMPONENTS,
SCOPE & STANDARDS OF PRACTICE, AND LEGAL-ETHICAL
PRINCIPLES FOR PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONERS (WILKES UNIVERSITY | LATEST UPDATE)
1. According to the DSM-5, which of the following is NOT considered a
mental disorder?
A. Significant disturbance in cognition reflecting dysfunction
B. Clinically significant behavioral syndrome associated with distress
C. Socially deviant behavior without underlying dysfunction
D. Disability in social or occupational activities
Correct Answer: C
Rationale: Socially deviant behavior such as political, religious, or sexual
conflicts that are primarily between the individual and society are NOT
considered mental disorders unless the behaviors are due to a
dysfunction. Options A, B, and D are all criteria for mental disorders per
the DSM-5.
2. What is the primary purpose of the Scope of Practice for Nurse
Practitioners?
A. To provide treatment protocols for specific mental disorders
B. To define the boundaries of the practitioner's license and identify
,competencies
C. To establish reimbursement guidelines for insurance companies
D. To create standardized treatment plans for all patients
Correct Answer: B
Rationale: The Scope of Practice defines NP roles, defines the
boundaries of the practitioner's license, and identifies competencies
assumed to be held by all NPs. It does not provide treatment protocols,
reimbursement guidelines, or standardized treatment plans.
3. Which ethical principle refers to the legal responsibility to act solely
in the best interest of another party?
A. Beneficence
B. Autonomy
C. Fiduciary duty
D. Nonmaleficence
Correct Answer: C
Rationale: Fiduciary duty is the legal responsibility to act solely in the
best interest of another party. Beneficence is doing good; autonomy is
self-governance; nonmaleficence is doing no harm.
4. The DSM-5 TR differs from the DSM-IV in which of the following
ways?
A. It continues to use the multiaxial system
B. It uses the Global Assessment of Functioning (GAF) scale
C. It no longer uses a multiaxial system and allows for rating along a
,continuum of severity
D. It only includes categorical diagnoses without dimensional aspects
Correct Answer: C
Rationale: The DSM-5 TR no longer uses a multiaxial system and allows
for rating of disorder along a continuum of severity. The GAF was
replaced by the WHO-DAS 2.0, and dimensional aspects were included.
5. Which component of therapeutic alliance involves the mutually
negotiated aims of therapy?
A. Bonds
B. Tasks
C. Goals
D. Empathy
Correct Answer: C
Rationale: Goals are the mutually negotiated, understood, agreed upon,
and regularly reviewed aims of the therapy. Bonds are constituted by
core conditions, and tasks are activities carried out by both client and
therapist.
6. What is the highest score on the Global Assessment of Functioning
(GAF) scale?
A. 50
B. 75
C. 100
D. 150
, Correct Answer: C
Rationale: The GAF scale measures level of functioning from 0-100, with
100 representing high functioning with no symptoms of mental illness
present. 0 indicates inadequate information.
7. Which of the following is a new disorder included in the DSM-5?
A. Substance abuse disorder
B. Mental retardation
C. Hoarding disorder
D. Not otherwise specified disorder
Correct Answer: C
Rationale: Hoarding disorder is one of the handful of new disorders
included in the DSM-5. Substance abuse was replaced by substance use
disorder; mental retardation was replaced by intellectual developmental
disorder.
8. What is the therapeutic alliance comprised of according to the
study guide?
A. Trust, rapport, and communication
B. Bonds, goals, and tasks
C. Empathy, warmth, and genuineness
D. Assessment, diagnosis, and treatment
Correct Answer: B
Rationale: The therapeutic alliance comprises bonds, goals, and tasks.
Bonds are constituted by core conditions, goals are mutually negotiated
aims, and tasks are activities carried out by both client and therapist.
