NR605/NR 605 MIDTERM EXAM |
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH ACROSS
THE LIFESPAN
150+ (Latest 2026 Edition) 100% Verified Q&A + Answer Key Solutions
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 158 Qs
This document, "NR605/NR 605 Midterm Exam | Diagnosis & Management in Psychiatric-Mental Health
across the Lifespan", covers specific topics in psychiatric-mental health nursing, including psychotherapy,
methods of collaboration, the role of PMHNPs in psychotherapy, therapeutic alliance boundaries, self-
disclosure, and diagnosis of mental health disorders. The document provides a comprehensive review of
these concepts, with 158 questions that include the correct answers and rationales. Students can
effectively use this document to study, review, and understand the concepts, facilitating their exam
preparation and overall understanding of psychiatric-mental health nursing.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
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
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, 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
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)
Trusted by thousands of students and professionals worldwide Page 2 of 40
, • 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
CORRECT ANSWER
is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and
maturity
QUESTION 8
Maslow's Hierarchy of Needs Pyramid
CORRECT ANSWER
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
-Air, food, water, shelter, clothing, sleep
QUESTION 9
Health Belief Model
CORRECT ANSWER
-used to explain and predict health behaviors
-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
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
QUESTION 10
Transtheoretical Model of Change
CORRECT ANSWER
assumes that behavior changes take place over time and that people move through stages of decision-
making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
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, • action
• maintenance
QUESTION 11
Nancy is a 64-year-old who is wondering if losing weight might benefit her self-esteem and self-
confidence. Based on the transtheoretical model of change, which of the following actions by the
PMHNP would be appropriate for Nancy if she is in the contemplation stage of change?
Ask Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an exercise program.
Explore Nancy's anxiety and emotional responses related to be
CORRECT ANSWER
Ask Nancy to create a list of reasons that she wants to lose weight.
Rationale: Creating a list of reasons to lose weight would be appropriate for the contemplation phase.
Obtaining medical clearance for exercise is a part of the preparation phase of the Transtheoretical Model
of Change. Exploring emotional responses to being overweight would be appropriate for the
precontemplation phase. Addressing rewards for reinforcement of behaviors would occur in the action
phase.
QUESTION 12
Treatment Hierarchy Framework
CORRECT ANSWER
therapeutic aims at the base of the model must be addressed before the client can move up the triangle
Top: Stabilization
Internal resources
External resources
Bottom: Foundational needs
QUESTION 13
strategies to support resource development and stabilization:
CORRECT ANSWER
-case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play
QUESTION 14
Processing
CORRECT ANSWER
involves helping clients explore the meaning of adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding traumatic events
• achieve positive change
QUESTION 15
Cultural Considerations
Trusted by thousands of students and professionals worldwide
Page 4 of 40
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH ACROSS
THE LIFESPAN
150+ (Latest 2026 Edition) 100% Verified Q&A + Answer Key Solutions
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 158 Qs
This document, "NR605/NR 605 Midterm Exam | Diagnosis & Management in Psychiatric-Mental Health
across the Lifespan", covers specific topics in psychiatric-mental health nursing, including psychotherapy,
methods of collaboration, the role of PMHNPs in psychotherapy, therapeutic alliance boundaries, self-
disclosure, and diagnosis of mental health disorders. The document provides a comprehensive review of
these concepts, with 158 questions that include the correct answers and rationales. Students can
effectively use this document to study, review, and understand the concepts, facilitating their exam
preparation and overall understanding of psychiatric-mental health nursing.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
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
Trusted by thousands of students and professionals worldwide Page 1 of 40
, 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
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)
Trusted by thousands of students and professionals worldwide Page 2 of 40
, • 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
CORRECT ANSWER
is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and
maturity
QUESTION 8
Maslow's Hierarchy of Needs Pyramid
CORRECT ANSWER
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
-Air, food, water, shelter, clothing, sleep
QUESTION 9
Health Belief Model
CORRECT ANSWER
-used to explain and predict health behaviors
-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
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
QUESTION 10
Transtheoretical Model of Change
CORRECT ANSWER
assumes that behavior changes take place over time and that people move through stages of decision-
making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
Trusted by thousands of students and professionals worldwide Page 3 of 40
, • action
• maintenance
QUESTION 11
Nancy is a 64-year-old who is wondering if losing weight might benefit her self-esteem and self-
confidence. Based on the transtheoretical model of change, which of the following actions by the
PMHNP would be appropriate for Nancy if she is in the contemplation stage of change?
Ask Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an exercise program.
Explore Nancy's anxiety and emotional responses related to be
CORRECT ANSWER
Ask Nancy to create a list of reasons that she wants to lose weight.
Rationale: Creating a list of reasons to lose weight would be appropriate for the contemplation phase.
Obtaining medical clearance for exercise is a part of the preparation phase of the Transtheoretical Model
of Change. Exploring emotional responses to being overweight would be appropriate for the
precontemplation phase. Addressing rewards for reinforcement of behaviors would occur in the action
phase.
QUESTION 12
Treatment Hierarchy Framework
CORRECT ANSWER
therapeutic aims at the base of the model must be addressed before the client can move up the triangle
Top: Stabilization
Internal resources
External resources
Bottom: Foundational needs
QUESTION 13
strategies to support resource development and stabilization:
CORRECT ANSWER
-case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play
QUESTION 14
Processing
CORRECT ANSWER
involves helping clients explore the meaning of adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding traumatic events
• achieve positive change
QUESTION 15
Cultural Considerations
Trusted by thousands of students and professionals worldwide
Page 4 of 40
