NR 605 Week 8 Final Exam | Weeks 5–8 Review | Advanced Nursing Practice Questions & Answers | NP Study Guide | Latest Update 2026

WEEK 5 Key Points
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• Cognitive and behavioral approaches focus on how well individuals can adapt
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cognitively and functionally to their environments.
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• Research has demonstrated the efficacy of a combined approach of cognitive
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and behavioral techniques.
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• CBT has become the most widely practiced psychotherapy in the world.
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• Evidence supports the use of CBT in the treatment of depression, anxiety, substance use
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disorders, post-traumatic stress disorder, eating disorders, and severe mental illness.
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• Cognitive distortions are faulty, exaggerated, or irrational thinking patterns that
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cause individuals to inaccurately perceive reality.
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• ACT helps clients develop a more accepting, mindful relationship with their thoughts
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and feelings while maintaining behavioral congruence with their goals and values.
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• ACT is supported by evidence and is effective for clients with a variety of
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conditions, including depression, anxiety, substance use, chronic pain, and
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transdiagnostic combinations of conditions.
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• MI involves using a collaborative, goal-oriented communication style
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• MI helps individuals prepare for change.
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• MI may be used in the reduction of substance use, for health promotion,
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and improvement of medication adherence in clients with severe mental
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illness.
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• Solution-focused therapy is a future-oriented approach that helps the client shift b b b b b b b b b b




their focus from problems to solutions.
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Reflective inquiry allows b b




• One of the goals of cognitive-behavioral therapy (CBT) is to help clients learn to
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identify and change their thinking, emotions, and behaviors to better cope with
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environmental challenges and stressful situations. Many resources are available to
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augment therapy, from books to mindfulness apps to seminars to motivational
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speakers. Clients may also seek out resources on their own.
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o How can the PMHNP determine which resources to incorporate into practice?
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o How can the PMHNP help clients determine which resources are reliable
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and which could be harmful?
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, week 6 Key Points
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• Group therapy is a form of psychotherapy in which a group of clients meets to
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discuss problems or concerns under the guidance of a therapist.
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• Eleven core principles underlie group therapy.
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• Groups may be led by single leaders or co-leaders.
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• Types of groups include psychoeducational groups, support groups, self-help groups,
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and acute inpatient therapy groups.
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• The five phases of group formation include forming, storming, norming, performing,
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and adjourning.
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• Clients who are unable to participate in a group’s primary task for logistical,
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intellectual, psychological, or interpersonal reasons should not be included.
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• Family and couples seek therapy to change and improve relational functioning.
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• Individuals are best understood within the context of the family system.
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• The behavior of one family member influences all family members and the behavior of
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the family influences each member.
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• Types of family therapy include systemic, structural, strategic, and emotionally focused.
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• Principles of family therapy can be applied to working with couples.
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Reflective inquiry b




o What techniques can therapists use to deescalate tension within
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therapeutic groups?
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o What techniques can promote group cohesion in a group with
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constantly changing membership?
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