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NR 605 / NR605 Midterm actual Exam | Questions &
verified Answers (Latest Update )
Diagnosis & Management in Psychiatric-Mental
Health Across the Lifespan I Practicum | Grade A |
100% Correct – Chamberlain
Explain the difference between the Biomedical model and the Holistic Model
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
What are the main goals of psychotherapy?
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.
_________ 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).
Resilience
Explain the resilient zone. Name some strategies that may aid your patient cope when feeling
resistant especially during psychotherapy.
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:
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, sleep
Safety- security of body, employment, morality of family, health, property
Love/Belonging- friendship, family, intimacy, connection with others
Esteem- self esteem, respect, achievement, confidence
Self-actualization- morality, creativity, spontaneity, lack of prejudice, acceptance of facts
According to Maslow, what does self-actualization look like?
What are stabilization strategies?
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
Lets discuss the Health Belief Model
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, perceived benefits of
treatment, perceived barriers to treatment, cues to action, and self-efficacy, as seen below.
The construct that clients must believe they are susceptible to a disease or disorder is ______.
Lets use Sonia for an example who has been struggling with her anxiety as a 24- year old grad
student.
Perceived susceptibility.
Sonia REALIZES that she has anxiety stemming from COVID.
___________ is the construct that clients must believe the disease has serious consequences if
left unattended.
Perceived severity
Sonia has noted that her anxiety is significantly impacting her schoolwork.
What is the construct that clients believe that taking action reduces their susceptibility.
Perceived benefits
Sonia believes that seeking care will help her to stay in school.
_____ is the construct that the benefits of acting are greater than the barriers perceived.
Sonia doesn't have a lot of spare time, but she feels like her mental health is important.
Perceived barriers
_____ is the construct when clients are exposed to something that causes them to act such as a
friend, commercial or a conversation with their provider.
Sonia's roommate has been seeing a PMHNP and has benefitted from mindfulness exercises and
cognitive behavioral therapy.
Cue to action
This construct is when clients feel they can succeed when performing an action.
Sonia believes that seeing a provider can help her to make positive changes in her mental health
Self-efficacy
Lets discuss the Transtheoretical Model of change. What is it?
The Transtheoretical Model of Change assumes that behavior changes take place over time and
that people move through stages of decision-making to make changes to behavior. This theory
includes several stages: precontemplation, contemplation, preparation, action, and maintenance.
The PMHNP must recognize the client's current stage of change to best help them move forward.
NR 605 / NR605 Midterm actual Exam | Questions &
verified Answers (Latest Update )
Diagnosis & Management in Psychiatric-Mental
Health Across the Lifespan I Practicum | Grade A |
100% Correct – Chamberlain
Explain the difference between the Biomedical model and the Holistic Model
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
What are the main goals of psychotherapy?
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.
_________ 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).
Resilience
Explain the resilient zone. Name some strategies that may aid your patient cope when feeling
resistant especially during psychotherapy.
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:
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, sleep
Safety- security of body, employment, morality of family, health, property
Love/Belonging- friendship, family, intimacy, connection with others
Esteem- self esteem, respect, achievement, confidence
Self-actualization- morality, creativity, spontaneity, lack of prejudice, acceptance of facts
According to Maslow, what does self-actualization look like?
What are stabilization strategies?
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
Lets discuss the Health Belief Model
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, perceived benefits of
treatment, perceived barriers to treatment, cues to action, and self-efficacy, as seen below.
The construct that clients must believe they are susceptible to a disease or disorder is ______.
Lets use Sonia for an example who has been struggling with her anxiety as a 24- year old grad
student.
Perceived susceptibility.
Sonia REALIZES that she has anxiety stemming from COVID.
___________ is the construct that clients must believe the disease has serious consequences if
left unattended.
Perceived severity
Sonia has noted that her anxiety is significantly impacting her schoolwork.
What is the construct that clients believe that taking action reduces their susceptibility.
Perceived benefits
Sonia believes that seeking care will help her to stay in school.
_____ is the construct that the benefits of acting are greater than the barriers perceived.
Sonia doesn't have a lot of spare time, but she feels like her mental health is important.
Perceived barriers
_____ is the construct when clients are exposed to something that causes them to act such as a
friend, commercial or a conversation with their provider.
Sonia's roommate has been seeing a PMHNP and has benefitted from mindfulness exercises and
cognitive behavioral therapy.
Cue to action
This construct is when clients feel they can succeed when performing an action.
Sonia believes that seeing a provider can help her to make positive changes in her mental health
Self-efficacy
Lets discuss the Transtheoretical Model of change. What is it?
The Transtheoretical Model of Change assumes that behavior changes take place over time and
that people move through stages of decision-making to make changes to behavior. This theory
includes several stages: precontemplation, contemplation, preparation, action, and maintenance.
The PMHNP must recognize the client's current stage of change to best help them move forward.
