NR605 Midterm Exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Psychotherapy - correct answer✔✔-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, 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. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Methods of Collaboration - correct answer✔✔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 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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Role of PMHNPs in Psychotherapy - correct answer✔✔-unique, full-spectrum approach
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-may provide psychotherapy in addition to prescribing medications
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-providing client and family education |||\\\ |||\\\ |||\\\ |||\\\
,-coordinating care and referrals as a part of the treatment plan |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-provide psychotherapy in a variety of ambulatory, emergency department, inpatient, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
outpatient settings |||\\\
Holistic Paradigm of Healing - correct answer✔✔-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 the client and therapist |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• 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 |||\\\
Theoretical Models in Psychotherapy - correct answer✔✔Maslow's Hierarchy of Needs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Health Belief Model|||\\\ |||\\\
Transtheoretical Model of Change |||\\\ |||\\\ |||\\\
Maslow's Hierarchy of Needs - correct answer✔✔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)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Motivation decreases once D-needs are met
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
self-actualized person - correct answer✔✔is self-fulfilled |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and maturity |||\\\
Maslow's Hierarchy of Needs Pyramid - correct answer✔✔TOP: Self-actualization
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Esteem
-Self-esteem, respect, achievement, confidence |||\\\ |||\\\ |||\\\
Love/Belonging
-Friendship, family, intimacy, sense of connection with 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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Health Belief Model - correct answer✔✔-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: |||\\\
• perceived seriousness
|||\\\ |||\\\
, • perceived susceptibility
|||\\\ |||\\\
• perceived benefits of treatment
|||\\\ |||\\\ |||\\\ |||\\\
• perceived barriers to treatment
|||\\\ |||\\\ |||\\\ |||\\\
• cues to action
|||\\\ |||\\\ |||\\\
• self-efficacy
|||\\\
Transtheoretical Model of Change - correct answer✔✔assumes that behavior changes take |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
place over time and that people move through stages of decision-making to make changes to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
behavior
-stages: |||\\\
• precontemplation
|||\\\
• contemplation
|||\\\
• preparation
|||\\\
• action
|||\\\
• maintenance
|||\\\
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 - correct answer✔✔Ask Nancy
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to create a list of reasons that she wants to lose weight.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Psychotherapy - correct answer✔✔-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, 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. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Methods of Collaboration - correct answer✔✔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 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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Role of PMHNPs in Psychotherapy - correct answer✔✔-unique, full-spectrum approach
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-may provide psychotherapy in addition to prescribing medications
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-providing client and family education |||\\\ |||\\\ |||\\\ |||\\\
,-coordinating care and referrals as a part of the treatment plan |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-provide psychotherapy in a variety of ambulatory, emergency department, inpatient, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
outpatient settings |||\\\
Holistic Paradigm of Healing - correct answer✔✔-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 the client and therapist |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• 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 |||\\\
Theoretical Models in Psychotherapy - correct answer✔✔Maslow's Hierarchy of Needs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Health Belief Model|||\\\ |||\\\
Transtheoretical Model of Change |||\\\ |||\\\ |||\\\
Maslow's Hierarchy of Needs - correct answer✔✔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)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
• Motivation decreases once D-needs are met
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
self-actualized person - correct answer✔✔is self-fulfilled |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and maturity |||\\\
Maslow's Hierarchy of Needs Pyramid - correct answer✔✔TOP: Self-actualization
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Esteem
-Self-esteem, respect, achievement, confidence |||\\\ |||\\\ |||\\\
Love/Belonging
-Friendship, family, intimacy, sense of connection with 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
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Health Belief Model - correct answer✔✔-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: |||\\\
• perceived seriousness
|||\\\ |||\\\
, • perceived susceptibility
|||\\\ |||\\\
• perceived benefits of treatment
|||\\\ |||\\\ |||\\\ |||\\\
• perceived barriers to treatment
|||\\\ |||\\\ |||\\\ |||\\\
• cues to action
|||\\\ |||\\\ |||\\\
• self-efficacy
|||\\\
Transtheoretical Model of Change - correct answer✔✔assumes that behavior changes take |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
place over time and that people move through stages of decision-making to make changes to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
behavior
-stages: |||\\\
• precontemplation
|||\\\
• contemplation
|||\\\
• preparation
|||\\\
• action
|||\\\
• maintenance
|||\\\
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 - correct answer✔✔Ask Nancy
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to create a list of reasons that she wants to lose weight.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
