NR605 MIDTERM ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Types of Individual Therapy.
Answer: cognitive-behavioral therapy (CBT), acceptance and commitment
therapy (ACT), solution-focused therapy, motivational interviewing
◍ Cognitive Behavioral Therapy (CBT).
Answer: -based on the idea that thoughts, emotions, and behaviors are
interconnected-changing maladaptive thoughts can influence emotions and
behaviors-focuses on identifying and modifying negative thought patterns
(cognitive distortions)-structured, goal-oriented, and often times
time-limited
◍ CBT Relationship to Nursing Theory.
Answer: -aligns with nursing theories that emphasize holistic care,
patient-centered approaches, and active engagement in the therapeutic
process (Peplau's Theory of Interpersonal Relations)-nurses use CBT
principles to empower patients to develop coping skills and promote mental
health resilience
◍ What does PMHNP stand for?.
Answer: Psychiatric Mental Health Nurse Practitioner
◍ When should a PMHNP refer a client to a social worker?.
Answer: To address social support or employment needs.
◍ What is the purpose of using CPT codes in psychotherapy?.
Answer: To communicate services completed to Medicare and other
insurance companies for reimbursement.
,◍ Diagnoses Treated with CBT.
Answer: -anxiety disorders (GAD, panic disorders,
etc.)-depression-PTSD-OCD-eating disorders-substance use
disorders-chronic pain-insomnia
◍ Cognitive Distortions.
Answer: -defined as irrational or biased ways of thinking that negatively
influence emotions and behaviors-all-or-nothing
thinking-catastrophizing-overgeneralization-personalization-mind reading
◍ All-or-nothing Thinking.
Answer: viewing situations in black-and-white terms
◍ What does code 99214 indicate?.
Answer: A more complex visit than code 99204.
◍ What is the duration for psychotherapy code 90832?.
Answer: 16-37 minutes.
◍ Catastrophizing.
Answer: expecting the worse-case scenario to happen
◍ What is the significance of the Transtheoretical Model of Change?.
Answer: It outlines stages of behavior change: Precontemplation,
Contemplation, Preparation, Action, Maintenance.
◍ What stage of the Transtheoretical Model involves clients who are not aware
or interested in change?.
Answer: Precontemplation.
◍ Overgeneralization.
Answer: making sweeping conclusions based on single incident
◍ What does the Maintenance stage in the Transtheoretical Model signify?.
Answer: Sustaining change for more than 6 months.
◍ What is the focus of the Holistic Model of Care?.
Answer: Whole-person care, recognizing the interconnectedness of mind,
body, and spirit.
,◍ What is the primary focus of the Biomedical Model?.
Answer: Diagnosis and medical treatments, excluding emotional, social, and
spiritual influences.
◍ Personalization.
Answer: taking responsibility for events outside of one's control
◍ What is the Health Belief Model?.
Answer: It explains how perceptions of health risks influence behavior
change.
◍ Mind Reading.
Answer: assuming other's thoughts without evidence
◍ What are the constructs of the Health Belief Model?.
Answer: Perceived seriousness, susceptibility, benefits of treatment, barriers
to treatment, cues to action, self-efficacy.
◍ What are Peplau's roles in nursing?.
Answer: Stranger, Resource, Teacher, Counselor, Surrogate, Leader.
◍ Techniques for Stabilization (in therapy).
Answer: -Socratic Dialogue-decatastrophizing
◍ What is the role of a nurse as a 'Stranger' according to Peplau?.
Answer: To offer a welcoming environment to build initial rapport.
◍ What does the 'Resource' role entail in Peplau's model?.
Answer: Acting as an information source for the patient's needs and
treatment.
◍ Socratic Dialogue.
Answer: -a guided questioning technique to help clients explore their
thoughts and beliefs-open-ended questioning-promotes self-reflection and
insight into distorted thinking
◍ What is the goal of the 'Counselor' role in Peplau's framework?.
Answer: To provide emotional support and help the client integrate meaning
, into life's circumstances.
◍ What is the purpose of a therapy contract?.
Answer: To outline expectations, responsibilities, session frequency, and
goals.
◍ Decatastrophizing.
Answer: -helping clients challenge catastrophic thoughts by exploring
realistic outcomes-encourages clients to evaluate evidence for and against
their fears
◍ Motivational Interviewing.
Answer: -client-centered communication style for eliciting behavior change
by helping clients and groups explore and resolve ambivalence to
change-Core Principles: OARS-RULE Framework
◍ OARS.
Answer: -core principle for motivational interviewing-O: open-ended
questions-A: affirmations-R: reflective listening-S: summarizing
◍ What documentation is necessary for reimbursement for psychotherapy?.
Answer: CC, history of present illness, ROS, PSH, MSE, diagnostic
formulation, treatment plan.
◍ What is the significance of the 'Action' stage in the Transtheoretical Model?.
Answer: Clients actively change old habits and gain new, healthier habits.
◍ RULE Framework.
Answer: -principle for motivational interviewing-R: resist the "righting"
reflex-U: understand the client's motivations-L: listen with empathy-E:
empower the client
◍ What does the 'Leader' role involve in Peplau's model?.
Answer: Guiding collaborative decision-making and setting achievable
goals.
◍ Founders of Motivational Interviewing.
Answer: William R. Miller & Stephen Rollnick
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Types of Individual Therapy.
Answer: cognitive-behavioral therapy (CBT), acceptance and commitment
therapy (ACT), solution-focused therapy, motivational interviewing
◍ Cognitive Behavioral Therapy (CBT).
Answer: -based on the idea that thoughts, emotions, and behaviors are
interconnected-changing maladaptive thoughts can influence emotions and
behaviors-focuses on identifying and modifying negative thought patterns
(cognitive distortions)-structured, goal-oriented, and often times
time-limited
◍ CBT Relationship to Nursing Theory.
Answer: -aligns with nursing theories that emphasize holistic care,
patient-centered approaches, and active engagement in the therapeutic
process (Peplau's Theory of Interpersonal Relations)-nurses use CBT
principles to empower patients to develop coping skills and promote mental
health resilience
◍ What does PMHNP stand for?.
Answer: Psychiatric Mental Health Nurse Practitioner
◍ When should a PMHNP refer a client to a social worker?.
Answer: To address social support or employment needs.
◍ What is the purpose of using CPT codes in psychotherapy?.
Answer: To communicate services completed to Medicare and other
insurance companies for reimbursement.
,◍ Diagnoses Treated with CBT.
Answer: -anxiety disorders (GAD, panic disorders,
etc.)-depression-PTSD-OCD-eating disorders-substance use
disorders-chronic pain-insomnia
◍ Cognitive Distortions.
Answer: -defined as irrational or biased ways of thinking that negatively
influence emotions and behaviors-all-or-nothing
thinking-catastrophizing-overgeneralization-personalization-mind reading
◍ All-or-nothing Thinking.
Answer: viewing situations in black-and-white terms
◍ What does code 99214 indicate?.
Answer: A more complex visit than code 99204.
◍ What is the duration for psychotherapy code 90832?.
Answer: 16-37 minutes.
◍ Catastrophizing.
Answer: expecting the worse-case scenario to happen
◍ What is the significance of the Transtheoretical Model of Change?.
Answer: It outlines stages of behavior change: Precontemplation,
Contemplation, Preparation, Action, Maintenance.
◍ What stage of the Transtheoretical Model involves clients who are not aware
or interested in change?.
Answer: Precontemplation.
◍ Overgeneralization.
Answer: making sweeping conclusions based on single incident
◍ What does the Maintenance stage in the Transtheoretical Model signify?.
Answer: Sustaining change for more than 6 months.
◍ What is the focus of the Holistic Model of Care?.
Answer: Whole-person care, recognizing the interconnectedness of mind,
body, and spirit.
,◍ What is the primary focus of the Biomedical Model?.
Answer: Diagnosis and medical treatments, excluding emotional, social, and
spiritual influences.
◍ Personalization.
Answer: taking responsibility for events outside of one's control
◍ What is the Health Belief Model?.
Answer: It explains how perceptions of health risks influence behavior
change.
◍ Mind Reading.
Answer: assuming other's thoughts without evidence
◍ What are the constructs of the Health Belief Model?.
Answer: Perceived seriousness, susceptibility, benefits of treatment, barriers
to treatment, cues to action, self-efficacy.
◍ What are Peplau's roles in nursing?.
Answer: Stranger, Resource, Teacher, Counselor, Surrogate, Leader.
◍ Techniques for Stabilization (in therapy).
Answer: -Socratic Dialogue-decatastrophizing
◍ What is the role of a nurse as a 'Stranger' according to Peplau?.
Answer: To offer a welcoming environment to build initial rapport.
◍ What does the 'Resource' role entail in Peplau's model?.
Answer: Acting as an information source for the patient's needs and
treatment.
◍ Socratic Dialogue.
Answer: -a guided questioning technique to help clients explore their
thoughts and beliefs-open-ended questioning-promotes self-reflection and
insight into distorted thinking
◍ What is the goal of the 'Counselor' role in Peplau's framework?.
Answer: To provide emotional support and help the client integrate meaning
, into life's circumstances.
◍ What is the purpose of a therapy contract?.
Answer: To outline expectations, responsibilities, session frequency, and
goals.
◍ Decatastrophizing.
Answer: -helping clients challenge catastrophic thoughts by exploring
realistic outcomes-encourages clients to evaluate evidence for and against
their fears
◍ Motivational Interviewing.
Answer: -client-centered communication style for eliciting behavior change
by helping clients and groups explore and resolve ambivalence to
change-Core Principles: OARS-RULE Framework
◍ OARS.
Answer: -core principle for motivational interviewing-O: open-ended
questions-A: affirmations-R: reflective listening-S: summarizing
◍ What documentation is necessary for reimbursement for psychotherapy?.
Answer: CC, history of present illness, ROS, PSH, MSE, diagnostic
formulation, treatment plan.
◍ What is the significance of the 'Action' stage in the Transtheoretical Model?.
Answer: Clients actively change old habits and gain new, healthier habits.
◍ RULE Framework.
Answer: -principle for motivational interviewing-R: resist the "righting"
reflex-U: understand the client's motivations-L: listen with empathy-E:
empower the client
◍ What does the 'Leader' role involve in Peplau's model?.
Answer: Guiding collaborative decision-making and setting achievable
goals.
◍ Founders of Motivational Interviewing.
Answer: William R. Miller & Stephen Rollnick
