1
NURS 526 EXAM 1 STUDY GUIDE WITH EXPLAINED
ANSWERS 100% CORRECT DOWNLOAD TO SCORE A
Exam 1
The exam will consist of 50 multiple choice questions. The following are items that should
be studied as part of your review and will be on the quiz:
1) DSM 5 classification of Psychiatric illness.
The DSM-5 is a diagnostic manual. It does not provide theories of cause, management,
or treatment options. It lists 22 major categories of mental disorders with more than 150
individual illnesses. The DSM-5 is organized in an attempt to follow the lifespan with
neurodevelopmental disorders that occur early in life listed first and neurocognitive
disorders that occur at the end of life listed last. It is organized this way to assist the
diagnostic decision-making process.
, 2
PER MODULE MATERIAL: When working with the DSM-5 the PMH-APRN must
remember that normal reactions to stressful events are not considered mental disorders.
The DSM-5 conceptualizes each of the mental disorders as a clinically significant
behavioral or psychological syndrome or pattern that occurs in an individual and is
associated with present distress (e.g., a painful symptom), disability (i.e., impairment in
one or more important areas of functioning), or with a significantly increased risk of
suffering death, pain, disability, or an important loss of freedom (APA, 2013). This
syndrome or pattern must not be merely an expected and transient response to a
particular event, such as the death of a loved one. Whatever its original causes, the
behavior must currently be considered a manifestation of a behavioral, ppsychological,
or biological dysfunction to be classified as a mental disorder. Deviant behaviors (e.g.,
political, religious, or sexual) and conflicts between the individual and society are not
considered mental orders per se, but if the deviance or conflict is a symptom of
dysfunction in the individual, then it may be considered a symptom of the illness.
, 3
2) Scope and standards of
Practice: Scope of practice:
, 4
● Define NP roles and actions
● Identifies competencies assumed to be held by all NPs who function in a particular role
● Varies broadly from state to state
● Advanced practice PMHNP standards are identified in Psychiatric-Mental Health
Nursing: Scope and Standards of Practice
Standard of Practice
● Authoritative statements regarding the quality and type of practice that should be provided
● Provide a way to judge the nature of care provided
● Reflect the expectation for the care that should be provided to clients with various illnesses
● Reflect professional agreement focused on the minimum levels of acceptable performance
● Can be used to legally describe the standard of care that must be met by a provider
● May be precise protocols that must be followed or more general guidelines that
recommend actions
3) Purpose of the Psychiatric Interview: is to gather information necessary to understand,
diagnose, and treat the client. Per textbook (Perese)-The purpose of the psychiatric
interview are to understand the patient’s illness to evaluate the effect of the illness on the
patient’s life and create a beginning diagnosis and treatment plan.
4) Therapeutic alliance: The clinician uses his or her therapeutic self-calm, warm,
understanding, kind, respectful, concerned, and focused to create a therapeutic alliance.
It is through the therapeutic alliance in the context of an ongoing relationship that the
clinician is able to help the patient change. The patient has likely had questions in his or
her mind and since deciding to seek help such as “Will I be safe or threatened, or will I be
rejected?” and “Can this person help me?”
-An important part in building a therapeutic relationship is to help the patient feel
accepted. Regardless of the patient’s actual presentation, the clinician should assume that
the patient is anxious and seek to maintain the anxiety within workable limits. The
clinician needs to demonstrate empathy which is the ability to understand what the
patient feels, by using empathetic statements such as “It sounds to me as if you have been
NURS 526 EXAM 1 STUDY GUIDE WITH EXPLAINED
ANSWERS 100% CORRECT DOWNLOAD TO SCORE A
Exam 1
The exam will consist of 50 multiple choice questions. The following are items that should
be studied as part of your review and will be on the quiz:
1) DSM 5 classification of Psychiatric illness.
The DSM-5 is a diagnostic manual. It does not provide theories of cause, management,
or treatment options. It lists 22 major categories of mental disorders with more than 150
individual illnesses. The DSM-5 is organized in an attempt to follow the lifespan with
neurodevelopmental disorders that occur early in life listed first and neurocognitive
disorders that occur at the end of life listed last. It is organized this way to assist the
diagnostic decision-making process.
, 2
PER MODULE MATERIAL: When working with the DSM-5 the PMH-APRN must
remember that normal reactions to stressful events are not considered mental disorders.
The DSM-5 conceptualizes each of the mental disorders as a clinically significant
behavioral or psychological syndrome or pattern that occurs in an individual and is
associated with present distress (e.g., a painful symptom), disability (i.e., impairment in
one or more important areas of functioning), or with a significantly increased risk of
suffering death, pain, disability, or an important loss of freedom (APA, 2013). This
syndrome or pattern must not be merely an expected and transient response to a
particular event, such as the death of a loved one. Whatever its original causes, the
behavior must currently be considered a manifestation of a behavioral, ppsychological,
or biological dysfunction to be classified as a mental disorder. Deviant behaviors (e.g.,
political, religious, or sexual) and conflicts between the individual and society are not
considered mental orders per se, but if the deviance or conflict is a symptom of
dysfunction in the individual, then it may be considered a symptom of the illness.
, 3
2) Scope and standards of
Practice: Scope of practice:
, 4
● Define NP roles and actions
● Identifies competencies assumed to be held by all NPs who function in a particular role
● Varies broadly from state to state
● Advanced practice PMHNP standards are identified in Psychiatric-Mental Health
Nursing: Scope and Standards of Practice
Standard of Practice
● Authoritative statements regarding the quality and type of practice that should be provided
● Provide a way to judge the nature of care provided
● Reflect the expectation for the care that should be provided to clients with various illnesses
● Reflect professional agreement focused on the minimum levels of acceptable performance
● Can be used to legally describe the standard of care that must be met by a provider
● May be precise protocols that must be followed or more general guidelines that
recommend actions
3) Purpose of the Psychiatric Interview: is to gather information necessary to understand,
diagnose, and treat the client. Per textbook (Perese)-The purpose of the psychiatric
interview are to understand the patient’s illness to evaluate the effect of the illness on the
patient’s life and create a beginning diagnosis and treatment plan.
4) Therapeutic alliance: The clinician uses his or her therapeutic self-calm, warm,
understanding, kind, respectful, concerned, and focused to create a therapeutic alliance.
It is through the therapeutic alliance in the context of an ongoing relationship that the
clinician is able to help the patient change. The patient has likely had questions in his or
her mind and since deciding to seek help such as “Will I be safe or threatened, or will I be
rejected?” and “Can this person help me?”
-An important part in building a therapeutic relationship is to help the patient feel
accepted. Regardless of the patient’s actual presentation, the clinician should assume that
the patient is anxious and seek to maintain the anxiety within workable limits. The
clinician needs to demonstrate empathy which is the ability to understand what the
patient feels, by using empathetic statements such as “It sounds to me as if you have been
