Midterm Exam V2 NR 605 NR605 (New 2026-2027
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review Questions & Answers
Chamberlain
Explain |the |difference |between |the |Biomedical |model |and |the |Holistic |Model
The |Holistic |approach |is |truly |the |pillar |of |all |recovery |care |models. |This |approach |ensures |that |the
|patient |is |treated |through |healing. |In |contrast, |in |a |holistic |model, |symptoms |are |seen |as |a |form |of
|communication |and |are |useful |for |understanding |the |meaning |of |the |dysregulation |and |disharmony
|that |are |occurring |for |this |person |at |a |given |time.
Holistic |therapy |respects |the |complexity |of |each |unique |individual, |appreciating |the |relationship
|between |the |client's |mind, |body, |and |spirit |and |recognizing |the |interdependence |of |all |parts |of |the
|human |system.
Biomedical's |goal |is |to |cure |with |symptom |relief |treatment. |Medications |but |it |does |not |give |way |to
|view |the |patient |as |an |individual |with |different |causations |of |their |symptoms. |They |just |decide |to
|treat |the |symptoms. |Symptoms |are |often |thought |to |be |the |cause |of |the |patient's |problem
What |are |the |main |goals |of |psychotherapy?
Some |of |the |goals |of |psychotherapy |include |the |reduction |of |symptoms, |improvement |of
|functioning, |relapse |prevention, |increased |empowerment, |and |achievement |of |the |specific
|collaborative |goals |set |with |the |patient.
refers |to |the |ability |of |an |individual, |family, |or |community |to |cope |with |adversity |and
|trauma, |and |adapt |to |challenges |through |individual |physical, |emotional, |and |spiritual |attributes |and
|access |to |cultural |and |social |resources |(adapted |from |SAMHSA, |2014).
Resilience
,Explain |the |resilient |zone. |Name |some |strategies |that |may |aid |your |patient |cope |when |feeling
|resistant |especially |during |psychotherapy.
The |optimal |physiological |state |for |the |work |of |therapy |and |reflects |the |person's |natural |rhythm |and
|flow |of |energy |and |vitality. |Although |the |person |may |feel |sad, |happy, |angry, |and |other
emotions |when |in |their |RZ, |the |person |is |able |to |both |feel |and |think |at |the |same |time. |The |RZ |zone |is
|the |patient's |best |physiological |state |for |thinking |clear |and |functioning |well.
If |the |person |becomes |too |anxious |and |hyperaroused, |resistances |or |defenses |may |increase, |and |the
|work |of |therapy |will |be |thwarted, |perhaps |not |consciously, |but |nevertheless, |the |person's
brain |will |not |be |able |to |integrate |memories |or |gain |insight.
Some |ways |to |combat |is |by |decreasing |arousal |levels |such |as |deep |breathing |exercises |or
|imagery, |focusing |on |sensations |in |the |body, |mindfulness |exercises, |and |self-regulation
strategies, |presence |of |supportive |relationships |and |attachments |as |well |as |the |avoidance |of |frequent
|and |prolonged |stress.
Lets |talk |about |Maslow |Hiearchy |of |needs:
Maslow |states |that |before |higher |level |needs |can |be |established,, |lower |level |needs |have |to |achieved.
|For |Example:
Physiological |needs- |air, |food, |water, |shelter, |clothing, |sleep
Safety- |security |of |body, |employment, |morality |of |family, |health, |property
,Love/Belonging- |friendship, |family, |intimacy, |connection |with |others
Esteem- |self |esteem, |respect, |achievement, |confidence
Self-actualization- |morality, |creativity, |spontaneity, |lack |of |prejudice, |acceptance |of |facts
According |to |Maslow, |what |does |self-actualization |look |like?
What |are |stabilization |strategies?
Stabilization |strategies |assist |the |person |to |be |better |able |to |make |state |changes, |that |is, |to |change
|one's |present |physiology |in |order |to |function |more |effectively |in |the |moment. |So |pretty |much
stabilization |is |the |way |a |PMHNP |can |assess |a |patients |life |currently |before |they |are |able |to
participate |effectively |in |their |psychotherapy. |If |a |patient |lacks |stabilization |via |housing, |it |is |up |the
|PMHNP |to |secure |such. |If |the |patient |lacks |stabilization |in |relationships, |they |need |to |be
provided |with |strategies |to |combat |and |then |they |are |able |to |process |accordingly. |Stabilization
|widens |their |RZ |zone.
Through |therapeutic |relationship
•Bibliotherapy/role |play
•Case |management
•Cognitive |behavioral |therapy
, •Community |resiliency |model |skills
•Dialectical |behavioral |therapy
•Education |about |RZ
•Managing |physiological |arousal
•imagery
•Container
•Calm |place
•Mindfulness/meditation
•Medication
•Stress |management/education
•Provide |safety
•Yoga/exercise
Lets |discuss |the |Health |Belief |Model
The |H.B.M |l |is |used |to |explain |and |predict |health |behaviors. |According |to |the |Health |Belief |Model, |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. |The |model
includes |several |constructs: |perceived |seriousness, |perceived |susceptibility, |perceived |benefits |of
|treatment, |perceived |barriers |to |treatment, |cues |to |action, |and |self-efficacy, |as |seen |below.
The |construct |that |clients |must |believe |they |are |susceptible |to |a |disease |or |disorder |is | .
|Lets |use |Sonia |for |an |example |who |has |been |struggling |with |her |anxiety |as |a |24- |year |old |grad
|student.
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review Questions & Answers
Chamberlain
Explain |the |difference |between |the |Biomedical |model |and |the |Holistic |Model
The |Holistic |approach |is |truly |the |pillar |of |all |recovery |care |models. |This |approach |ensures |that |the
|patient |is |treated |through |healing. |In |contrast, |in |a |holistic |model, |symptoms |are |seen |as |a |form |of
|communication |and |are |useful |for |understanding |the |meaning |of |the |dysregulation |and |disharmony
|that |are |occurring |for |this |person |at |a |given |time.
Holistic |therapy |respects |the |complexity |of |each |unique |individual, |appreciating |the |relationship
|between |the |client's |mind, |body, |and |spirit |and |recognizing |the |interdependence |of |all |parts |of |the
|human |system.
Biomedical's |goal |is |to |cure |with |symptom |relief |treatment. |Medications |but |it |does |not |give |way |to
|view |the |patient |as |an |individual |with |different |causations |of |their |symptoms. |They |just |decide |to
|treat |the |symptoms. |Symptoms |are |often |thought |to |be |the |cause |of |the |patient's |problem
What |are |the |main |goals |of |psychotherapy?
Some |of |the |goals |of |psychotherapy |include |the |reduction |of |symptoms, |improvement |of
|functioning, |relapse |prevention, |increased |empowerment, |and |achievement |of |the |specific
|collaborative |goals |set |with |the |patient.
refers |to |the |ability |of |an |individual, |family, |or |community |to |cope |with |adversity |and
|trauma, |and |adapt |to |challenges |through |individual |physical, |emotional, |and |spiritual |attributes |and
|access |to |cultural |and |social |resources |(adapted |from |SAMHSA, |2014).
Resilience
,Explain |the |resilient |zone. |Name |some |strategies |that |may |aid |your |patient |cope |when |feeling
|resistant |especially |during |psychotherapy.
The |optimal |physiological |state |for |the |work |of |therapy |and |reflects |the |person's |natural |rhythm |and
|flow |of |energy |and |vitality. |Although |the |person |may |feel |sad, |happy, |angry, |and |other
emotions |when |in |their |RZ, |the |person |is |able |to |both |feel |and |think |at |the |same |time. |The |RZ |zone |is
|the |patient's |best |physiological |state |for |thinking |clear |and |functioning |well.
If |the |person |becomes |too |anxious |and |hyperaroused, |resistances |or |defenses |may |increase, |and |the
|work |of |therapy |will |be |thwarted, |perhaps |not |consciously, |but |nevertheless, |the |person's
brain |will |not |be |able |to |integrate |memories |or |gain |insight.
Some |ways |to |combat |is |by |decreasing |arousal |levels |such |as |deep |breathing |exercises |or
|imagery, |focusing |on |sensations |in |the |body, |mindfulness |exercises, |and |self-regulation
strategies, |presence |of |supportive |relationships |and |attachments |as |well |as |the |avoidance |of |frequent
|and |prolonged |stress.
Lets |talk |about |Maslow |Hiearchy |of |needs:
Maslow |states |that |before |higher |level |needs |can |be |established,, |lower |level |needs |have |to |achieved.
|For |Example:
Physiological |needs- |air, |food, |water, |shelter, |clothing, |sleep
Safety- |security |of |body, |employment, |morality |of |family, |health, |property
,Love/Belonging- |friendship, |family, |intimacy, |connection |with |others
Esteem- |self |esteem, |respect, |achievement, |confidence
Self-actualization- |morality, |creativity, |spontaneity, |lack |of |prejudice, |acceptance |of |facts
According |to |Maslow, |what |does |self-actualization |look |like?
What |are |stabilization |strategies?
Stabilization |strategies |assist |the |person |to |be |better |able |to |make |state |changes, |that |is, |to |change
|one's |present |physiology |in |order |to |function |more |effectively |in |the |moment. |So |pretty |much
stabilization |is |the |way |a |PMHNP |can |assess |a |patients |life |currently |before |they |are |able |to
participate |effectively |in |their |psychotherapy. |If |a |patient |lacks |stabilization |via |housing, |it |is |up |the
|PMHNP |to |secure |such. |If |the |patient |lacks |stabilization |in |relationships, |they |need |to |be
provided |with |strategies |to |combat |and |then |they |are |able |to |process |accordingly. |Stabilization
|widens |their |RZ |zone.
Through |therapeutic |relationship
•Bibliotherapy/role |play
•Case |management
•Cognitive |behavioral |therapy
, •Community |resiliency |model |skills
•Dialectical |behavioral |therapy
•Education |about |RZ
•Managing |physiological |arousal
•imagery
•Container
•Calm |place
•Mindfulness/meditation
•Medication
•Stress |management/education
•Provide |safety
•Yoga/exercise
Lets |discuss |the |Health |Belief |Model
The |H.B.M |l |is |used |to |explain |and |predict |health |behaviors. |According |to |the |Health |Belief |Model, |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. |The |model
includes |several |constructs: |perceived |seriousness, |perceived |susceptibility, |perceived |benefits |of
|treatment, |perceived |barriers |to |treatment, |cues |to |action, |and |self-efficacy, |as |seen |below.
The |construct |that |clients |must |believe |they |are |susceptible |to |a |disease |or |disorder |is | .
|Lets |use |Sonia |for |an |example |who |has |been |struggling |with |her |anxiety |as |a |24- |year |old |grad
|student.
