2026/2027 COMPLETE QUESTIONS
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WILKES
1. What is not considered a mental disorder? - ANSWER ✔ -An expectable or
culturally approved response to a common stressor or loss, such as the death
of a loved one
-Socially deviant behavior (i.e. political, religious, or sexual) and conflicts
that are primarily between the individual and society (unless the behaviors
are due to a dysfunction)
2. What is considered a mental disorder per the DSM5? - ANSWER ✔ -
Associated with significant distress or disability in social, occupation, or
other important activities
-Significant disturbance in cognition, emotion regulation, or behavior that
reflects a dysfunction in the psychological, biological or developmental
processes underlying mental functioning
3. Purpose of Scope of Practice? - ANSWER ✔ -Define NP roles
-Identify competencies assumed to be held by all NPs who function in a
particular role
-Varies broadly from state to state
,4. Purpose of Standard of Practice? - ANSWER ✔ -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
5. Purpose of Psychiatric Interview? - ANSWER ✔ Understand the patient's
illness to evaluate the effect on their lives and create a beginning diagnosis
and treatment plan
6. Psychosexual stage: Oral? - ANSWER ✔ -Birth to 18 months
-Focused on oral pleasures (sucking)
-Too much or too little can result in oral fixation or oral personality, which is
evidence by preoccupation with oral activities
-May have stronger tendency to smoke, drink alcohol, over eat, or bite nails
- Potential personality: overly dependent, gullible, perpetual followers,
pessimism, aggression
7. Psychosexual stage: Anal? - ANSWER ✔ -18 months to 3 yrs
-Focused on eliminating and retaining feces
-Learn to control anal stimulation through pressure from society
-Potential personality: obsession with cleanliness, perfection, controlling
(anal retentive), messy, disorganized (anal expulsive)
8. Psychosocial stage: Phallic - ANSWER ✔ -3 yrs to 6 yrs
-Pleasure zone switches to genitals
, -Boys may develop unconscious sexual desires for their mother, which can
result in seeing father as competition. Will fight for mothers affection
-Oedipus complex: fear of castration as punishment for having these feelings
(can be opposite with girls)
-When the boy identifies with father, they become masculine, identifies as
males, repress sexual feelings towards mother
-A fixation in this stage can cause sexual deviancies, weak/confused sexual
identity
9. Psychosocial stage: Latency? - ANSWER ✔ -6 to 12 yrs
-sexual urges remain represses
-children interact and play mostly with same sex peers
10.Hildegard Peplau - ANSWER ✔ Theory of Interpersonal Relations.
Earliest modern nursing theory
Enabled nursing to establish the groundwork for Advanced Practice Nursing.
Therapeutic communication.
11.Psychotherapy - ANSWER ✔ Holistic treatment that relies on the nurse's
processing of what the patient is experiencing
12.During the psychotherapy process the Psych APN: - ANSWER ✔ Addresses
individual and family problems with the patient
Assesses identified problems during the orientation phase of the therapeutic
relationship
Determines the underlying healthcare issues with the patient
Collects psychiatric data
Establishes a trusting relationship
, 13.Interpersonal Therapy Goals - ANSWER ✔ Focus on difficulties patients are
experiencing in current relationships and the ways relationships can be
handled
Change pattern of communication
To alter expectations within relationships
To use social supports to help patients deal with stressors and improve their
environment
To relieve symptoms
To build social skills
14.Interpersonal Therapy Indications - ANSWER ✔ Complicated
bereavement/grief
Marital and interpersonal conflicts such as role disputes
Life events such as role transitions
Isolation, lack of support, interpersonal deficits
15.Early Phase of Interpersonal Therapy - ANSWER ✔ Therapist identifies
depressive symptoms, evaluates patient, generates a diagnosis, takes an
interpersonal inventory
-nature of interactions with others
-identification of reciprocal relationships and determination if needs were
satisfied
-Discussion of satisfying and dissatisfying aspects of the relationship
-recent changes in key relationships
-changes patient desires in relationships
16.Middle Phase of Interpersonal Therapy - ANSWER ✔ Patient and therapist
derive more specific strategies to deal with stressors
17.Termination Phase Interpersonal Therapy - ANSWER ✔ Consolidate gains
Foster independence in the person