NR605
NR605 Midterm Exam with
questions and answers
Psychotherapy - ans -----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 - ans ----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
Role of PMHNPs in Psychotherapy - ans -----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
NR605 Midterm Exam with questions and answers
,NR605
-provide psychotherapy in a variety of ambulatory, emergency department,
inpatient, and outpatient settings
Holistic Paradigm of Healing - ans -----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
Theoretical Models in Psychotherapy - ans ----Maslow's Hierarchy
of Needs
Health Belief
Model
Transtheoretical Model of
Change
Maslow's Hierarchy of Needs - ans ----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
self-actualized person - ans ----is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
Maslow's Hierarchy of Needs Pyramid - ans ----TOP: Self-
actualization
-Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Estee
m
-Self-esteem, respect, achievement,
NR605 Midterm Exam with questions and answers
,NR605
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
Health Belief Model - ans -----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
• perceived
seriousness
• perceived benefits of
susceptibility
• perceived
treatment riers to
•
barcues toontreatment
• self- y
acti
efficac
Transtheoretical Model of Change - ans ----assumes that behavior
place
changes over time
take that people move through stages of decision-making
chang
and s to to make
-stage
e :behavior
•s tio
•
precontempli nn
• ratino
contempla
a
•
prepa
t no
•
actio e
maintenan
c
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
NR605 Midterm Exam with questions and answers
, NR605
progra
m.
Explore Nancy's anxiety and emotional responses related to be -
ans ----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.
Treatment Hierarchy Framework - ans ----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
strategies to support resource development and stabilization: -
ans -----case
manageme
nt
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral
therapy -role play
Processing - ans ----involves helping clients explore the meaning of
adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding
traumatic events
•achieve positive change
Cultural Considerations - ans ----Culture shapes one's perceptions,
attributions, emotions, and judgments in ways that are both conscious and
unconscious
-PMHNP must consider ethnicity, religion, race, class, cultural identity, and
the cultural explanations of illness to effectively diagnose and treat mental
NR605 Midterm Exam with questions and answers
NR605 Midterm Exam with
questions and answers
Psychotherapy - ans -----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 - ans ----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
Role of PMHNPs in Psychotherapy - ans -----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
NR605 Midterm Exam with questions and answers
,NR605
-provide psychotherapy in a variety of ambulatory, emergency department,
inpatient, and outpatient settings
Holistic Paradigm of Healing - ans -----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
Theoretical Models in Psychotherapy - ans ----Maslow's Hierarchy
of Needs
Health Belief
Model
Transtheoretical Model of
Change
Maslow's Hierarchy of Needs - ans ----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
self-actualized person - ans ----is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
Maslow's Hierarchy of Needs Pyramid - ans ----TOP: Self-
actualization
-Morality, creativity, spontaneity, lack of prejudice,
acceptance of facts
Estee
m
-Self-esteem, respect, achievement,
NR605 Midterm Exam with questions and answers
,NR605
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
Health Belief Model - ans -----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
• perceived
seriousness
• perceived benefits of
susceptibility
• perceived
treatment riers to
•
barcues toontreatment
• self- y
acti
efficac
Transtheoretical Model of Change - ans ----assumes that behavior
place
changes over time
take that people move through stages of decision-making
chang
and s to to make
-stage
e :behavior
•s tio
•
precontempli nn
• ratino
contempla
a
•
prepa
t no
•
actio e
maintenan
c
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
NR605 Midterm Exam with questions and answers
, NR605
progra
m.
Explore Nancy's anxiety and emotional responses related to be -
ans ----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.
Treatment Hierarchy Framework - ans ----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
strategies to support resource development and stabilization: -
ans -----case
manageme
nt
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral
therapy -role play
Processing - ans ----involves helping clients explore the meaning of
adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding
traumatic events
•achieve positive change
Cultural Considerations - ans ----Culture shapes one's perceptions,
attributions, emotions, and judgments in ways that are both conscious and
unconscious
-PMHNP must consider ethnicity, religion, race, class, cultural identity, and
the cultural explanations of illness to effectively diagnose and treat mental
NR605 Midterm Exam with questions and answers
