NR 605 FINAL EXAM DIAGNOSIS AND MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS THE LIFESPAN SCRIPT
COMPLETE ANSWERS GRADED A+
◉ Tina is a 52-year-old who presents with depression and obesity. She has struggled with her weight
for the last several years. The therapist implements a series of rewards when Tina adheres to
treatment goals.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
Behavioral rehearsal
Answer: Contingency management
,Rationale: Contingency management reinforces or rewards positive behavioral changes. The client and
therapist can work together to identify appropriate rewards; for instance, Tina may choose to reward
herself for maintaining an exercise regimen by scheduling a relaxation massage.
◉ Amina is a 40-year-old who presents for therapy. She reports that she has felt "depressed" most of
her life but never sought mental health services. She discloses that she was a victim of childhood
incest and neither reported the abuse nor discussed it with anyone before this time. She feels that the
time is right to do therapy. The psychiatric mental health nurse practitioner (PMHNP) selects solution-
focused therapy (SFT) to create a warm and supportive climate in which the client can identify her
resources to create a shift from the past to the present, integrate her memories, and empower herself
beyond her victimization.
Which of the following provider statements or question prompts are congruent with SFT? Select all
that apply.
"What needs to happen today so that when you leave, you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and preve
,Answer: "What needs to happen today so that when you leave, you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and prevent
things from becoming worse?"
"How bad is the problem? What would it take to move one point higher?"
"Between now and the next time we meet, observe what happens in your life that you want to
continue."
Rationale: Joining questions helps the therapist to connect with and accommodate the client's world.
Coping questions help the client to identify resources that may have gone unnoticed. Scaling questions
helps the client to pay attention to what they are doing and how they can take steps that lead to the
changes they desire. Future-oriented questions help the client to shift their focus from problems to
envisioning a better life.
◉ group therapy first appeared in the _______
, Answer: 1940s
-grew out of the need to efficiently treat large groups of psychiatrically disturbed soldiers following
World War II
◉ figures in group therapy
Answer: -Joseph Moreno
• psychodrama to enable veterans to participate in group dramatizations, reenact or role-play
scenarios in their past and present
• learn to better manage fears and anxieties
-Wilfred Bion
• identified fundamental patterns that could disrupt group work
-Samuel Slavson
• used psychoanalytic approaches in working with groups of disturbed children and adolescents
PSYCHIATRIC MENTAL HEALTH ACROSS THE LIFESPAN SCRIPT
COMPLETE ANSWERS GRADED A+
◉ Tina is a 52-year-old who presents with depression and obesity. She has struggled with her weight
for the last several years. The therapist implements a series of rewards when Tina adheres to
treatment goals.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
Behavioral rehearsal
Answer: Contingency management
,Rationale: Contingency management reinforces or rewards positive behavioral changes. The client and
therapist can work together to identify appropriate rewards; for instance, Tina may choose to reward
herself for maintaining an exercise regimen by scheduling a relaxation massage.
◉ Amina is a 40-year-old who presents for therapy. She reports that she has felt "depressed" most of
her life but never sought mental health services. She discloses that she was a victim of childhood
incest and neither reported the abuse nor discussed it with anyone before this time. She feels that the
time is right to do therapy. The psychiatric mental health nurse practitioner (PMHNP) selects solution-
focused therapy (SFT) to create a warm and supportive climate in which the client can identify her
resources to create a shift from the past to the present, integrate her memories, and empower herself
beyond her victimization.
Which of the following provider statements or question prompts are congruent with SFT? Select all
that apply.
"What needs to happen today so that when you leave, you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and preve
,Answer: "What needs to happen today so that when you leave, you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and prevent
things from becoming worse?"
"How bad is the problem? What would it take to move one point higher?"
"Between now and the next time we meet, observe what happens in your life that you want to
continue."
Rationale: Joining questions helps the therapist to connect with and accommodate the client's world.
Coping questions help the client to identify resources that may have gone unnoticed. Scaling questions
helps the client to pay attention to what they are doing and how they can take steps that lead to the
changes they desire. Future-oriented questions help the client to shift their focus from problems to
envisioning a better life.
◉ group therapy first appeared in the _______
, Answer: 1940s
-grew out of the need to efficiently treat large groups of psychiatrically disturbed soldiers following
World War II
◉ figures in group therapy
Answer: -Joseph Moreno
• psychodrama to enable veterans to participate in group dramatizations, reenact or role-play
scenarios in their past and present
• learn to better manage fears and anxieties
-Wilfred Bion
• identified fundamental patterns that could disrupt group work
-Samuel Slavson
• used psychoanalytic approaches in working with groups of disturbed children and adolescents
