NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
Psychotherapy - correct answer -nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family
therapists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention,
empowerment, achievement of collaborative goals set by the client & therapist.
Methods of Collaboration - correct answer Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
common goals, role ambiguity, generational differences, and lack of undergraduate
nursing education on intraprofessional practice.
Expressing hopelessness
Sleeping too little or too much
Talking or posting about wanting to die
Making plans for suicide
Phases of Therapy - correct answer Initiation
Working
Termination
Initiation of Therapy - correct answer -one of the most important goals of the first
session is establishing a therapeutic alliance
• fundamental component of successful therapy
-comprehensive history & mental status examination
• collect info to establish a psychiatric history and dx
• guide the development of a tx plan
-location, frequency of sessions, and payment
-safety, primary consideration in psychotherapy
,NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
• safety assessment should be conducted in the initial session, questions regarding
suicidal and homicidal thoughts and thoughts of self-harm
• collaboratively written safety plan should be created for any client identified to be at
risk for self-harm
suicide - correct answer -a leading cause of death in the U.S.
-In 2020, suicide was the:
• 12th leading cause of death overall
• 2nd leading cause of death among individuals between the ages of 10 and 34
• 3rd leading cause of death among individuals between the ages of 35 and 44
-clients with mental health diagnoses such as mood disorders, psychotic disorders,
and substance use disorder are at particularly high risk
• 50% of those who die by suicide do not have a previous psychiatric history
safety plan includes: - correct answer a prioritized list of coping strategies and
resources the client can use when thinking about suicide or self-harm
Implementing the Safety Plan: 6 Step Process - correct answer Step 1: Warning Signs
Step 2: Internal Coping Strategies
Step 3: Social Contacts Who May Distract from the Crisis
Step 4: Family Members or Friends Who May Offer Help
Step 5: Professionals and Agencies to Contact for Help
Step 6: Making the Environment Safe
A no-suicide or no-harm contract: - correct answer -not a legal document but rather
an agreement between the client and therapist about what the client should do if they
become suicidal
-involves a commitment by the client to not commit suicide.
-may not be effective in a crisis and is not a substitute for clinical judgment.
-only as beneficial as the therapeutic alliance
frame of the relationship - correct answer rules and boundaries
,NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
-psychotherapist is responsible for setting and keeping the frame during therapy
sessions
-Common elements:
• process for contacting the provider
• what to do in case of an emergency
• adherence to a schedule
• fees
• confidentiality
• boundaries of the therapeutic relationship
• whether eating & drinking during the session are appropriate
• whether session interruptions are allowed
• whether phone calls between sessions are acceptable
• starting and stopping on time
establishing a psychotherapeutic environment - correct answer -Safe and therapeutic
-Boundaries
-Rules
-Environment
-Contact Processes
-Emergency Plan
-Miscellaneous
-Adherence
Setting Goals and Duration of Therapy - correct answer -overall goal of psychotherapy
is to help clients gain self-awareness and decision-making
-psychotherapy is goal-directed
• Goal-setting should be a collaborative process between the therapist and the client
-duration of therapy varies
• common for therapy to last for at least 3-4 months
• client's financial situation & insurance coverage may also impact the duration of
therapy
Practical considerations for psychotherapy - correct answer scheduling
, NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
-outpatient therapy, sessions are typically scheduled in 45 to 50-minute blocks
-permits time between sessions to document and prepare for the next
-initial intake session may be up to 90 minutes
-inpatient psychotherapy will vary based on unit scheduling & ind client needs.
Fees
-Fees & payment options should be discussed during the initial visit
-private practice typically collect insurance co-pays or fees directly
-PMHNPs who work within a larger health system may not be responsible for
discussing or collecting fees from clients
-discuss charges for missed sessions as well as the required notification to prevent
charges
confidentiality
-paramount to establishing a therapeutic alliance
-Providers must abide by the standards set by HIPAA as well as any applicable state
laws
• must provide clients with information regarding HIPAA and explain what information
will be shared and with whom
-mandated to report concerns of threat of harm to self or others and child abuse.
Psychotherapy Contracts - correct answer not required to begin therapy
-best practice is to provide a written therapy contract detailing:
• terms of the therapeutic relationship
• scheduling
• missed appointments
• fees
• confidentiality
• termination
setting for psychotherapy - correct answer -Create a warm, welcoming, and safe
environment
-tissues available
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
Psychotherapy - correct answer -nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family
therapists, counselors, and PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention,
empowerment, achievement of collaborative goals set by the client & therapist.
Methods of Collaboration - correct answer Intraprofessional Collaboration
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
common goals, role ambiguity, generational differences, and lack of undergraduate
nursing education on intraprofessional practice.
Expressing hopelessness
Sleeping too little or too much
Talking or posting about wanting to die
Making plans for suicide
Phases of Therapy - correct answer Initiation
Working
Termination
Initiation of Therapy - correct answer -one of the most important goals of the first
session is establishing a therapeutic alliance
• fundamental component of successful therapy
-comprehensive history & mental status examination
• collect info to establish a psychiatric history and dx
• guide the development of a tx plan
-location, frequency of sessions, and payment
-safety, primary consideration in psychotherapy
,NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
• safety assessment should be conducted in the initial session, questions regarding
suicidal and homicidal thoughts and thoughts of self-harm
• collaboratively written safety plan should be created for any client identified to be at
risk for self-harm
suicide - correct answer -a leading cause of death in the U.S.
-In 2020, suicide was the:
• 12th leading cause of death overall
• 2nd leading cause of death among individuals between the ages of 10 and 34
• 3rd leading cause of death among individuals between the ages of 35 and 44
-clients with mental health diagnoses such as mood disorders, psychotic disorders,
and substance use disorder are at particularly high risk
• 50% of those who die by suicide do not have a previous psychiatric history
safety plan includes: - correct answer a prioritized list of coping strategies and
resources the client can use when thinking about suicide or self-harm
Implementing the Safety Plan: 6 Step Process - correct answer Step 1: Warning Signs
Step 2: Internal Coping Strategies
Step 3: Social Contacts Who May Distract from the Crisis
Step 4: Family Members or Friends Who May Offer Help
Step 5: Professionals and Agencies to Contact for Help
Step 6: Making the Environment Safe
A no-suicide or no-harm contract: - correct answer -not a legal document but rather
an agreement between the client and therapist about what the client should do if they
become suicidal
-involves a commitment by the client to not commit suicide.
-may not be effective in a crisis and is not a substitute for clinical judgment.
-only as beneficial as the therapeutic alliance
frame of the relationship - correct answer rules and boundaries
,NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
-psychotherapist is responsible for setting and keeping the frame during therapy
sessions
-Common elements:
• process for contacting the provider
• what to do in case of an emergency
• adherence to a schedule
• fees
• confidentiality
• boundaries of the therapeutic relationship
• whether eating & drinking during the session are appropriate
• whether session interruptions are allowed
• whether phone calls between sessions are acceptable
• starting and stopping on time
establishing a psychotherapeutic environment - correct answer -Safe and therapeutic
-Boundaries
-Rules
-Environment
-Contact Processes
-Emergency Plan
-Miscellaneous
-Adherence
Setting Goals and Duration of Therapy - correct answer -overall goal of psychotherapy
is to help clients gain self-awareness and decision-making
-psychotherapy is goal-directed
• Goal-setting should be a collaborative process between the therapist and the client
-duration of therapy varies
• common for therapy to last for at least 3-4 months
• client's financial situation & insurance coverage may also impact the duration of
therapy
Practical considerations for psychotherapy - correct answer scheduling
, NR 605 Midterm Exam (Latest Update 2025
/ 2026) Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum Questions &
Answers100 % Correct [Grade A] -
Chamberlain
-outpatient therapy, sessions are typically scheduled in 45 to 50-minute blocks
-permits time between sessions to document and prepare for the next
-initial intake session may be up to 90 minutes
-inpatient psychotherapy will vary based on unit scheduling & ind client needs.
Fees
-Fees & payment options should be discussed during the initial visit
-private practice typically collect insurance co-pays or fees directly
-PMHNPs who work within a larger health system may not be responsible for
discussing or collecting fees from clients
-discuss charges for missed sessions as well as the required notification to prevent
charges
confidentiality
-paramount to establishing a therapeutic alliance
-Providers must abide by the standards set by HIPAA as well as any applicable state
laws
• must provide clients with information regarding HIPAA and explain what information
will be shared and with whom
-mandated to report concerns of threat of harm to self or others and child abuse.
Psychotherapy Contracts - correct answer not required to begin therapy
-best practice is to provide a written therapy contract detailing:
• terms of the therapeutic relationship
• scheduling
• missed appointments
• fees
• confidentiality
• termination
setting for psychotherapy - correct answer -Create a warm, welcoming, and safe
environment
-tissues available
