NR668 WEEK 3 ACTUAL EXAM 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Maslow's Hierarchy of Needs. Answer: -Abraham Maslow
theorized that all individuals have the same basic needs
-provides a framework for understanding client motivation
-first four levels of need in the hierarchy
• physiological needs, safety, love & belonging, esteem
• deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need
• self-actualization
• considered a growth or being need (B-need)
-Once D-needs are met, clients can focus on self-actualization and
personal growth
-A self-actualized person is self-fulfilled.
◉ Qualities exhibited by the self-actualized person include:. Answer:
independence, autonomy, creativity, and maturity
◉ Ed is a 32-year-old client who is beginning psychotherapy with
the PMHNP. During the interview, Ed shares that he has been
,unemployed for the past 6 months due to consolidation at his former
place of employment. Since then, he reports that he has had
difficulty sleeping due to worries about what he should do. His wife
has a full-time job with health benefits and has been supportive of
him taking time to find the ideal position while he is collecting
unemployment; however, his unemployment will run out in a few
months. He would love to find a position that would allow him to use
his artistic talents but expresses a lack of self-confidence in his
ability to succeed in a new position. Ed reports that he has felt
somewhat isolated now that he doesn't see his friends at work.
The PMHNP has identified needs for Ed at all levels of Maslow's
hierarchy. Drag the client's concern to the appropriate level of the
hierarchy. Answer: Physiological: difficulty sleeping
Safety: unemployment
Love/belonging: isolation
Esteem: lack of self-confidence
Self-actualization: the need for creativity
◉ The client expresses that his goal is to focus on improving his self-
confidence. Based on Maslow's hierarchy of needs, is Ed likely to be
prepared to explore his lack of self-confidence?
Yes
No. Answer: No
,Rationale: Because Ed has unmet needs at the physiological, safety,
and love/belonging levels of the hierarchy, he may not yet be
prepared to explore self-confidence. The PMHNP may need to help
the client address more foundational needs as part of the initial
therapy before helping him focus on improving his confidence.
◉ Health Belief Model. Answer: -used to explain and predict health
behaviors
-person's belief about a perceived threat of illness combined with
belief in the effectiveness of the recommended action predict the
person's willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
◉ Health Belief Model Constructs: Perceived susceptibility. Answer:
clients must believe they are susceptible to the condition
, ◉ Health Belief Model Constructs: Perceived severity. Answer:
clients must believe the condition has serious consequences if left
unattended
◉ Health Belief Model Constructs: Perceived benefits. Answer:
clients must believe that taking action reduces their susceptibility
◉ Health Belief Model Constructs: Perceived barriers. Answer:
clients must believe that the benefits of acting are greater than the
barriers perceived
◉ Health Belief Model Constructs: Cue to action. Answer: clients are
exposed to something that causes them to act, such as an ad or
discussion with a provider
◉ Health Belief Model Constructs: Self-efficacy. Answer: clients feel
they can succeed when performing an action
◉ Transtheoretical Model of Change. Answer: -assumes that
behavior changes take place over time & that people move through
stages of decision-making to make changes to behavior
-five stages
1. precontemplation
• not aware or interested in change
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Maslow's Hierarchy of Needs. Answer: -Abraham Maslow
theorized that all individuals have the same basic needs
-provides a framework for understanding client motivation
-first four levels of need in the hierarchy
• physiological needs, safety, love & belonging, esteem
• deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need
• self-actualization
• considered a growth or being need (B-need)
-Once D-needs are met, clients can focus on self-actualization and
personal growth
-A self-actualized person is self-fulfilled.
◉ Qualities exhibited by the self-actualized person include:. Answer:
independence, autonomy, creativity, and maturity
◉ Ed is a 32-year-old client who is beginning psychotherapy with
the PMHNP. During the interview, Ed shares that he has been
,unemployed for the past 6 months due to consolidation at his former
place of employment. Since then, he reports that he has had
difficulty sleeping due to worries about what he should do. His wife
has a full-time job with health benefits and has been supportive of
him taking time to find the ideal position while he is collecting
unemployment; however, his unemployment will run out in a few
months. He would love to find a position that would allow him to use
his artistic talents but expresses a lack of self-confidence in his
ability to succeed in a new position. Ed reports that he has felt
somewhat isolated now that he doesn't see his friends at work.
The PMHNP has identified needs for Ed at all levels of Maslow's
hierarchy. Drag the client's concern to the appropriate level of the
hierarchy. Answer: Physiological: difficulty sleeping
Safety: unemployment
Love/belonging: isolation
Esteem: lack of self-confidence
Self-actualization: the need for creativity
◉ The client expresses that his goal is to focus on improving his self-
confidence. Based on Maslow's hierarchy of needs, is Ed likely to be
prepared to explore his lack of self-confidence?
Yes
No. Answer: No
,Rationale: Because Ed has unmet needs at the physiological, safety,
and love/belonging levels of the hierarchy, he may not yet be
prepared to explore self-confidence. The PMHNP may need to help
the client address more foundational needs as part of the initial
therapy before helping him focus on improving his confidence.
◉ Health Belief Model. Answer: -used to explain and predict health
behaviors
-person's belief about a perceived threat of illness combined with
belief in the effectiveness of the recommended action predict the
person's willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
◉ Health Belief Model Constructs: Perceived susceptibility. Answer:
clients must believe they are susceptible to the condition
, ◉ Health Belief Model Constructs: Perceived severity. Answer:
clients must believe the condition has serious consequences if left
unattended
◉ Health Belief Model Constructs: Perceived benefits. Answer:
clients must believe that taking action reduces their susceptibility
◉ Health Belief Model Constructs: Perceived barriers. Answer:
clients must believe that the benefits of acting are greater than the
barriers perceived
◉ Health Belief Model Constructs: Cue to action. Answer: clients are
exposed to something that causes them to act, such as an ad or
discussion with a provider
◉ Health Belief Model Constructs: Self-efficacy. Answer: clients feel
they can succeed when performing an action
◉ Transtheoretical Model of Change. Answer: -assumes that
behavior changes take place over time & that people move through
stages of decision-making to make changes to behavior
-five stages
1. precontemplation
• not aware or interested in change
