Wilkes University NSG 526 Exam 1 | Clinical Modalities in Advanced Psychiatric Mental Health Nursing Practice Questions
a syndrome characterized by clinically significant mental disorder/psychiatric illness
disturbance in an individual'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
criteria that are offered as guidelines for making diagnoses Diagnostic Criteria
when the symptom presentation does not meet full criteria "other specified"
for any disorder and the symptom cause clinically "unspecified"
significant distress/impairment what categories should be
used in the diagnosis
when the symptom presentation does not meet full criteria main diagnosis should correspond to the most predominant symptoms.
and "other specified" and "unspecified" categories are ex: Bipolar disorder, unspecified
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, etc.
equivalent to a need for treatment
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 is 2. When maladaptive responses to stress are coupled with interference in daily
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.
,Wilkes University NSG 526 Exam 1 | Clinical Modalities in Advanced Psychiatric Mental Health Nursing Practice Questions
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 cute 3. Reaction formation
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
, Wilkes University NSG 526 Exam 1 | Clinical Modalities in Advanced Psychiatric Mental Health Nursing Practice Questions
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 demonstrate 4. nail biting
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 to
demonstrates a psychiatric advanced practice nurse's 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.
In using the communication technique of reflection, the B. repeats something the patient has said to encourage the patient to give more
psychiatric advanced practice nurse: information
A) Interprets the difference between a patient's thoughts
and his or her behaviors.
B) Repeats something that the patient has said to
encourage the patient to give more information.
C) Provides prompts such as "tell me more."
D) Seeks more information in order to have a more clear
understanding.
Which one of the following is not true regarding the mental C. Hallucinations are a part of thought content.
status examination?
A) Racing thoughts are considered part of the thought
process **** Delusions are a part of thought content
B) Blunted is a term used to describe affect ** suicidal thoughts, homicidal thoughts, and thoughts of self-harm are all covered in
C) Hallucinations are part of thought content thought content -- think - it is the CONTENT of your thoughts!!!
D) Delusions are part of thought content
*** The thought process is the WAY in which a client thinks. - often evidenced by
their speech
***illusions and hallucinations are covered under perceptual disturbances
The PMHNP has a new patient in the clinic. While looking C. countertransference
at the materials the patient filled out in the waiting area,
the PMHNP ascertains the patient has a substance abuse
history. The PMHNP immediately says, "stupid drug
addicts, they're so annoying. There such a waste of time.
They never want to get better. "This is an example of:
A) Projection
B) Transference
C) Countertransference
D) ResistanceFsaf
a syndrome characterized by clinically significant mental disorder/psychiatric illness
disturbance in an individual'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
criteria that are offered as guidelines for making diagnoses Diagnostic Criteria
when the symptom presentation does not meet full criteria "other specified"
for any disorder and the symptom cause clinically "unspecified"
significant distress/impairment what categories should be
used in the diagnosis
when the symptom presentation does not meet full criteria main diagnosis should correspond to the most predominant symptoms.
and "other specified" and "unspecified" categories are ex: Bipolar disorder, unspecified
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, etc.
equivalent to a need for treatment
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 is 2. When maladaptive responses to stress are coupled with interference in daily
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.
,Wilkes University NSG 526 Exam 1 | Clinical Modalities in Advanced Psychiatric Mental Health Nursing Practice Questions
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 cute 3. Reaction formation
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
, Wilkes University NSG 526 Exam 1 | Clinical Modalities in Advanced Psychiatric Mental Health Nursing Practice Questions
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 demonstrate 4. nail biting
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 to
demonstrates a psychiatric advanced practice nurse's 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.
In using the communication technique of reflection, the B. repeats something the patient has said to encourage the patient to give more
psychiatric advanced practice nurse: information
A) Interprets the difference between a patient's thoughts
and his or her behaviors.
B) Repeats something that the patient has said to
encourage the patient to give more information.
C) Provides prompts such as "tell me more."
D) Seeks more information in order to have a more clear
understanding.
Which one of the following is not true regarding the mental C. Hallucinations are a part of thought content.
status examination?
A) Racing thoughts are considered part of the thought
process **** Delusions are a part of thought content
B) Blunted is a term used to describe affect ** suicidal thoughts, homicidal thoughts, and thoughts of self-harm are all covered in
C) Hallucinations are part of thought content thought content -- think - it is the CONTENT of your thoughts!!!
D) Delusions are part of thought content
*** The thought process is the WAY in which a client thinks. - often evidenced by
their speech
***illusions and hallucinations are covered under perceptual disturbances
The PMHNP has a new patient in the clinic. While looking C. countertransference
at the materials the patient filled out in the waiting area,
the PMHNP ascertains the patient has a substance abuse
history. The PMHNP immediately says, "stupid drug
addicts, they're so annoying. There such a waste of time.
They never want to get better. "This is an example of:
A) Projection
B) Transference
C) Countertransference
D) ResistanceFsaf
