526 Exam 1 Exam Test Questions and Answers Graded A+, Exams of Nursing

526 Exam 1 Exam Test Questions and Answers Graded A+

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2025/2026

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526 Exam 1 Exam Test Questions and Answers Graded A+
What
is
not
considered
a
mental
disorder?
What
is
considered
a
mental
disorder
per
the
DSM5?
Purpose of Scope
of Practice?
Purpose of Standard of Practice?
Purpose of Psychiatric Interview?
What is a Therapeutic Alliance?
-An
expectable
or
culturally
approved
response
to
a
com-
mon stressor or loss, such as the death of a loved one
-Socially
deviant
behavior
(i.e.
political,
religious,
or
sexu-
al)
and
conflicts
that
are
primarily
between
the
individual
and
society
(unless
the
behaviors
are
due
to
a
dysfunction)
-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
-Define NP roles
-Identify
competencies
assumed
to
be
held
by
all
NPs
who
function in a particular role
-Varies
broadly
from
state
to
state
-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 provid-
ed 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
Understand the patient's illness to evaluate the ettect on
their lives and create a beginning diagnosis and treatment
plan
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13

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526 Exam 1 Exam Test Questions and Answers Graded A+

What is not considered a mental disorder? What is considered a mental disorder per the DSM5? Purpose of Scope of Practice? Purpose of Standard of Practice? Purpose of Psychiatric Interview? What is a Therapeutic Alliance?

  • An expectable or culturally approved response to a com- mon stressor or loss, such as the death of a loved one
  • Socially deviant behavior (i.e. political, religious, or sexu- al) and conflicts that are primarily between the individual and society (unless the behaviors are due to a dysfunction)
  • 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
  • Define NP roles
  • Identify competencies assumed to be held by all NPs who function in a particular role
  • Varies broadly from state to state
  • 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 provid- ed 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 Understand the patient's illness to evaluate the ettect on their lives and create a beginning diagnosis and treatment plan

526 Exam 1 Exam Test Questions and Answers Graded A+

  • Create a relationship with client by being calming, warm, understanding, kind, respectful, concerned and focused
  • Able to help patient better if a therapeutic alliance was formed Important components of a therapeutic alliance? - Therapist and patient work collaboratively to create ther- apeutic change through an attectionate bond - Agreement on goals of therapy - The therapist's ability to be empathetic and involved in therapy - The ability of the patient to do the work of therapy What is Psychotherapy? Holistic treatment that relies on the nurse's processing of that the patient is experiencing
  • Her application of Sullivan's theory of anxiety to nursing practice
  • Described the ettects of ditterent levels of anxiety (mild, Peplau's most universal contribution to PMHNPs? Per Peplau, skills of a MH nurse? What is the main idea for Peplau's Theory of Interpersonal Relationships? Therapeutic Communication Techniques? moderate, severe, and panic) on perception and learning - Promoted interventions to lower anxiety, with the aim of improving clients' abilities to think and function at more satisfactory levels - Observation, interpretation, and intervention (The PMHNP observes and listens to the client, developing impressions about the client's situation) - The processes by which the nurse helps clients make positive changes in their health care status and well-being - Believed that illness ottered a unique opportunity for ex- periential learning, personal growth, and improved cop- ing strategies and that PMH-APRNs play a unique role in facilitating this growth

526 Exam 1 Exam Test Questions and Answers Graded A+

Four Phases of the Nursing Model? Psychotherapy Process?

  • Making stereotypical comments
  • Giving literal responses
  • Introducing an unrelated topic
    • Orientation
    • Identification
    • Exploitation
    • Resolution
  • The PMHNP addresses individual and family problems with the patient
  • Assess identified problems during the orientation phase
  • Determines the underlying healthcare issues with the patient
  • Collects psychiatric data
  • Establish a trusting relationship How does the patient recover through adaption? By applying core principles of psychotherapy, as well as, nursing theory What does the PMHNP need to avoid? Avoid taking patients with similar problems or put aside personal pathology
  • Focus on diflculties patient is experiencing in current relationships and the ways the relationships can be han- dled
  • Change pattern of communication Goals for Interpersonal Therapy? - Alter expectations within relationships
  • Use social supports to help patients deal with stressors and improve their environment
  • Relieve symptoms
  • Build social skills
  • Complicated bereavement/grief
  • Marital and interpersonal conflicts, such as role disputes Indications for Interpersonal Therapy?

526 Exam 1 Exam Test Questions and Answers Graded A+

deal with stressors Early Phase of Interpersonal Therapy?

  • Life events, such as role transitions
  • Isolation, lack of support, interpersonal deficits Therapist identifies depressive symptoms, evaluates pa- tient, generates a diagnosis, obtain information on how the patient handles relationships Middle Phase of Interpersonal Therapy? Patient and therapist derive more specific strategies to
  • Consolidate gains
  • Foster independence in the person Termination Phase of Interpersonal Therapy? - Review risk of relapse and reappearance of depressive symptoms
  • To contract again for continuation of treatment as needed Purpose of Group Therapy? Facilitate changes by the patient in order to address iden- tified problems Assure dominant members are brought to the attention of Role of leader in group therapy? the group, so they are able to address issues within the process Role of information giver in group therapy? A person explaining to the group ways that person is able to cope with things A technique where special favors or awards are given Role of Reinforcement in group therapy? to assure patient participation and involvement in group therapy Goal of Cognitive Behavioral Therapy (CBT)? Increase subjectivity about thoughts governing their be- havior. This is done by:
  • homework assignments
  • dream description

All of the security operations that an individual uses to defend against anxiety and ensure self-esteem What is Milieu Therapy?

  • Significant time spent in a home-like environment
  • Interact with similar individuals
  • Conduct ditterent activities throughout the day
  • May attend group or individual therapy sessions
  • Establish treatment goals for themselves and community
  • Learn new ways to respond from peers and counselors Goal of Milieu Therapy? Return to larger society when goals have been met
  • Broad term referring to psychotherapy, behavior analyt- What is Behavioral Therapy? What is Psychoanalysis? Components of Mental Status Exam (MSE)? How to describe thought content? SAD PERSONs Scale? ics, or a combination of the two
  • Focus on behaviors or in combination with thoughts and feelings that might be causing them
  • Treatment method in which the client expresses all thoughts freely and without censoring self
  • Freud concluded that talking about emotional issues had the potential to heal the wounds causing mental illness
  • General appearance, attitude, behavior
  • Speech
  • Mood and Attect
  • Thought content
  • Thought process
  • Impulse Control
  • Cognition and Sensorium
  • General description of what the patient talked about
  • I.E. information and description related to symptoms or circumstances of depression, anxiety, compulsions, pho- bias, delusions, SI/SH/HI/AVH

Clinical tool to determine suicide risk

  • Sex
  • Age
  • Depression
  • Previous Attempts
  • Ethanol Abuse
  • Relational Loss
  • Social Supports Lacking
  • Organized Plan
  • No Souse
  • Sickness What is Thought Process? The way in which a client thinks - Shifting of idea What is Loose Association? - Illogical
  • Diflculty to follow What is Tangential Thinking? Wanders to a related topic but never makes it back to the original topic What is Word Salad? Completely nonsensical combination of words What is Neologisms? Made up words What is Circumstantial Thought? Gets lost in details but eventually makes it make to the original topic What is Thought Blocking? Thinking process stops and mind goes "blank"
  • Often seen in mania What is Flight of Ideas?
  • Pressured speech
  • Rapid topic changes
  • Topics may relate but in strange ways
  • Often indicates dementia
  • Fabrication of information to fill in missing gaps What is Concrete Thought Process? 8 /^19 What is Confabulation?

Clinical disorders

  • does not include personality disorders or mental retar- dation DSM- 5 Axis 2? Personality Disorders and Mental Retardation General Medical Conditions (medical issues that causes the mental disorder) DSM- 5 Axis 4 Psychosocial and environmental problems DSM- 5 Axis 5 Global Assessment of Functioning (GAF)
  • Scoring system that is used to assess how well an individ- What is GAF? GAF Scoring System? ual is functioning in their daily lives
  • Scores range from 0 to 100 100 - no symptoms 90 - minimal symptoms with good functioning 80 - transient symptoms that are expected reactions to psychosocial stressors 70 - mild symptoms or mild diflculty in social, occupation, school 60 - moderate symptoms or mild diflculty in social, occu- pation, school 50 - serious symptoms or mild diflculty in social, occupa- tion, school 40 - some impairment in reality testing or communication or serious impairment in work, school, family relations, etc. 30 - behavior is considerably influence by delusions or hallucinations or serious impairment in judgement, com- munication or inability to function 20 - some danger of hurting self or others or occasionally fails to maintain minimal personal hygiene or gross im- pairment in communication DSM- 5 Axis 3?

What is Freud's Psychosexual stages of development? Relation between Freud's theory and mental disorders? Psychosexual stage: Oral? 10 - persistent danger of severely hurting self or others or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death 0 - inadequate information

  • The idea that from the earliest ages, children possess sexual feelings and motivations
  • sexual instinct or drive directs a person toward action
  • sexual drives are oral, anal, or genital
  • stages are associated with a characteristic psychosocial process
  • stages have been organized according to hierarchy of dominant body zones
  • Freud believed that sexual instincts, together with the na- ture of nurturing relationships, play a role in the formation of psychiatric disorders
  • Sexual stimulation exerts a predominant force on mental activity throughout the life
  • force = libido
  • 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, perpet- ual followers, pessimism, aggression
  • 18 months to 3 yrs
  • Focused on eliminating and retaining feces
  • Learn to control anal stimulation through pressure from
  • develops from the ID
  • functions in the conscious, preconscious, and uncon- scious mind
  • personality component responsible for dealing with re- ality
  • ego represents one component of your full personality
  • ego provides direction and guidance Freud's Superego? Erikson's Stage of Development: Infancy? Erikson's Stage of Development: Early childhood? Erikson's Stage of Development: Preschool Erikson's Stage of Development: School Age?
  • emerges around age 5
  • holds the moral standards and ideals
  • provides guidelines for making judgements
  • has 2 parts (conscience and ego ideal)
  • birth to 18 months conflict: trust vs mistrust
  • important events: feeding
  • outcome: hope
  • 2 to 3 years
  • conflict: autonomy vs shame and doubt
  • important events: toilet training
  • outcome: will
  • 3 to 5 years
  • conflict: initiative vs guilt
  • important events: exploration
  • outcome: purpose
  • 6 to 11 years
  • conflict: industry vs inferiority
  • important event: school
  • outcome: confidence Erikson's Stage of Development: Adolescence?
  • 12 to 18 years
  • conflict: identity vs role confusion

Erikson's Stage of Development: Young Adult? Erikson's Stage of Development: Middle Adult? Erikson's Stage of Development: Maturity? Function of the frontal lobe? Function of Parietal lobe? Function of temporal lobe?

  • important events: social relationships
  • outcome: fidelity
    • 19 to 40 years
    • conflict: intimacy vs isolation
    • important events: relationships
    • outcome: love
  • 40 to 65 years
  • conflict: generativity vs stagnation
  • important events: work and parenthood
  • outcome: care
  • 65 to death
  • conflict: ego integrity vs despair
  • important events: reflection on life
  • outcome: wisdom
  • involves self awareness (introspection, physical and emo- tional sensation) and executive functions (focusing, plan- ning, judgement, social functioning)
  • regulate emotion and motor behavior
  • associated with schizophrenia, attention disorders, OCD, mood disorders
  • coordination of sensation and motor behavior (coordina- tion of language functions)
  • spatial orientation (knowing where your body is, physical sensation)
  • recognition of people and objects
  • memory formation: language (Wernicke's area) and learning
  • associated with euphoria, auditory hallucinations, and delusions (impaired left lobe)

What psychosocial factors influence depression? Important things to communicate to the patient during an initial psychiatric assessment? Key points to Open Ended Questions? Key points to Closed Ended Questions? Definition of Transference?

  • cultural influences
  • family relationships/circumstances
  • social support
  • peers
  • school
  • Family history of psychiatric illness
  • Early loss of a nurturing relationship
  • Stressful life events
  • Low social support
  • interviewer should know the reason the patient was brought in for an evaluation
  • area should be secured for safety
  • patient needs to know that the clinician cannot withhold any information from the team that will attect treatment or safety
  • allows the patient to answer in any way that he or she chooses
  • do not force patient to follow one particular train of thought
  • does not define the focus of interest
  • useful to begin interview
  • focuses on one particular problem
  • gathers specific information
  • limited responses (yes or no) A phenomenon that occurs when people redirect emo- tions or feelings about one person to an entirely separate individual For example, displacement onto the PMHNP of feelings toward a parent/authoritative figure Definition of Counter Transference? (^16) / 19

When the provider unconsciously displaces patterns of behaviors/emotional reactions onto the patient as if they were a significant figure from earlier in the provider's life How can perceptual ditterences attect the interview? What is autonomy? What is therapeutic use of touch? Descriptors of lack of eye contact during the interview?

  • attect the thought processes and senses, which may dis- tort or completely transform the interaction
  • high levels of anxiety will cause the patient or provider to inaccurately process the information Involves providing the patient with a rational understand- ing of their disorder and options for treatment. The pa- tient will then use that information to make a decision for themselves.
  • healing with hands
  • energy is believed to be transferred by laying the hands over specific parts of the body to aid in the process of healing
  • should only be used if the patient's culture, social, and moral views allow it
    • Poor
    • Fair
    • Good
    • Intense It is important that the provider takes in account the pa- tient's current condition, and past history to understand why the eye contact is the way it is. How is a SOAPIER note ditterent from a SOAP? It adds 2 additional elements I: Implementation consideration of the services provided E: the evaluation of service provision

The PMHNPs role in relationship building, maintaining and terminating? What are the psychiatric symptoms measurement scales? What is the Holmes and Rahe Stress Scale? and end on time Termination

  • ensure each member summarized individual accom- plishments
  • gives positive and negative feedback regarding the group experience
  • questionnaires, interviews, checklists, outcome assess- ments
  • standardized assessments ensure consistent, compre- hensive evaluations
  • establish baseline for follow ups (healthcare administrators and payors are increasingly requiring standardized assessments to justify services or quality of care) A social readjustment rating scale that lists 43 life events associated with varying amounts of disruption and stress in average people's lives.
  • Each event, called a life change unit (LCU), has a ditterent "weight" for stress
  • The more events the patient adds, the higher the score
  • The higher the score, and the larger the weight of the event, the more likely the patient will become ill
  • Each event has a dedicated number of LCUs (i.e. death of spouse is 100 LCUs)
  • Accumulation of 200 or more LCUs in a single year in- creases the risk of developing a psychosomatic disorder in that year