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NSG 526 CLIN MODAL. EXAM 1 2024/2025
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NSG 526 CLIN MODAL. EXAM 1 2024/2025
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NSG 526 CLIN MODAL. EXAM 12024/2025
a syndrome characterized by clinically significant 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 - Precise Answer ✔✔mental
disorder/psychiatric illness
criteria that are offered as guidelines for making diagnoses - Precise
Answer ✔✔Diagnostic Criteria
when the symptom presentation does not meet full criteria for any
disorder and the symptom cause clinically significant
distress/impairment what categories should be used in the diagnosis -
Precise Answer ✔✔"other specified"
"unspecified"
when the symptom presentation does not meet full criteria and "other
specified" and "unspecified" categories are used in the diagnosis, what
should the main diagnosis be corresponding to? - Precise Answer
✔✔main diagnosis should correspond to the most predominant
symptoms.
,ex: Bipolar disorder, unspecified
the coding system that is used in the U.S. for diagnosing and
documenting psychiatric disorders - Precise Answer ✔✔ICD-10-CM
(international classification of disease-10th revision-clinical
modification)
true or false: the diagnosis of a mental disorder is not equivalent to a
need for treatment - Precise Answer ✔✔TRUE - clinicians should treat
based on symptom severity, clinical presentation, etc.
1. A nurse is assessing a client who is experiencing occasional
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. - Precise Answer ✔✔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 at risk
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. - Precise Answer ✔✔2. When maladaptive responses
to stress are coupled with interference in daily functioning.
6. During an intake assessment, a nurse asks both physiological
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." - Precise Answer ✔✔3. "psychological factors, like excessive
stress have been found to affect medical conditions"
8. A fourth-grade boy teases and makes jokes about a cute girl
in his class. This behavior should be identified by a nurse as indicative
of which
defense mechanism?
1. Displacement
2. Projection
3. Reaction formation
4. Sublimation - Precise Answer ✔✔3. Reaction formation
Reaction formation is the
attempt to prevent undesirable thoughts
from being expressed by expressing
opposite thoughts or behaviors.
11. When under stress, a client routinely uses alcohol to excess.
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