NR 605 MIDTERM EXAM | DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC-MENTAL
HEALTH ACROSS THE LIFESPAN I
PRACTICUM MIDTERM EXAM QUESTIONS
WITH 100% CORRECT SOLUTIONS |
GUARANTEED SUCCESS.
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
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differences, and lack of undergraduate nursing education on
intraprofessional practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with
others to ensure care is delivered safely
• Potential barrier: lack of training
Role of PMHNPs in Psychotherapy - correct answer- -unique,
full-spectrum approach
-may provide psychotherapy in addition to prescribing
medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency
department, inpatient, and outpatient settings
Holistic Paradigm of Healing - correct answer- -holistic model of
care with a focus on healing
-Holistic therapy respects the complexity of each unique
individual
• appreciating the relationship between the client's mind, body,
and spirit
• recognizing the interdependence of all parts of the human
system
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-Foundational to healing is the relationship between the client
and therapist
• Emotional connection in the relationship is critical to the
success of psychotherapy
• PMHNP approaches the nurse-client relationship with
acceptance, empathy, patience, and kindness to create a space
for healing
-psychotherapy can help the individual accept dysregulation
and disharmony in the present moment
• achieves acceptance of the present, they may be able to let
go of resistance, relax, and release fears
Theoretical Models in Psychotherapy - correct answer-
Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
Maslow's Hierarchy of Needs - correct answer- framework for
understanding client motivation
-first four levels of need in the hierarchy (physiological needs,
safety, love and belonging, and esteem) are sometimes
referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth
or being need (B-need)
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• Once D-needs are met, clients can focus on self-actualization
and personal growth
• As the B-need is met, motivation for further growth increases
self-actualized person - correct answer- is self-fulfilled
-Qualities exhibited by the self-actualized person include
independence, autonomy, creativity, and maturity
Maslow's Hierarchy of Needs Pyramid - correct answer- TOP:
Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance
of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of
the family, and of health, of property
Bottom: Physiological