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Exam (elaborations)

NR605 Midterm Exam Study Questions and Answers 100% Graded A+ 2026

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Psychotherapy -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 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. 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 -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 -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 -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 Maslow's Hierarchy of Needs Health Belief Model Transtheoretical Model of Change Maslow's Hierarchy of Needs 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) • 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 is self-fulfilled -Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and maturity Maslow's Hierarchy of Needs Pyramid TOP: Self-actualization -Morality, creativity, spontaneity, lack of prejudice, acceptance of facts

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NR605



NR605 Midterm Exam Study Questions and
Answers 100% Graded A+ 2026

Psychotherapy

-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

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.


Transprofessional Collaboration
-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with others to
1|Page

,NR605


ensure care is delivered safely
• Potential barrier: lack of training

Role of PMHNPs in Psychotherapy

-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

-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
-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


2|Page

,NR605


Theoretical Models in Psychotherapy

Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change

Maslow's Hierarchy of Needs

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)
• 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

is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity

Maslow's Hierarchy of Needs Pyramid

TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts


3|Page

, NR605


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
-Air, food, water, shelter, clothing, sleep

Health Belief Model

-used to explain and predict health behaviors
-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
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy

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