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This document, "NR605 Week 1", covers specific topics in psychiatric-mental health nursing, including
psychotherapy, collaboration methods, the role of PMHNPs, cultural considerations, illness perception,
and interprofessional collaboration. The document provides questions with correct answers, offering a
comprehensive review of these concepts for exam preparation. Students can utilize this resource to
study, review, and understand the key concepts and principles in psychiatric-mental health nursing.
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EXAM QUESTIONS
QUESTION 1
Psychotherapy
CORRECT ANSWER
-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.
QUESTION 2
Methods of Collaboration
CORRECT ANSWER
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, and lack of undergraduate nursing education on intraprofessional
practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians, physical/occupational therapy, and social
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, services, along with others to ensure care is delivered safely
• Potential barrier: lack of training
QUESTION 3
Role of PMHNPs in Psychotherapy
CORRECT ANSWER
-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
QUESTION 4
Holistic Paradigm of Healing
CORRECT ANSWER
-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
-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
QUESTION 5
Theoretical Models in Psychotherapy
CORRECT ANSWER
Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
QUESTION 6
Maslow's Hierarchy of Needs
CORRECT ANSWER
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)
• 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
QUESTION 7
self-actualized person
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