NR 605 : NR 605 Midterm Exam: Questions & Answers: Latest Updated Guide

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 (Ans- 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 (Ans- 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: (Ans- -case management -provision of safety -stress management -management of physiological arousal -exercise -cognitive or dialectical behavioral therapy -role play Processing (Ans- 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