NUR605 MIDTERM questions with
answers graded A 2025
Diagnosis & Management in Psychiatric-Mental Health Across the Lifespan I Practicum
This course will incorporate psychosocial theories and psychotherapy modalities within mental health.
Individual and group therapies will be explored as a foundation for non-pharmacological and adjunct
treatment of psychiatric mental health disorders across the lifespan. The therapeutic alliance and use of
self will be examined. Students will further develop their skills related to health promotion, prevention
of illness, diagnosis, and management of acute and chronic mental health problems. Care strategies will
include psychotherapy, psychopharmacological prescribing, patient education, follow-up, and referral
through a practicum experience in a precepted psychiatric mental health setting.
typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists
1. The client is a 38-year-old homeless client in the emergency department
with suicidal ideations. Which theory would the PMHNP most need to
consider while conducting a psychiatric interview?
A. Hierarchy of needs theory
B. Empathic listening theory
C. Cognitive development theory
D. Psychosocial development theory
ChatAi: The correct answer is: A. Hierarchy of needs theory
In this scenario, the PMHNP would most benefit from using Maslow's Hierarchy of
Needs as a framework. This theory is crucial when assessing a client’s immediate
needs, particularly in a high-risk situation like homelessness combined with suicidal
ideation. According to Maslow, basic physiological and safety needs must be
prioritized before addressing higher- order psychological or self-actualization goals.
For a homeless client in crisis, the PMHNP would first need to ensure the client’s
safety, stability, and access to basic necessities as foundational steps before engaging
in further therapeutic interventions.
This approach provides a structured method to address immediate needs and then
gradually work toward emotional and psychological support, improving both
therapeutic alliance and client outcomes.
2. A PMHNP documents a code of 90834. Which is the most
appropriate description of the services rendered?
A-Individual psychotherapy lasting 75 to 80 minutes
B-psychotherapy with a duration of 45 to 50 minutes
C-Inpatient psychotherapy with a duration of 45 to 50 minutes
, D-Medication management for an established client
ChatAi: The correct answer is: B - psychotherapy with a duration of 45 to 50
minutes
The CPT code 90834 represents a standard session of individual psychotherapy
lasting 45 minutes, typically up to 50 minutes. This code is used for outpatient
therapy and does not include medication management, which would require a
different CPT code such as 90833 or 99214 with psychotherapy add-on codes for
integrated care.
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists of law exams include:Essay/Problem-Based Questions: In law exams, students are
3. A client who uses heroin presents for therapy. “I recently watched best
friend overdose! I want to stop! The client's statement is consistent with
which construct of the Health Belief Model?
A: Perceived susceptibility
B: Cue to action
C: Perceived severity D:
Perceived barriers
ChatAi: The correct answer is: B: Cue to action
In the Health Belief Model, a cue to action is an event or stimulus that motivates an
individual to make a health-related change. In this case, the traumatic experience of
witnessing a friend’s overdose serves as a powerful cue, prompting the client’s desire
to stop using heroin. This "cue" is a trigger that enhances motivation to adopt a
healthier behavior.
4. An 80-year-old client tells the PMHNP, “Some days life is just not worth
living. I would be less of a burden if I were not here anymore” Which
response is the most therapeutic PMHNP response?
A. “ Tell me what you mean when you say “ life is not worth living”
B. “ Are you thinking suicide might be an option for you”?
C. Therapeutic use of silence
D. “Everybody loves you and likes being around you.”
ChatAi: The most therapeutic response is: A. “Tell me what you mean when you
say ‘life is not worth living.’”
This open-ended question allows the PMHNP to explore the client’s feelings in a non-
threatening and non-judgmental way. It encourages the client to elaborate on their
emotional state, providing insight into their thoughts, which can guide further
assessment and intervention. Open-ended questions foster a sense of validation and
may help the client feel understood, which is critical for building trust and
encouraging more open communication, especially with older clients who may feel
isolated.
, Asking, “Are you thinking suicide might be an option for you?” (Option B) could also
be appropriate if the PMHNP suspects immediate suicide risk. However, exploring
the meaning behind the client’s statement first (Option A) allows for a more gradual
approach that might feel less confrontational, potentially helping the client feel
safer in disclosing their true feelings.
typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists
5. Peplau stressed what characteristic is a key determinant in the nurse-
client relationship?
A. Self-Awareness
B. Over determinism
C. Self-esteem of the provider
D. Perceived severity
ChatAi: A. Self-awareness
Hildegard Peplau emphasized self-awareness as a crucial factor in the therapeutic
nurse-client relationship. She believed that nurses’ self- awareness—understanding
their own behaviors, thoughts, and feelings— helps them remain objective and
empathetic, fostering a positive and trusting relationship with clients. Self-
awareness allows the nurse to avoid projecting personal biases or unresolved issues
onto the client, which is essential in creating a therapeutic environment that
encourages open communication and genuine connection.
6. Which client action is consistent with the action stage of the
Transtheoretical Model of Change?
A. The client is considering change and looking at the positive and negative aspects.
B. The client is ready to go forward with change and take concrete steps to
change but is inconsistent with carrying through.
C. The client is not interested in change and might not be aware that the problem
exists.
D. The client learns to continue to change and has adopted and embraced the
healthy habit. The person also learns …
Module 1
CHatAi:
, The client action that is consistent with the action stage of the
Transtheoretical Model of Change is:
B. "The client is ready to go forward with change and take
concrete steps to change but is inconsistent with carrying
through."
In the action stage, individuals actively modify their behavior and are putting
their plan into action, but may face challenges with consistency as they work to
establish new patterns. This stage is characterized by commitment to the
change process, though the client may need ongoing support to maintain
motivation and overcome barriers.
In contrast:
• A describes the contemplation stage, where the client is weighing the pros
and cons of change.
• C describes the precontemplation stage, where the client is unaware or not
interested in change.
• D refers to the maintenance stage, where the client has consistently
embraced the new behavior.
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists of law exams include:Essay/Problem-Based Questions: In law exams, students are
7. The therapist states, “It sounds like you feel hopeless.” Which
therapeutic communication technique provides an empathic response and
summarizes the themes of the conversation between the patient and the
therapist?
A. Giving recognition
B. Broad opening
C. Reflection
D. Restating
ChatAi: C. Reflection
Reflection is a therapeutic communication technique that involves the therapist
restating or rephrasing the client’s emotions and thoughts, helping to convey empathy
and understanding. By stating, “It sounds like you feel hopeless,” the therapist mirrors
the client’s feelings, demonstrating that they are attuned to the client's experience.
This method supports an empathic response and can aid in the client feeling heard
and validated. Reflection also allows for the clarification of emotions and themes
that may be recurring in the conversation.
8. How long are clients typically engaged in interpersonal
psychotherapy?
A: 20-30 biweekly sessions B:
35-50 weekly sessions C: 12-
16 weekly sessions
answers graded A 2025
Diagnosis & Management in Psychiatric-Mental Health Across the Lifespan I Practicum
This course will incorporate psychosocial theories and psychotherapy modalities within mental health.
Individual and group therapies will be explored as a foundation for non-pharmacological and adjunct
treatment of psychiatric mental health disorders across the lifespan. The therapeutic alliance and use of
self will be examined. Students will further develop their skills related to health promotion, prevention
of illness, diagnosis, and management of acute and chronic mental health problems. Care strategies will
include psychotherapy, psychopharmacological prescribing, patient education, follow-up, and referral
through a practicum experience in a precepted psychiatric mental health setting.
typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists
1. The client is a 38-year-old homeless client in the emergency department
with suicidal ideations. Which theory would the PMHNP most need to
consider while conducting a psychiatric interview?
A. Hierarchy of needs theory
B. Empathic listening theory
C. Cognitive development theory
D. Psychosocial development theory
ChatAi: The correct answer is: A. Hierarchy of needs theory
In this scenario, the PMHNP would most benefit from using Maslow's Hierarchy of
Needs as a framework. This theory is crucial when assessing a client’s immediate
needs, particularly in a high-risk situation like homelessness combined with suicidal
ideation. According to Maslow, basic physiological and safety needs must be
prioritized before addressing higher- order psychological or self-actualization goals.
For a homeless client in crisis, the PMHNP would first need to ensure the client’s
safety, stability, and access to basic necessities as foundational steps before engaging
in further therapeutic interventions.
This approach provides a structured method to address immediate needs and then
gradually work toward emotional and psychological support, improving both
therapeutic alliance and client outcomes.
2. A PMHNP documents a code of 90834. Which is the most
appropriate description of the services rendered?
A-Individual psychotherapy lasting 75 to 80 minutes
B-psychotherapy with a duration of 45 to 50 minutes
C-Inpatient psychotherapy with a duration of 45 to 50 minutes
, D-Medication management for an established client
ChatAi: The correct answer is: B - psychotherapy with a duration of 45 to 50
minutes
The CPT code 90834 represents a standard session of individual psychotherapy
lasting 45 minutes, typically up to 50 minutes. This code is used for outpatient
therapy and does not include medication management, which would require a
different CPT code such as 90833 or 99214 with psychotherapy add-on codes for
integrated care.
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists of law exams include:Essay/Problem-Based Questions: In law exams, students are
3. A client who uses heroin presents for therapy. “I recently watched best
friend overdose! I want to stop! The client's statement is consistent with
which construct of the Health Belief Model?
A: Perceived susceptibility
B: Cue to action
C: Perceived severity D:
Perceived barriers
ChatAi: The correct answer is: B: Cue to action
In the Health Belief Model, a cue to action is an event or stimulus that motivates an
individual to make a health-related change. In this case, the traumatic experience of
witnessing a friend’s overdose serves as a powerful cue, prompting the client’s desire
to stop using heroin. This "cue" is a trigger that enhances motivation to adopt a
healthier behavior.
4. An 80-year-old client tells the PMHNP, “Some days life is just not worth
living. I would be less of a burden if I were not here anymore” Which
response is the most therapeutic PMHNP response?
A. “ Tell me what you mean when you say “ life is not worth living”
B. “ Are you thinking suicide might be an option for you”?
C. Therapeutic use of silence
D. “Everybody loves you and likes being around you.”
ChatAi: The most therapeutic response is: A. “Tell me what you mean when you
say ‘life is not worth living.’”
This open-ended question allows the PMHNP to explore the client’s feelings in a non-
threatening and non-judgmental way. It encourages the client to elaborate on their
emotional state, providing insight into their thoughts, which can guide further
assessment and intervention. Open-ended questions foster a sense of validation and
may help the client feel understood, which is critical for building trust and
encouraging more open communication, especially with older clients who may feel
isolated.
, Asking, “Are you thinking suicide might be an option for you?” (Option B) could also
be appropriate if the PMHNP suspects immediate suicide risk. However, exploring
the meaning behind the client’s statement first (Option A) allows for a more gradual
approach that might feel less confrontational, potentially helping the client feel
safer in disclosing their true feelings.
typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists
5. Peplau stressed what characteristic is a key determinant in the nurse-
client relationship?
A. Self-Awareness
B. Over determinism
C. Self-esteem of the provider
D. Perceived severity
ChatAi: A. Self-awareness
Hildegard Peplau emphasized self-awareness as a crucial factor in the therapeutic
nurse-client relationship. She believed that nurses’ self- awareness—understanding
their own behaviors, thoughts, and feelings— helps them remain objective and
empathetic, fostering a positive and trusting relationship with clients. Self-
awareness allows the nurse to avoid projecting personal biases or unresolved issues
onto the client, which is essential in creating a therapeutic environment that
encourages open communication and genuine connection.
6. Which client action is consistent with the action stage of the
Transtheoretical Model of Change?
A. The client is considering change and looking at the positive and negative aspects.
B. The client is ready to go forward with change and take concrete steps to
change but is inconsistent with carrying through.
C. The client is not interested in change and might not be aware that the problem
exists.
D. The client learns to continue to change and has adopted and embraced the
healthy habit. The person also learns …
Module 1
CHatAi:
, The client action that is consistent with the action stage of the
Transtheoretical Model of Change is:
B. "The client is ready to go forward with change and take
concrete steps to change but is inconsistent with carrying
through."
In the action stage, individuals actively modify their behavior and are putting
their plan into action, but may face challenges with consistency as they work to
establish new patterns. This stage is characterized by commitment to the
change process, though the client may need ongoing support to maintain
motivation and overcome barriers.
In contrast:
• A describes the contemplation stage, where the client is weighing the pros
and cons of change.
• C describes the precontemplation stage, where the client is unaware or not
interested in change.
• D refers to the maintenance stage, where the client has consistently
embraced the new behavior.
actuarial science.While business and law exams may emphasize analysis and application, mathematics exams focus on the precise application of learned methods and the development of abstract reasoning.
In mathematics, the solution to a problem often exists of law exams include:Essay/Problem-Based Questions: In law exams, students are
7. The therapist states, “It sounds like you feel hopeless.” Which
therapeutic communication technique provides an empathic response and
summarizes the themes of the conversation between the patient and the
therapist?
A. Giving recognition
B. Broad opening
C. Reflection
D. Restating
ChatAi: C. Reflection
Reflection is a therapeutic communication technique that involves the therapist
restating or rephrasing the client’s emotions and thoughts, helping to convey empathy
and understanding. By stating, “It sounds like you feel hopeless,” the therapist mirrors
the client’s feelings, demonstrating that they are attuned to the client's experience.
This method supports an empathic response and can aid in the client feeling heard
and validated. Reflection also allows for the clarification of emotions and themes
that may be recurring in the conversation.
8. How long are clients typically engaged in interpersonal
psychotherapy?
A: 20-30 biweekly sessions B:
35-50 weekly sessions C: 12-
16 weekly sessions
