NR605 Midterm Exam | Diagnosis & Management
in Psychiatric-Mental Health across the Lifespan
2025 update|comprehensive questions and
verified answers (complete solutions) GRADE A+!!
Save
-nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social
workers, marriage and family therapists, counselors,
Psychotherapy and PMHNPs
-may include individual, couple, family, or group
sessions
-Goals: symptom reduction, improvement in
functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the client &
therapist.
, Intraprofessional Collaboration
-the interaction and efforts between two disciplines
with the same profession
• Potential barriers: tension, large team size, high
turnover, lack of familiarity and common goals, role
ambiguity, generational differences, and lack of
undergraduate nursing education on intraprofessional
Methods of Collaboration practice.
Transprofessional Collaboration
-includes communication with various disciplines:
physicians, physical/occupational therapy, and social
services, along with others to ensure care is delivered
safely
• Potential barrier: lack of training
-unique, full-spectrum approach
-may provide psychotherapy in addition to
prescribing medications
-providing client and family education
Role of PMHNPs in
-coordinating care and referrals as a part of the
Psychotherapy
treatment plan
-provide psychotherapy in a variety of ambulatory,
emergency department, inpatient, and outpatient
settings
, -holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each
unique individual
• appreciating the relationship between the client's
mind, body, and spirit
• recognizing the interdependence of all parts of the
human system
-Foundational to healing is the relationship between
Holistic Paradigm of the client and therapist
Healing • Emotional connection in the relationship is critical to
the success of psychotherapy
• PMHNP approaches the nurse-client relationship
with acceptance, empathy, patience, and kindness to
create a space for healing
-psychotherapy can help the individual accept
dysregulation and disharmony in the present moment
• achieves acceptance of the present, they may be
able to let go of resistance, relax, and release fears
Maslow's Hierarchy of Needs
Theoretical Models in
Health Belief Model
Psychotherapy
Transtheoretical Model of Change
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)
Maslow's Hierarchy of • Motivation decreases once D-needs are met
Needs -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
, is self-fulfilled
-Qualities exhibited by the self-actualized person
self-actualized person
include independence, autonomy, creativity, and
maturity
TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
Maslow's Hierarchy of
-Friendship, family, intimacy, sense of connection with
Needs Pyramid
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
-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:
Health Belief Model
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
in Psychiatric-Mental Health across the Lifespan
2025 update|comprehensive questions and
verified answers (complete solutions) GRADE A+!!
Save
-nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social
workers, marriage and family therapists, counselors,
Psychotherapy and PMHNPs
-may include individual, couple, family, or group
sessions
-Goals: symptom reduction, improvement in
functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the client &
therapist.
, Intraprofessional Collaboration
-the interaction and efforts between two disciplines
with the same profession
• Potential barriers: tension, large team size, high
turnover, lack of familiarity and common goals, role
ambiguity, generational differences, and lack of
undergraduate nursing education on intraprofessional
Methods of Collaboration practice.
Transprofessional Collaboration
-includes communication with various disciplines:
physicians, physical/occupational therapy, and social
services, along with others to ensure care is delivered
safely
• Potential barrier: lack of training
-unique, full-spectrum approach
-may provide psychotherapy in addition to
prescribing medications
-providing client and family education
Role of PMHNPs in
-coordinating care and referrals as a part of the
Psychotherapy
treatment plan
-provide psychotherapy in a variety of ambulatory,
emergency department, inpatient, and outpatient
settings
, -holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each
unique individual
• appreciating the relationship between the client's
mind, body, and spirit
• recognizing the interdependence of all parts of the
human system
-Foundational to healing is the relationship between
Holistic Paradigm of the client and therapist
Healing • Emotional connection in the relationship is critical to
the success of psychotherapy
• PMHNP approaches the nurse-client relationship
with acceptance, empathy, patience, and kindness to
create a space for healing
-psychotherapy can help the individual accept
dysregulation and disharmony in the present moment
• achieves acceptance of the present, they may be
able to let go of resistance, relax, and release fears
Maslow's Hierarchy of Needs
Theoretical Models in
Health Belief Model
Psychotherapy
Transtheoretical Model of Change
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)
Maslow's Hierarchy of • Motivation decreases once D-needs are met
Needs -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
, is self-fulfilled
-Qualities exhibited by the self-actualized person
self-actualized person
include independence, autonomy, creativity, and
maturity
TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
Maslow's Hierarchy of
-Friendship, family, intimacy, sense of connection with
Needs Pyramid
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
-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:
Health Belief Model
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
