NR605 MIDTERM CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ Explain the difference between the Biomedical model and the Holistic
Model.
Answer: The Holistic approach is truly the pillar of all recovery care models.
This approach ensures that the patient is treated through healing. In contrast,
in a holistic model, symptoms are seen as a form of communication and are
useful for understanding the meaning of the dysregulation and disharmony
that are occurring for this person at a given time.Holistic therapy respects
the complexity of each unique individual, appreciating the relationship
between the client's mind, body, and spirit and recognizing the
interdependence of all parts of the human system.Biomedical's goal is to
cure with symptom relief treatment. Medications but it does not give way to
view the patient as an individual with different causations of their
symptoms. They just decide to treat the symptoms. Symptoms are often
thought to be the cause of the patient's problem
◍ Psychotherapy.
Answer: -nonpharmacological intervention-used to tx mental health
diagnoses or distress-help clients improve functioning and well-being-talk
therapy-provided by psychiatrists, psychologists, social workers, marriage
and family therapists, counselors, and PMHNPs-may include individual,
couple, family, or group sessions-Goals: symptom reduction, improvement
in functioning, relapse prevention, empowerment, achievement of
collaborative goals set by the client & therapist.
◍ Methods of Collaboration.
Answer: Intraprofessional Collaboration-the interaction and efforts between
, two disciplines with the same profession• Potential barriers: tension, large
team size, high turnover, lack of familiarity and common goals, role
ambiguity, generational differences, and lack of undergraduate nursing
education on intraprofessional practice.Transprofessional
Collaboration-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with others to
ensure care is delivered safely• Potential barrier: lack of training
◍ Role of PMHNPs in Psychotherapy.
Answer: -unique, full-spectrum approach-may provide psychotherapy in
addition to prescribing medications-providing client and family
education-coordinating care and referrals as a part of the treatment
plan-provide psychotherapy in a variety of ambulatory, emergency
department, inpatient, and outpatient settings
◍ Holistic Paradigm of Healing.
Answer: -holistic model of care with a focus on healing-Holistic therapy
respects the complexity of each unique individual• appreciating the
relationship between the client's mind, body, and spirit• recognizing the
interdependence of all parts of the human system-Foundational to healing is
the relationship between the client and therapist• Emotional connection in
the relationship is critical to the success of psychotherapy• PMHNP
approaches the nurse-client relationship with acceptance, empathy, patience,
and kindness to create a space for healing-psychotherapy can help the
individual accept dysregulation and disharmony in the present moment•
achieves acceptance of the present, they may be able to let go of resistance,
relax, and release fears
◍ What are the main goals of psychotherapy?.
Answer: Some of the goals of psychotherapy include the reduction of
symptoms, improvement of functioning, relapse prevention, increased
empowerment, and achievement of the specific collaborative goals set with
the patient.
◍ Theoretical Models in Psychotherapy.
, Answer: Maslow's Hierarchy of NeedsHealth Belief ModelTranstheoretical
Model of Change
◍ _________ refers to the ability of an individual, family, or community to
cope with adversity and trauma, and adapt to challenges through individual
physical, emotional, and spiritual attributes and access to cultural and social
resources (adapted from SAMHSA, 2014)..
Answer: Resilience
◍ Explain the resilient zone. Name some strategies that may aid your patient
cope when feeling resistant especially during psychotherapy..
Answer: The optimal physiological state for the work of therapy and reflects
the person's natural rhythm and flow of energy and vitality. Although the
person may feel sad, happy, angry, and other emotions when in their RZ, the
person is able to both feel and think at the same time. The RZ zone is the
patient's best physiological state for thinking clear and functioning well.If
the person becomes too anxious and hyperaroused, resistances or defenses
may increase, and the work of therapy will be thwarted, perhaps not
consciously, but nevertheless, the person's brain will not be able to integrate
memories or gain insight.Some ways to combat is by decreasing arousal
levels such as deep breathing exercises or imagery, focusing on sensations
in the body, mindfulness exercises, and self-regulation strategies, presence
of supportive relationships and attachments as well as the avoidance of
frequent and prolonged stress.
◍ Lets talk about Maslow Hiearchy of needs:.
Answer: Maslow states that before higher level needs can be established,,
lower level needs have to achieved. For Example:Physiological needs- air,
food, water, shelter, clothing, sleepSafety- security of body, employment,
morality of family, health, propertyLove/Belonging- friendship, family,
intimacy, connection with othersEsteem- self esteem, respect, achievement,
confidenceSelf-actualization- morality, creativity, spontaneity, lack of
prejudice, acceptance of facts
◍ Maslow's Hierarchy of Needs.
, Answer: framework for understanding client motivation-first four levels of
need in the hierarchy (physiological needs, safety, love and belonging, and
esteem) are sometimes referred to as deficiency needs (D-needs)•
Motivation decreases once D-needs are met-highest level of need,
self-actualization, is considered a growth or being need (B-need)• Once
D-needs are met, clients can focus on self-actualization and personal
growth• As the B-need is met, motivation for further growth increases
◍ What are stabilization strategies?.
Answer: Stabilization strategies assist the person to be better able to make
state changes, that is, to change one's present physiology in order to function
more effectively in the moment. So pretty much stabilization is the way a
PMHNP can assess a patients life currently before they are able to
participate effectively in their psychotherapy. If a patient lacks stabilization
via housing, it is up the PMHNP to secure such. If the patient lacks
stabilization in relationships, they need to be provided with strategies to
combat and then they are able to process accordingly. Stabilization widens
their RZ zone.Through therapeutic relationship•Bibliotherapy/role
play•Case management•Cognitive behavioral therapy•Community resiliency
model skills•Dialectical behavioral therapy•Education about RZ•Managing
physiological arousal•imagery•Container•Calm
place•Mindfulness/meditation•Medication•Stress
management/education•Provide safety•Yoga/exercise
◍ self-actualized person.
Answer: is self-fulfilled-Qualities exhibited by the self-actualized person
include independence, autonomy, creativity, and maturity
◍ Lets discuss the Health Belief Model.
Answer: The H.B.M l is used to explain and predict health behaviors.
According to the Health Belief Model, a 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. The model
includes several constructs: perceived seriousness, perceived susceptibility,
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ Explain the difference between the Biomedical model and the Holistic
Model.
Answer: The Holistic approach is truly the pillar of all recovery care models.
This approach ensures that the patient is treated through healing. In contrast,
in a holistic model, symptoms are seen as a form of communication and are
useful for understanding the meaning of the dysregulation and disharmony
that are occurring for this person at a given time.Holistic therapy respects
the complexity of each unique individual, appreciating the relationship
between the client's mind, body, and spirit and recognizing the
interdependence of all parts of the human system.Biomedical's goal is to
cure with symptom relief treatment. Medications but it does not give way to
view the patient as an individual with different causations of their
symptoms. They just decide to treat the symptoms. Symptoms are often
thought to be the cause of the patient's problem
◍ Psychotherapy.
Answer: -nonpharmacological intervention-used to tx mental health
diagnoses or distress-help clients improve functioning and well-being-talk
therapy-provided by psychiatrists, psychologists, social workers, marriage
and family therapists, counselors, and PMHNPs-may include individual,
couple, family, or group sessions-Goals: symptom reduction, improvement
in functioning, relapse prevention, empowerment, achievement of
collaborative goals set by the client & therapist.
◍ Methods of Collaboration.
Answer: Intraprofessional Collaboration-the interaction and efforts between
, two disciplines with the same profession• Potential barriers: tension, large
team size, high turnover, lack of familiarity and common goals, role
ambiguity, generational differences, and lack of undergraduate nursing
education on intraprofessional practice.Transprofessional
Collaboration-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with others to
ensure care is delivered safely• Potential barrier: lack of training
◍ Role of PMHNPs in Psychotherapy.
Answer: -unique, full-spectrum approach-may provide psychotherapy in
addition to prescribing medications-providing client and family
education-coordinating care and referrals as a part of the treatment
plan-provide psychotherapy in a variety of ambulatory, emergency
department, inpatient, and outpatient settings
◍ Holistic Paradigm of Healing.
Answer: -holistic model of care with a focus on healing-Holistic therapy
respects the complexity of each unique individual• appreciating the
relationship between the client's mind, body, and spirit• recognizing the
interdependence of all parts of the human system-Foundational to healing is
the relationship between the client and therapist• Emotional connection in
the relationship is critical to the success of psychotherapy• PMHNP
approaches the nurse-client relationship with acceptance, empathy, patience,
and kindness to create a space for healing-psychotherapy can help the
individual accept dysregulation and disharmony in the present moment•
achieves acceptance of the present, they may be able to let go of resistance,
relax, and release fears
◍ What are the main goals of psychotherapy?.
Answer: Some of the goals of psychotherapy include the reduction of
symptoms, improvement of functioning, relapse prevention, increased
empowerment, and achievement of the specific collaborative goals set with
the patient.
◍ Theoretical Models in Psychotherapy.
, Answer: Maslow's Hierarchy of NeedsHealth Belief ModelTranstheoretical
Model of Change
◍ _________ refers to the ability of an individual, family, or community to
cope with adversity and trauma, and adapt to challenges through individual
physical, emotional, and spiritual attributes and access to cultural and social
resources (adapted from SAMHSA, 2014)..
Answer: Resilience
◍ Explain the resilient zone. Name some strategies that may aid your patient
cope when feeling resistant especially during psychotherapy..
Answer: The optimal physiological state for the work of therapy and reflects
the person's natural rhythm and flow of energy and vitality. Although the
person may feel sad, happy, angry, and other emotions when in their RZ, the
person is able to both feel and think at the same time. The RZ zone is the
patient's best physiological state for thinking clear and functioning well.If
the person becomes too anxious and hyperaroused, resistances or defenses
may increase, and the work of therapy will be thwarted, perhaps not
consciously, but nevertheless, the person's brain will not be able to integrate
memories or gain insight.Some ways to combat is by decreasing arousal
levels such as deep breathing exercises or imagery, focusing on sensations
in the body, mindfulness exercises, and self-regulation strategies, presence
of supportive relationships and attachments as well as the avoidance of
frequent and prolonged stress.
◍ Lets talk about Maslow Hiearchy of needs:.
Answer: Maslow states that before higher level needs can be established,,
lower level needs have to achieved. For Example:Physiological needs- air,
food, water, shelter, clothing, sleepSafety- security of body, employment,
morality of family, health, propertyLove/Belonging- friendship, family,
intimacy, connection with othersEsteem- self esteem, respect, achievement,
confidenceSelf-actualization- morality, creativity, spontaneity, lack of
prejudice, acceptance of facts
◍ Maslow's Hierarchy of Needs.
, Answer: framework for understanding client motivation-first four levels of
need in the hierarchy (physiological needs, safety, love and belonging, and
esteem) are sometimes referred to as deficiency needs (D-needs)•
Motivation decreases once D-needs are met-highest level of need,
self-actualization, is considered a growth or being need (B-need)• Once
D-needs are met, clients can focus on self-actualization and personal
growth• As the B-need is met, motivation for further growth increases
◍ What are stabilization strategies?.
Answer: Stabilization strategies assist the person to be better able to make
state changes, that is, to change one's present physiology in order to function
more effectively in the moment. So pretty much stabilization is the way a
PMHNP can assess a patients life currently before they are able to
participate effectively in their psychotherapy. If a patient lacks stabilization
via housing, it is up the PMHNP to secure such. If the patient lacks
stabilization in relationships, they need to be provided with strategies to
combat and then they are able to process accordingly. Stabilization widens
their RZ zone.Through therapeutic relationship•Bibliotherapy/role
play•Case management•Cognitive behavioral therapy•Community resiliency
model skills•Dialectical behavioral therapy•Education about RZ•Managing
physiological arousal•imagery•Container•Calm
place•Mindfulness/meditation•Medication•Stress
management/education•Provide safety•Yoga/exercise
◍ self-actualized person.
Answer: is self-fulfilled-Qualities exhibited by the self-actualized person
include independence, autonomy, creativity, and maturity
◍ Lets discuss the Health Belief Model.
Answer: The H.B.M l is used to explain and predict health behaviors.
According to the Health Belief Model, a 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. The model
includes several constructs: perceived seriousness, perceived susceptibility,
