NSG 526 CLINICAL MODALITIES EXAM 1

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NSG 526 CLINICAL MODALITIES EXAM 1

NEWEST 2025 ACTUAL EXAM| COMPLETE 200

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) ALREADY

GRADED A+|| NEW!!

Which nursing statement regarding the concept of psychosis is most accurate?

• Individuals experiencing psychoses are aware that their behaviors are

maladaptive.

• Individuals experiencing psychoses experience little distress.
• Individuals experiencing psychoses are aware of experiencing

psychological problems.

• Individuals experiencing psychoses are based in reality. - Correct

Answer - 2. individuals experiencing psychoses experience little distress The nurse should understand that the client with psychosis experiences little distress owing to his or her lack of awareness of reality. They are unaware of their psychological problems

The purposes of the psychiatric interview include all except:

• Gaining an understanding of the patient's illness.
• Obtaining information efficiently.
• Providing education about psychiatric disorders.
• Establishing a therapeutic alliance. - Correct Answer - C. providing

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pg. 2 A nurse is assessing a client who appears to be experiencing some anxiety during questioning. Which symptoms might the client demonstrate that would indicate anxiety? (Select all that apply.)

• Fidgeting
• Laughing inappropriately
• Palpitations
• Nail biting
• Limited attention span - Correct Answer - 1. fidgeting
• laughing inappropriately
• nail biting

The PMHNP has a new patient in the clinic. While looking 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:

• Projection
• Transference
• Countertransference
• ResistanceFsaf - Correct Answer - C. countertransference

Which documentation of a patient's behavior best demonstrates a psychiatric advanced practice nurse's professional observations regarding the patient's psychotic symptoms?

• Isolates self from others. Frequently fell asleep during group. Vital

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• Calmer; more cooperative. Participated actively in group. No

evidence of psychotic thinking.

• Appeared to hallucinate. Frequently increased volume on television,

causing conflict with others.

• Wore four layers of clothing. States, "I need protection from evil

bacteria trying to pierce my skin. - Correct Answer - 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 psychiatric

advanced practice nurse:

• Interprets the difference between a patient's thoughts and his or her

behaviors.

• Repeats something that the patient has said to encourage the patient

to give more information.

• Provides prompts such as "tell me more."
• Seeks more information in order to have a more clear understanding.
• Correct Answer - B. repeats something the patient has said to

encourage the patient to give more information

Which one of the following is not true regarding the mental status examination?

• Racing thoughts are considered part of the thought process
• Blunted is a term used to describe affect
• Hallucinations are part of thought content
• Delusions are part of thought content - Correct Answer - C.

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pg. 4 **** Delusions are a part of thought content ** suicidal thoughts, homicidal thoughts, and thoughts of self-harm are all covered in thought content -- think - it is the CONTENT of your thoughts!!!*** The thought process is the WAY in which a client thinks. - often evidenced by their speech ***illusions and hallucinations are covered under perceptual disturbances

Which activity shows that a therapeutic alliance has been established between the nurse and patient?

• The nurse respects the patients right to privacy when visitors are

spending time with the patient.

• The patient is eagerly attending all group sessions and working

independently on identifying their personal stressors.

• The patient is freely describing their feelings related to the physical

and emotional trauma they experienced as a child with the nurse.

• The nurse dutifully administers the patients medications on time and

with appropriate knowledge of the potential side effects. - Correct Answer - C. the patient is freely describing their feelings related to the physical and emotional trauma they experienced as a child with the nurse.

When preparing to conduct a nursing history and assessment on a patient transferred from the emergency department (ED) whose family believes the patient to be a questionable historian due to cognitive impairment,

the nurse initially begins the interview by:

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