NR605 MIDTERM EXAM 2026 FINAL PAPER
SOLVED QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
◉ 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
Bottom: Foundational needs
◉ strategies to support resource development and stabilization:.
Answer: -case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play
◉ Processing.
,Answer: involves helping clients explore the meaning of adverse life
events
-adapting memory, cognition, behavior, affect, and beliefs
surrounding traumatic events
• achieve positive change
◉ Cultural Considerations.
Answer: Culture shapes one's perceptions, attributions, emotions,
and judgments in ways that are both conscious and unconscious
-PMHNP must consider ethnicity, religion, race, class, cultural
identity, and the cultural explanations of illness to effectively
diagnose and treat mental health conditions
-Outline for Cultural Formulation includes an assessment of the
following categories:
• cultural identity of the individual
• cultural conceptualizations of distress
• psychosocial stressors and cultural features of vulnerability and
resilience
• cultural features of the relationship between the individual and
clinician
• overall cultural assessment
◉ Illness Perception.
Answer: psychodynamic approach
, -attributes mental illness to environmental and psychosocial
problems
biophysiological model
-attributes mental illnesses to chemical imbalances of
neurotransmitters
◉ epigenetics.
Answer: the study of how the environment and other factors change
the way genes are expressed
◉ Documentation requirements.
Answer: -standard format of chief complaint, history of present
illness, review of systems, past psychiatric history, mental status
exam, diagnostic formulation, and treatment plan
-Psychotherapy sessions must include the following:
• target symptoms
• goals of therapy
• method of monitoring outcomes
• frequency of treatment
• clinical records to support relevant medical history
• results of diagnostic tests or
• procedures
SOLVED QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
◉ 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
Bottom: Foundational needs
◉ strategies to support resource development and stabilization:.
Answer: -case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play
◉ Processing.
,Answer: involves helping clients explore the meaning of adverse life
events
-adapting memory, cognition, behavior, affect, and beliefs
surrounding traumatic events
• achieve positive change
◉ Cultural Considerations.
Answer: Culture shapes one's perceptions, attributions, emotions,
and judgments in ways that are both conscious and unconscious
-PMHNP must consider ethnicity, religion, race, class, cultural
identity, and the cultural explanations of illness to effectively
diagnose and treat mental health conditions
-Outline for Cultural Formulation includes an assessment of the
following categories:
• cultural identity of the individual
• cultural conceptualizations of distress
• psychosocial stressors and cultural features of vulnerability and
resilience
• cultural features of the relationship between the individual and
clinician
• overall cultural assessment
◉ Illness Perception.
Answer: psychodynamic approach
, -attributes mental illness to environmental and psychosocial
problems
biophysiological model
-attributes mental illnesses to chemical imbalances of
neurotransmitters
◉ epigenetics.
Answer: the study of how the environment and other factors change
the way genes are expressed
◉ Documentation requirements.
Answer: -standard format of chief complaint, history of present
illness, review of systems, past psychiatric history, mental status
exam, diagnostic formulation, and treatment plan
-Psychotherapy sessions must include the following:
• target symptoms
• goals of therapy
• method of monitoring outcomes
• frequency of treatment
• clinical records to support relevant medical history
• results of diagnostic tests or
• procedures
