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NR 605 – Midterm Exam V2: Diagnosis & Management in Psychiatric Mental Health Across the Lifespan I (Chamberlain University) – Exam Review Questions with Answers and Rationales (2025–2026 Update)

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This document contains Midterm Exam Version 2 review material for NR 605: Diagnosis & Management in Psychiatric Mental Health Across the Lifespan I at Chamberlain University. It includes exam-style questions, detailed answers, and rationales focused on psychiatric assessment, diagnosis, and treatment planning. The content reviews major psychiatric disorders, diagnostic criteria, pharmacologic therapies, and clinical decision-making used in mental health practice across different age groups. It is designed to support midterm exam preparation and reinforce key psychiatric mental health nurse practitioner concepts.

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NR 605/ NR605
Vak
NR 605/ NR605

Voorbeeld van de inhoud

Midterm Exam V2: NR 605/ NR605 (New 2025/ 2026
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review| Questions & Answers
with Rationales| Grade A| 100% Correct (Verified
Solutions)- 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

, Midterm Exam V2: NR 605/ NR605 (New 2025/ 2026
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review| Questions & Answers
with Rationales| Grade A| 100% Correct (Verified
Solutions)- Chamberlain
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

, Midterm Exam V2: NR 605/ NR605 (New 2025/ 2026
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review| Questions & Answers
with Rationales| Grade A| 100% Correct (Verified
Solutions)- Chamberlain

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

, Midterm Exam V2: NR 605/ NR605 (New 2025/ 2026
Update) Diagnosis & Management in Psychiatric Mental
Health Across the Lifespan I Review| Questions & Answers
with Rationales| Grade A| 100% Correct (Verified
Solutions)- Chamberlain
•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.

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