NR605
NR605- Midterm Exam Study Questions and
Answers Graded A+ 2026
Explain the difference between the Biomedical model and the Holistic Model
The Holistic approach is truly the pillar of all recovery care models. This
approach ensures that the patient is treated through healing. In contrast, in a
holistic model, symptoms are seen as a form of communication and are useful
for understanding the meaning of the dysregulation and disharmony that are
occurring for this person at a given time.
Holistic therapy respects the complexity of each unique individual,
appreciating the relationship between the client's mind, body, and spirit and
recognizing the interdependence of all parts of the human system.
Biomedical's goal is to cure with symptom relief treatment. Medications but
it does not give way to view the patient as an individual with different
causations of their symptoms. They just decide to treat the symptoms.
Symptoms are often thought to be the cause of the patient's problem
What are the main goals of psychotherapy?
Some of the goals of psychotherapy include the reduction of symptoms,
improvement of functioning, relapse prevention, increased empowerment,
and achievement of the specific collaborative goals set with the patient.
_________ refers to the ability of an individual, family, or community to
cope with adversity and trauma, and adapt to challenges through individual
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physical, emotional, and spiritual attributes and access to cultural and social
resources (adapted from SAMHSA, 2014).
Resilience
Explain the resilient zone. Name some strategies that may aid your patient
cope when feeling resistant especially during psychotherapy.
The optimal physiological state for the work of therapy and reflects the
person's natural rhythm and flow of energy and vitality. Although the person
may feel sad, happy, angry, and other emotions when in their RZ, the person
is able to both feel and think at the same time. The RZ zone is the patient's
best physiological state for thinking clear and functioning well.
If the person becomes too anxious and hyperaroused, resistances or defenses
may increase, and the work of therapy will be thwarted, perhaps not
consciously, but nevertheless, the person's brain will not be able to integrate
memories or gain insight.
Some ways to combat is by decreasing arousal levels such as deep breathing
exercises or imagery, focusing on sensations in the body, mindfulness
exercises, and self-regulation strategies, presence of supportive relationships
and attachments as well as the avoidance of frequent and prolonged stress.
Lets talk about Maslow Hiearchy of needs:
Maslow states that before higher level needs can be established,, lower level
needs have to achieved. For Example:
Physiological needs- air, food, water, shelter, clothing, sleep
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Safety- security of body, employment, morality of family, health,
property
Love/Belonging- friendship, family, intimacy, connection with others
Esteem- self esteem, respect, achievement, confidence
Self-actualization- morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
According to Maslow, what does self-actualization look like?
What are stabilization strategies?
Stabilization strategies assist the person to be better able to make state
changes, that is, to change one's present physiology in order to function more
effectively in the moment. So pretty much stabilization is the way a PMHNP
can assess a patients life currently before they are able to participate
effectively in their psychotherapy. If a patient lacks stabilization via housing,
it is up the PMHNP to secure such. If the patient lacks stabilization in
relationships, they need to be provided with strategies to combat and then
they are able to process accordingly. Stabilization widens their RZ zone.
Through therapeutic relationship
•Bibliotherapy/role play
•Case management
•Cognitive behavioral therapy
•Community resiliency model skills
•Dialectical behavioral therapy
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, NR605
•Education about RZ
•Managing physiological arousal
•imagery
•Container
•Calm place
•Mindfulness/meditation
•Medication
•Stress management/education
•Provide safety
•Yoga/exercise
Lets discuss the Health Belief Model
The H.B.M l is used to explain and predict health behaviors. According to the
Health Belief Model, 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. The model includes several constructs:
perceived seriousness, perceived susceptibility, perceived benefits of
treatment, perceived barriers to treatment, cues to action, and self-efficacy, as
seen below.
The construct that clients must believe they are susceptible to a disease or
disorder is ______. Lets use Sonia for an example who has been struggling
with her anxiety as a 24- year old grad student.
Perceived susceptibility.
Sonia REALIZES that she has anxiety stemming from COVID.
4|Page
NR605- Midterm Exam Study Questions and
Answers Graded A+ 2026
Explain the difference between the Biomedical model and the Holistic Model
The Holistic approach is truly the pillar of all recovery care models. This
approach ensures that the patient is treated through healing. In contrast, in a
holistic model, symptoms are seen as a form of communication and are useful
for understanding the meaning of the dysregulation and disharmony that are
occurring for this person at a given time.
Holistic therapy respects the complexity of each unique individual,
appreciating the relationship between the client's mind, body, and spirit and
recognizing the interdependence of all parts of the human system.
Biomedical's goal is to cure with symptom relief treatment. Medications but
it does not give way to view the patient as an individual with different
causations of their symptoms. They just decide to treat the symptoms.
Symptoms are often thought to be the cause of the patient's problem
What are the main goals of psychotherapy?
Some of the goals of psychotherapy include the reduction of symptoms,
improvement of functioning, relapse prevention, increased empowerment,
and achievement of the specific collaborative goals set with the patient.
_________ refers to the ability of an individual, family, or community to
cope with adversity and trauma, and adapt to challenges through individual
1|Page
,NR605
physical, emotional, and spiritual attributes and access to cultural and social
resources (adapted from SAMHSA, 2014).
Resilience
Explain the resilient zone. Name some strategies that may aid your patient
cope when feeling resistant especially during psychotherapy.
The optimal physiological state for the work of therapy and reflects the
person's natural rhythm and flow of energy and vitality. Although the person
may feel sad, happy, angry, and other emotions when in their RZ, the person
is able to both feel and think at the same time. The RZ zone is the patient's
best physiological state for thinking clear and functioning well.
If the person becomes too anxious and hyperaroused, resistances or defenses
may increase, and the work of therapy will be thwarted, perhaps not
consciously, but nevertheless, the person's brain will not be able to integrate
memories or gain insight.
Some ways to combat is by decreasing arousal levels such as deep breathing
exercises or imagery, focusing on sensations in the body, mindfulness
exercises, and self-regulation strategies, presence of supportive relationships
and attachments as well as the avoidance of frequent and prolonged stress.
Lets talk about Maslow Hiearchy of needs:
Maslow states that before higher level needs can be established,, lower level
needs have to achieved. For Example:
Physiological needs- air, food, water, shelter, clothing, sleep
2|Page
,NR605
Safety- security of body, employment, morality of family, health,
property
Love/Belonging- friendship, family, intimacy, connection with others
Esteem- self esteem, respect, achievement, confidence
Self-actualization- morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
According to Maslow, what does self-actualization look like?
What are stabilization strategies?
Stabilization strategies assist the person to be better able to make state
changes, that is, to change one's present physiology in order to function more
effectively in the moment. So pretty much stabilization is the way a PMHNP
can assess a patients life currently before they are able to participate
effectively in their psychotherapy. If a patient lacks stabilization via housing,
it is up the PMHNP to secure such. If the patient lacks stabilization in
relationships, they need to be provided with strategies to combat and then
they are able to process accordingly. Stabilization widens their RZ zone.
Through therapeutic relationship
•Bibliotherapy/role play
•Case management
•Cognitive behavioral therapy
•Community resiliency model skills
•Dialectical behavioral therapy
3|Page
, NR605
•Education about RZ
•Managing physiological arousal
•imagery
•Container
•Calm place
•Mindfulness/meditation
•Medication
•Stress management/education
•Provide safety
•Yoga/exercise
Lets discuss the Health Belief Model
The H.B.M l is used to explain and predict health behaviors. According to the
Health Belief Model, 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. The model includes several constructs:
perceived seriousness, perceived susceptibility, perceived benefits of
treatment, perceived barriers to treatment, cues to action, and self-efficacy, as
seen below.
The construct that clients must believe they are susceptible to a disease or
disorder is ______. Lets use Sonia for an example who has been struggling
with her anxiety as a 24- year old grad student.
Perceived susceptibility.
Sonia REALIZES that she has anxiety stemming from COVID.
4|Page
