Page 1 of 103
NR 605 FINAL EXAM (ACTUAL EXAM) WITH
CORRECT 180+ QUESTIONS AND CORRECTLY
WELL-DEFINED ANSWERS LATEST 2024
ALREADY GRADED A+
RATED
Sasha is a 22-year-old, single female who presents for psychotherapy. Sasha has a history of
major depression and substance abuse disorder. She was previously prescribed various
psychotropics medications that only increased her depression. She began self-medicating with
her boyfriend's pain medications to tolerate her depressive symptoms. The psychiatric mental
health nurse practitioner (PMHNP) selects DBT as an adjunct to pharmacological interventions.
DBT is selected to address Sasha's problematic behavioral patterns and enhance her
functioning.
In the early phase of DBT, the PMHNP helps Sasha build skills in mindfulness to enhance her
awareness and self-observation. Which of the following are the most appropriate exercises to
enhance mindfulness skills? Select all that apply.
abdominal breathing
wise mind
judgment diffusion
assertive listening
1
,Page 2 of 103
negotiating
relaxation - ANSWER-abdominal breathing
wise mind
judgment diffusion
Rationale: Mindful abdominal breathing, wise mind, and judgment diffusion are common
mindfulness exercises. Assertive listening and negotiating are exercises to build interpersonal
effectiveness and relaxation exercises are used to build distress tolerance skills.
Sasha also has low distress tolerance. The PMHNP helps her build distress tolerance skills as a
healthier alternative than self-medicating with her boyfriend's pain medications.
Which of the following are the most appropriate exercises to enhance distress tolerance? Select
all that apply.
reducing vulnerabilities
relaxation
recognizing emotions
making a request
self-soothing
radical acceptance - ANSWER-relaxation
2
,Page 3 of 103
self-soothing
radical acceptance
Rationale: Radical acceptance, relaxation, and self-soothing exercises build skills in distress
tolerance. Recognizing emotions and reducing vulnerabilities exercises build skills in emotional
regulation. Making a request is an exercise to build interpersonal effectiveness.
In the next phase of DBT, Sasha reports that she wants to be able to feel again since her
emotions have been "numbed out" due to her substance abuse. The PMHNP uses skills in
emotional regulation to help Sasha learn to control her feelings rather than being controlled by
them.
Which of the following are the most appropriate exercises to enhance emotional regulation?
Select all that apply.
problem-solving
realistic goal setting
passive versus aggressive behavior
radical acceptance
opposite action to emotion - ANSWER-opposite action to emotion
problem-solving
3
, Page 4 of 103
Rationale: Opposite action to emotion and problem-solving exercises build skills in emotional
regulation. Realistic goal setting is an exercise to enhance self-management. Radical acceptance
builds skills in distress tolerance, whereas exercises in passive versus aggressive behavior build
skills in interpersonal effectiveness.
Psychotherapy with older adults considerations - ANSWER--higher prevalence of dementia
•raises need for neuropsychological screening
-higher prevalence of medical disorders
• req careful consideration of physical causes of symptoms & effects of meds
Child Development: - ANSWER--Physical Development
• by three months, infants can lift their heads and clasp their hands
• by six months, they may roll over, sit with support, and reach for objects and transfer them
from hand to hand
• by one year, infants can stand and start to take steps
• by one year, birth weight triples and height increases by 50%
-Cognitive and Language Development
• by two months, infants start to coo
• by six months, infants begin to babble
4
NR 605 FINAL EXAM (ACTUAL EXAM) WITH
CORRECT 180+ QUESTIONS AND CORRECTLY
WELL-DEFINED ANSWERS LATEST 2024
ALREADY GRADED A+
RATED
Sasha is a 22-year-old, single female who presents for psychotherapy. Sasha has a history of
major depression and substance abuse disorder. She was previously prescribed various
psychotropics medications that only increased her depression. She began self-medicating with
her boyfriend's pain medications to tolerate her depressive symptoms. The psychiatric mental
health nurse practitioner (PMHNP) selects DBT as an adjunct to pharmacological interventions.
DBT is selected to address Sasha's problematic behavioral patterns and enhance her
functioning.
In the early phase of DBT, the PMHNP helps Sasha build skills in mindfulness to enhance her
awareness and self-observation. Which of the following are the most appropriate exercises to
enhance mindfulness skills? Select all that apply.
abdominal breathing
wise mind
judgment diffusion
assertive listening
1
,Page 2 of 103
negotiating
relaxation - ANSWER-abdominal breathing
wise mind
judgment diffusion
Rationale: Mindful abdominal breathing, wise mind, and judgment diffusion are common
mindfulness exercises. Assertive listening and negotiating are exercises to build interpersonal
effectiveness and relaxation exercises are used to build distress tolerance skills.
Sasha also has low distress tolerance. The PMHNP helps her build distress tolerance skills as a
healthier alternative than self-medicating with her boyfriend's pain medications.
Which of the following are the most appropriate exercises to enhance distress tolerance? Select
all that apply.
reducing vulnerabilities
relaxation
recognizing emotions
making a request
self-soothing
radical acceptance - ANSWER-relaxation
2
,Page 3 of 103
self-soothing
radical acceptance
Rationale: Radical acceptance, relaxation, and self-soothing exercises build skills in distress
tolerance. Recognizing emotions and reducing vulnerabilities exercises build skills in emotional
regulation. Making a request is an exercise to build interpersonal effectiveness.
In the next phase of DBT, Sasha reports that she wants to be able to feel again since her
emotions have been "numbed out" due to her substance abuse. The PMHNP uses skills in
emotional regulation to help Sasha learn to control her feelings rather than being controlled by
them.
Which of the following are the most appropriate exercises to enhance emotional regulation?
Select all that apply.
problem-solving
realistic goal setting
passive versus aggressive behavior
radical acceptance
opposite action to emotion - ANSWER-opposite action to emotion
problem-solving
3
, Page 4 of 103
Rationale: Opposite action to emotion and problem-solving exercises build skills in emotional
regulation. Realistic goal setting is an exercise to enhance self-management. Radical acceptance
builds skills in distress tolerance, whereas exercises in passive versus aggressive behavior build
skills in interpersonal effectiveness.
Psychotherapy with older adults considerations - ANSWER--higher prevalence of dementia
•raises need for neuropsychological screening
-higher prevalence of medical disorders
• req careful consideration of physical causes of symptoms & effects of meds
Child Development: - ANSWER--Physical Development
• by three months, infants can lift their heads and clasp their hands
• by six months, they may roll over, sit with support, and reach for objects and transfer them
from hand to hand
• by one year, infants can stand and start to take steps
• by one year, birth weight triples and height increases by 50%
-Cognitive and Language Development
• by two months, infants start to coo
• by six months, infants begin to babble
4
