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NR607 Final Exam Mastery: Complex Disorders, Ethics & Social Determinants of Health

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Prepare for the complexities of advanced practice with the ultimate NR607 exam preparation tool. Featuring two versions of the final exam bank, this resource covers the full spectrum of the PMHNP role—from acute inpatient care and involuntary commitment to managing treatment-resistant depression, dissociative disorders, and the ethical nuances of care. With detailed rationales and a focus on social determinants of health, this guide ensures you're ready for both the exam and real-world practice.

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NR605 Midterm EXAM!! TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED




Psychotherapy - ANSWERS---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 - ANSWERS--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,

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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 - ANSWERS---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 - ANSWERS---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

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-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 - ANSWERS--Maslow's Hierarchy
of Needs
Health Belief Model
Transtheoretical Model of Change


Maslow's Hierarchy of Needs - ANSWERS--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)

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• 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 - ANSWERS--is self-fulfilled
-Qualities exhibited by the self-actualized person include
independence, autonomy, creativity, and maturity


Maslow's Hierarchy of Needs Pyramid - ANSWERS--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

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