WEEK 1 AND 2 MIDTERM
EXAM: NR605 QUESTIONS
AND ANSWERS 2025
100%CORRECT GRADE A+
1. What does processing involve in a therapeutic context?: Helping clients
explore the meaning of adverse life events.
2. What aspects are adapted during the processing of traumatic events?:
Memory, cognition, behavior, affect, and beliefs.
3. What is the goal of processing adverse life events?: To achieve positive change.
4. How does culture influence perceptions and judgments?: Culture shapes one's
perceptions, attributions, emotions, and judgments in ways that are both conscious and
unconscious.
5. What is the aim of building external resources in therapy?: Build a network of external
support to reinforce stability and provide assistance beyond the therapeutic setting.
6. What are internal resources in therapy?: Coping mechanisms, emotional regulation
skills, or self-efficacy.
7. What is the aim of developing internal resources in therapy?: Empower the client to
rely on their internal strengths and resilience to manage challenges effectively.
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8. Treatment Hierarchy Framework: 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
9. What are foundational needs in a therapeutic framework?: Basic necessities like
housing, food, safety, and access to healthcare.
10. What is the aim of addressing foundational needs in therapy?: Stabilize the client's
environment and address immediate survival concerns to create a sense of security.
11. What are external resources in a therapeutic context?: Support systems such as social
services, community programs, or relationships with friends and family.
12. What does stabilization refer to in a therapeutic framework?: Addressing higher-order
therapeutic goals like trauma processing, developing long-term life plans, or achieving
personal growth.
13. What is the aim of achieving stabilization in therapy?: Achieve psychological and
emotional balance, allowing the client to thrive and maintain progress independently.
14. strategies to support resource development and stabilization: -case management
-provision of safety
-stress management
-management of physiological arousal
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-exercise
-cognitive or dialectical behavioral therapy
-role play
15. What must PMHNPs consider for effective mental health diagnosis and treatment?:
PMHNPs must consider ethnicity, religion, race, class, cultural identity, and the cultural
explanations of illness.
16. What is included in the outline for Cultural Formulation?: The outline includes an
assessment of cultural identity, cultural conceptualizations of distress, psychosocial
stressors, cultural features of vulnerability and resilience, and the relationship between the
individual and clinician.
17. What are the categories assessed in Cultural Formulation?: The categories include
cultural identity of the individual, cultural conceptualizations of distress, psychosocial
stressors, cultural features of vulnerability and resilience, and overall cultural assessment.
18. What does the psychodynamic approach attribute mental illness to?: Environmental
and psychosocial problems
19. What does the biophysiological model attribute mental illnesses to?: -
Chemical imbalances of neurotransmitters
20. Epigenetics: the study of how the environment and other factors change the way genes are
expressed
21. Documentation Requirements: Standard format: Chief complaint, history of present
illness, review of systems, past psychiatric history, mental status exam, diagnostic
formulation, and treatment plan.