NR605 FINAL STUDY GUIDE 2026
COMPLETE QUESTIONS AND ANSWERS.
■ Holistic Paradigm of Healing. Ans: -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. Ans: Maslow's Hierarchy of
Needs
Health Belief Model
,Transtheoretical Model of Change
■ Maslow's Hierarchy of Needs. Ans: 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. Ans: is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
■ Maslow's Hierarchy of Needs Pyramid. Ans: 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
-Air, food, water, shelter, clothing, sleep
■ Health Belief Model. Ans: -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
, ■ Transtheoretical Model of Change. Ans: assumes that behavior
changes take place over time and that people move through stages of
decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
■ Nancy is a 64-year-old who is wondering if losing weight might
benefit her self-esteem and self-confidence. Based on the
transtheoretical model of change, which of the following actions by the
PMHNP would be appropriate for Nancy if she is in the contemplation
stage of change?
Ask Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an
exercise program.
Explore Nancy's anxiety and emotional responses related to be. Ans: Ask
Nancy to create a list of reasons that she wants to lose weight.
COMPLETE QUESTIONS AND ANSWERS.
■ Holistic Paradigm of Healing. Ans: -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. Ans: Maslow's Hierarchy of
Needs
Health Belief Model
,Transtheoretical Model of Change
■ Maslow's Hierarchy of Needs. Ans: 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. Ans: is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
■ Maslow's Hierarchy of Needs Pyramid. Ans: 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
-Air, food, water, shelter, clothing, sleep
■ Health Belief Model. Ans: -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
, ■ Transtheoretical Model of Change. Ans: assumes that behavior
changes take place over time and that people move through stages of
decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
■ Nancy is a 64-year-old who is wondering if losing weight might
benefit her self-esteem and self-confidence. Based on the
transtheoretical model of change, which of the following actions by the
PMHNP would be appropriate for Nancy if she is in the contemplation
stage of change?
Ask Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an
exercise program.
Explore Nancy's anxiety and emotional responses related to be. Ans: Ask
Nancy to create a list of reasons that she wants to lose weight.
