NR605 MIDTERM COMPREHENSIVE EXAM
QUESTIONS AND SOLUTIONS
◉ Maslow's Hierarchy of Needs.
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)
• 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.
Answer: is self-fulfilled
-Qualities exhibited by the self-actualized person include
independence, autonomy, creativity, and maturity
◉ Maslow's Hierarchy of Needs Pyramid.
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
-Air, food, water, shelter, clothing, sleep
◉ Health Belief Model.
Answer: -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.
Answer: 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.
Answer: Ask Nancy to create a list of reasons that she wants to lose
weight.
Rationale: Creating a list of reasons to lose weight would be
appropriate for the contemplation phase. Obtaining medical
clearance for exercise is a part of the preparation phase of the
Transtheoretical Model of Change. Exploring emotional responses to
being overweight would be appropriate for the precontemplation
phase. Addressing rewards for reinforcement of behaviors would
occur in the action phase.
◉ Treatment Hierarchy Framework.
Answer: therapeutic aims at the base of the model must be
addressed before the client can move up the triangle
Top: Stabilization
Internal resources
External resources
QUESTIONS AND SOLUTIONS
◉ Maslow's Hierarchy of Needs.
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)
• 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.
Answer: is self-fulfilled
-Qualities exhibited by the self-actualized person include
independence, autonomy, creativity, and maturity
◉ Maslow's Hierarchy of Needs Pyramid.
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
-Air, food, water, shelter, clothing, sleep
◉ Health Belief Model.
Answer: -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.
Answer: 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.
Answer: Ask Nancy to create a list of reasons that she wants to lose
weight.
Rationale: Creating a list of reasons to lose weight would be
appropriate for the contemplation phase. Obtaining medical
clearance for exercise is a part of the preparation phase of the
Transtheoretical Model of Change. Exploring emotional responses to
being overweight would be appropriate for the precontemplation
phase. Addressing rewards for reinforcement of behaviors would
occur in the action phase.
◉ Treatment Hierarchy Framework.
Answer: therapeutic aims at the base of the model must be
addressed before the client can move up the triangle
Top: Stabilization
Internal resources
External resources
