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📋 DOCUMENT OVERVIEW 177 Qs
This document, "NR605 Midterm," covers specific topics in nursing, including therapeutic relationships,
psychotherapy goals, resilience, attachment styles, and the stages of therapy. The document provides
177 questions with correct answers and detailed explanations, serving as a comprehensive review
resource for students to study and understand complex nursing concepts. By utilizing this document,
students can efficiently review and reinforce their knowledge, ultimately enhancing their exam
preparation and clinical practice skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
Biomedical Model
CORRECT ANSWER
Focus on the symptoms as a problem that must be eliminated/cured w/ medication
RATIONALE: The Biomedical Model views health and illness primarily through a medical framework, focusing on the
eradication or management of specific symptoms with the use of medication or medical interventions, rather than
considering broader social, psychological, or environmental factors. This model assumes that the body is a machine that
can be fixed through scientific treatment, emphasizing the need for a medical solution to resolve health issues.
QUESTION 2
Holistic Model
CORRECT ANSWER
Focus on healing; becoming whole, body, mind, and spirit
Symptoms are seen as a form of communication and are useful tools in understanding what is going on
RATIONALE: The Holistic Model focuses on treating the individual as a whole entity, encompassing physical, emotional,
and spiritual aspects, rather than solely addressing symptoms or diseases. By acknowledging symptoms as a form of
communication, this approach encourages a deeper understanding of the underlying causes and promotes a more
comprehensive approach to healing and wellness.
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, QUESTION 3
What are specific techniques used to build and foster the therapeutic relationship?
CORRECT ANSWER
A presence of acceptance, patience, kindness, nonjudgemental attitude, understanding, good listening
skills, honesty, and empathy
RATIONALE: These specific techniques are used to build and foster the therapeutic relationship because they establish
trust and create a safe, non-judgmental environment where clients feel comfortable sharing their thoughts and
emotions. By incorporating acceptance, patience, kindness, and empathy, therapists can develop a strong rapport with
their clients, facilitating open and honest communication, which is essential for effective therapeutic work.
QUESTION 4
Goals of Psychotherapy
CORRECT ANSWER
1. Symptom reduction
2. Improvement in functioning
3. Relapse prevention
4. Empowerment
5. Achievement of collaborative goals
RATIONALE: The goals of psychotherapy encompass a comprehensive approach to address the complexities of mental
health, encompassing both the alleviation of immediate distress (symptom reduction) and the promotion of long-term
well-being through enhanced functioning and relapse prevention. By empowering individuals and fostering collaborative
goal-achievement, psychotherapy empowers clients to take ownership of their mental health and develop the skills
necessary to navigate life's challenges effectively.
QUESTION 5
Resilience
CORRECT ANSWER
The person's ability to cope w/ adversity, adapt to challenges, and access resources
RATIONALE: This answer captures the essence of resilience as it encompasses the ability to navigate difficult situations,
which involves managing stress and adapting to new circumstances, ultimately demonstrating a capacity for growth and
recovery. By incorporating coping mechanisms, adaptability, and access to resources, the answer highlights the complex
interplay between psychological, social, and environmental factors that contribute to an individual's resilience.
QUESTION 6
Resilient Zone
CORRECT ANSWER
An internal state of adaptability and flexibility regulated by our nervous system
We feel our best and can think clearly/deal effectively w/ life when in this zone
RATIONALE: This answer is correct because it describes the Resilient Zone as a state characterized by adaptability and
flexibility, which are essential traits for navigating life's challenges and uncertainties. The nervous system's regulation of
this state enables individuals to think clearly and deal effectively with life's demands, thereby promoting resilience and
overall well-being.
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, QUESTION 7
What happens when we are outside of our resilient zone (either too high or too low)?
CORRECT ANSWER
We cannot think clearly or function appropriately; therapy is ineffective
Too High = edgy, irritable, manic, anxious
Too Low = depression, isolated, fatigue, numb
RATIONALE: When we are outside of our resilient zone, our brain's ability to regulate emotions and maintain a stable
state is compromised, leading to impaired cognitive function and inappropriate behaviors. This imbalance results in a
range of negative symptoms, including anxiety, depression, irritability, and numbness, which are characteristic of both
manic and depressive states.
QUESTION 8
Stabilization
CORRECT ANSWER
Helps the client manage stressors and develop stronger internal resources to enhance resilience
RATIONALE: Stabilization in the context of crisis intervention or mental health support refers to the process of helping
clients regain control and balance in the face of adversity, thus reducing the impact of stressors and promoting
resilience. The correct answer, "Helps the client manage stressors and develop stronger internal resources to enhance
resilience", accurately reflects this concept by highlighting the importance of addressing stressors and fostering internal
coping mechanisms to achieve stabilization.
QUESTION 9
What are stabilization strategies?
CORRECT ANSWER
1. Therapeutic relationships
2. Case management
3. CBT, DBT
4. Managing arousal (imagery, calm place, etc.)
5. Mindfullness, meditation, yoga
6. Medication
RATIONALE: Stabilization strategies are essential interventions used to help individuals manage their symptoms and
behaviors, particularly in crisis situations or when experiencing emotional dysregulation. The listed options - therapeutic
relationships, case management, CBT, DBT, mindfulness practices, and medication - represent a comprehensive range of
strategies that target various aspects of an individual's well-being, including emotional regulation, coping skills, and
environmental support, thereby facilitating stabilization.
QUESTION 10
What do stabilization strategies do?
CORRECT ANSWER
They assist the person to be better able to change one's present physiology in order to function more
effectively in the moment
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, RATIONALE: Stabilization strategies help individuals manage and regulate their physiological responses to stress or
overwhelming situations, allowing them to regain control and focus. By stabilizing their physiology, people can then
adapt and respond more effectively to their environment, making it a crucial step in achieving optimal functioning in the
moment.
QUESTION 11
Processing
CORRECT ANSWER
Access to all dimensions of memory: behaviors, affect, sensations, cognitions, and all beliefs associated w/
trauma
Helps the client explore the meaning of adverse life events
RATIONALE: This correct answer is because processing in a therapeutic context encompasses an in-depth examination
of a client's experiences, including behaviors, emotions, and thoughts associated with traumatic events, allowing them to
gain a deeper understanding of their trauma. By accessing all dimensions of memory, clients can explore the connections
between their adverse life events and their current behaviors, emotions, and beliefs, leading to a more comprehensive
understanding of their trauma and its impact.
QUESTION 12
What are processing strategies?
CORRECT ANSWER
1. Therapeutic relationships
2. Psychodynamic psychotherapy
3. Cognitive processing
4. Somatic processing
5. EMDR
RATIONALE: These five options are processing strategies because they all refer to methods used by therapists to help
clients process and manage traumatic or distressing memories and emotions, which is the core concept of processing
strategies. Each of these techniques involves a unique approach to facilitating this process, whether through building a
relationship, examining past experiences, changing thought patterns, releasing physical tension, or using eye movement
to stimulate memory recall.
QUESTION 13
Peplau's Roles: Stranger
CORRECT ANSWER
The nurse and patient meet as strangers; the nurse offers acceptance and builds trust/rapport
RATIONALE: This answer is correct because it aligns with Peplau's Interpersonal Relations Model, which emphasizes the
nurse's role in establishing a therapeutic relationship by initially acknowledging the patient as a stranger and
subsequently building trust through acceptance and rapport. By doing so, the nurse creates a safe and supportive
environment for the patient to open up and engage in the healing process.
QUESTION 14
Peplau's Roles: Resource Person
CORRECT ANSWER
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