ESTUDYR
NR605 MIDTERM EXAM | DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE LIFESPAN 2025 UPDATE
Psychotherapy Fundamentals
1. Psychotherapy is best described as:
A. Pharmacological intervention only
B. Nonpharmacological “talk therapy” for mental health
C. Surgical treatment of brain disorders
D. Physical rehabilitation
Rationale: Psychotherapy uses verbal and behavioral techniques (e.g., CBT, psychodynamic) to
improve mental well-being.
2. Goals of psychotherapy include all EXCEPT:
A. Symptom reduction
B. Relapse prevention
C. Empowerment
D. Prescribing medications
Rationale: While prescribers may also provide meds, psychotherapy itself is non-pharmacologic.
3. Who can provide psychotherapy?
A. Only psychiatrists
B. Only psychologists
C. Psychiatrists, psychologists, social workers, counselors, PMHNPs
D. Only psychiatric nurses
Rationale: A range of licensed professionals deliver psychotherapeutic interventions.
4. A holistic paradigm of healing emphasizes:
A. Only symptom removal
B. Only biological pathology
C. Mind–body–spirit interconnectedness and the therapeutic relationship
D. Strictly pharmacology
Rationale: Holistic models value emotional connection and all aspects of personhood.
5. In psychotherapeutic healing, the core foundation is:
A. Daily homework assignments
B. A collaborative, empathetic client–therapist relationship
C. Strict behavioral contracts
D. Long-term medication use
Rationale: An effective therapeutic alliance is vital for change.
Collaboration Models
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6. Intraprofessional collaboration involves:
A. Nurse and physician teamwork
B. Two practitioners of the same profession working together
C. Patient–family collaboration
D. Interdisciplinary case conferences
Rationale: “Intra-” means within one profession (e.g., nursing).
7. A barrier to intraprofessional collaboration is:
A. Role clarity
B. Large team size & turnover
C. Shared goals
D. Common training
Rationale: More members and turnover hinder cohesion.
8. Transprofessional collaboration refers to:
A. Collaboration across settings only
B. Communication among multiple disciplines (e.g., nursing, PT, social work)
C. Physician peer review
D. Inter-agency contracts
Rationale: Transprofessional transcends a single profession’s boundaries.
9. A PMHNP’s unique role in psychotherapy includes:
A. Medication prescribing only
B. Full-spectrum psychotherapeutic and prescriptive care
C. Laboratory test interpretation
D. Financial counseling
Rationale: PMHNPs combine therapy with psychopharmacology.
10. In collaboration, a potential barrier is:
A. Shared language
B. Lack of training in team communication
C. Aligned treatment plans
D. Mutual respect
Rationale: Without interprofessional education, effective teamwork suffers.
Theoretical Models
11. Maslow’s Hierarchy posits that once “deficiency needs” are met, clients pursue:
A. Physiological needs
B. Self-actualization
C. Job security
,ESTUDYR
D. Safety only
Rationale: D-needs (basic) must be met before B-needs (growth).
12. In Maslow’s pyramid, which is a deficiency need (D-need)?
A. Creativity
B. Esteem
C. Morality
D. Spontaneity
Rationale: Esteem arises after physiological, safety, and belonging needs.
13. Self-actualized persons typically exhibit:
A. Dependency
B. Autonomy & creativity
C. Low self-esteem
D. Avoidance of challenges
Rationale: Self-actualization brings independence and creative growth.
14. The Health Belief Model includes all EXCEPT:
A. Perceived susceptibility
B. Perceived severity
C. Social identity
D. Self-efficacy
Rationale: Social identity is outside HBM’s constructs.
15. A client who thinks “I’m at high risk and it will be serious” scores high on:
A. Perceived barriers
B. Perceived susceptibility & severity
C. Cues to action
D. Self-efficacy
Rationale: Recognizing risk and seriousness motivates behavior change.
16. Transtheoretical Model stage where clients weigh pros/cons of change is:
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
Rationale: Contemplators are aware but ambivalent, evaluating reasons to change.
17. In the preparation stage, the PMHNP would:
A. Increase awareness
B. Help the client plan steps & set goals
C. Reinforce behaviors
, ESTUDYR
D. Relapse prevention
Rationale: Preparation readies clients for action with concrete plans.
18. Nancy (contemplation) is asked to list reasons for weight loss. This intervention is:
A. Action
B. Preparation
C. Contemplation-appropriate
D. Maintenance
Rationale: Listing pros/cons aligns with the contemplative weighing-stage tasks.
19. In maintenance, the focus is on:
A. Planning
B. Change awareness
C. Preventing relapse
D. Contemplation
Rationale: Maintenance sustains new behaviors and addresses relapse triggers.
20. In precontemplation, a PMHNP’s role is to:
A. Set goals
B. Increase awareness of problem
C. Reinforce success
D. Teach coping skills
Rationale: Precontemplators often don’t recognize a need for change.
Treatment Hierarchy & Stabilization
21. The Treatment Hierarchy model’s base (foundational needs) must be met before:
A. Action planning
B. Resource stabilization & internal/external supports
C. Goal-setting
D. Termination
Rationale: Basic physiological & safety needs underpin higher-order interventions.
22. Which stabilizes physiologic arousal?
A. Psychoeducation
B. Controlled breathing & relaxation
C. Job training
D. Family therapy
Rationale: Techniques reducing sympathetic activation build safety and stability.
23. Case management serves to:
A. Diagnose psychoses
NR605 MIDTERM EXAM | DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE LIFESPAN 2025 UPDATE
Psychotherapy Fundamentals
1. Psychotherapy is best described as:
A. Pharmacological intervention only
B. Nonpharmacological “talk therapy” for mental health
C. Surgical treatment of brain disorders
D. Physical rehabilitation
Rationale: Psychotherapy uses verbal and behavioral techniques (e.g., CBT, psychodynamic) to
improve mental well-being.
2. Goals of psychotherapy include all EXCEPT:
A. Symptom reduction
B. Relapse prevention
C. Empowerment
D. Prescribing medications
Rationale: While prescribers may also provide meds, psychotherapy itself is non-pharmacologic.
3. Who can provide psychotherapy?
A. Only psychiatrists
B. Only psychologists
C. Psychiatrists, psychologists, social workers, counselors, PMHNPs
D. Only psychiatric nurses
Rationale: A range of licensed professionals deliver psychotherapeutic interventions.
4. A holistic paradigm of healing emphasizes:
A. Only symptom removal
B. Only biological pathology
C. Mind–body–spirit interconnectedness and the therapeutic relationship
D. Strictly pharmacology
Rationale: Holistic models value emotional connection and all aspects of personhood.
5. In psychotherapeutic healing, the core foundation is:
A. Daily homework assignments
B. A collaborative, empathetic client–therapist relationship
C. Strict behavioral contracts
D. Long-term medication use
Rationale: An effective therapeutic alliance is vital for change.
Collaboration Models
,ESTUDYR
6. Intraprofessional collaboration involves:
A. Nurse and physician teamwork
B. Two practitioners of the same profession working together
C. Patient–family collaboration
D. Interdisciplinary case conferences
Rationale: “Intra-” means within one profession (e.g., nursing).
7. A barrier to intraprofessional collaboration is:
A. Role clarity
B. Large team size & turnover
C. Shared goals
D. Common training
Rationale: More members and turnover hinder cohesion.
8. Transprofessional collaboration refers to:
A. Collaboration across settings only
B. Communication among multiple disciplines (e.g., nursing, PT, social work)
C. Physician peer review
D. Inter-agency contracts
Rationale: Transprofessional transcends a single profession’s boundaries.
9. A PMHNP’s unique role in psychotherapy includes:
A. Medication prescribing only
B. Full-spectrum psychotherapeutic and prescriptive care
C. Laboratory test interpretation
D. Financial counseling
Rationale: PMHNPs combine therapy with psychopharmacology.
10. In collaboration, a potential barrier is:
A. Shared language
B. Lack of training in team communication
C. Aligned treatment plans
D. Mutual respect
Rationale: Without interprofessional education, effective teamwork suffers.
Theoretical Models
11. Maslow’s Hierarchy posits that once “deficiency needs” are met, clients pursue:
A. Physiological needs
B. Self-actualization
C. Job security
,ESTUDYR
D. Safety only
Rationale: D-needs (basic) must be met before B-needs (growth).
12. In Maslow’s pyramid, which is a deficiency need (D-need)?
A. Creativity
B. Esteem
C. Morality
D. Spontaneity
Rationale: Esteem arises after physiological, safety, and belonging needs.
13. Self-actualized persons typically exhibit:
A. Dependency
B. Autonomy & creativity
C. Low self-esteem
D. Avoidance of challenges
Rationale: Self-actualization brings independence and creative growth.
14. The Health Belief Model includes all EXCEPT:
A. Perceived susceptibility
B. Perceived severity
C. Social identity
D. Self-efficacy
Rationale: Social identity is outside HBM’s constructs.
15. A client who thinks “I’m at high risk and it will be serious” scores high on:
A. Perceived barriers
B. Perceived susceptibility & severity
C. Cues to action
D. Self-efficacy
Rationale: Recognizing risk and seriousness motivates behavior change.
16. Transtheoretical Model stage where clients weigh pros/cons of change is:
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
Rationale: Contemplators are aware but ambivalent, evaluating reasons to change.
17. In the preparation stage, the PMHNP would:
A. Increase awareness
B. Help the client plan steps & set goals
C. Reinforce behaviors
, ESTUDYR
D. Relapse prevention
Rationale: Preparation readies clients for action with concrete plans.
18. Nancy (contemplation) is asked to list reasons for weight loss. This intervention is:
A. Action
B. Preparation
C. Contemplation-appropriate
D. Maintenance
Rationale: Listing pros/cons aligns with the contemplative weighing-stage tasks.
19. In maintenance, the focus is on:
A. Planning
B. Change awareness
C. Preventing relapse
D. Contemplation
Rationale: Maintenance sustains new behaviors and addresses relapse triggers.
20. In precontemplation, a PMHNP’s role is to:
A. Set goals
B. Increase awareness of problem
C. Reinforce success
D. Teach coping skills
Rationale: Precontemplators often don’t recognize a need for change.
Treatment Hierarchy & Stabilization
21. The Treatment Hierarchy model’s base (foundational needs) must be met before:
A. Action planning
B. Resource stabilization & internal/external supports
C. Goal-setting
D. Termination
Rationale: Basic physiological & safety needs underpin higher-order interventions.
22. Which stabilizes physiologic arousal?
A. Psychoeducation
B. Controlled breathing & relaxation
C. Job training
D. Family therapy
Rationale: Techniques reducing sympathetic activation build safety and stability.
23. Case management serves to:
A. Diagnose psychoses
