NR605 Midterm Actual Exam Test Bank Newest 2026
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Explain the difference between the Biomedical model and
the Holistic Model - Answer-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
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What are the main goals of psychotherapy? - Answer-
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 physical, emotional, and
spiritual attributes and access to cultural and social
resources (adapted from SAMHSA, 2014). - Answer-
Resilience
Explain the resilient zone. Name some strategies that may
aid your patient cope when feeling resistant especially
during psychotherapy. - Answer-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
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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: - Answer-
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
Safety- security of body, employment, morality of family,
health, property
Love/Belonging- friendship, family, intimacy, connection
with others
Esteem- self esteem, respect, achievement, confidence
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Self-actualization- morality, creativity, spontaneity, lack of
prejudice, acceptance of facts
What are stabilization strategies? - Answer-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