FINAL EXAM COMPLETE REAL QUESTIONS AND WELL
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NR605 FINAL 2026-2027
Define therapeutic alliance
the cooperative working relationship between the therapist and
client and is considered to be a fundamental component of
successful therapy
What are the 5 levels of Maslow's hierarchy from bottom to top?
Physiological Safety
Love/Belonging Esteem
Self-actualization
What's included in the physiological level of Maslow's hierarchy?
air food/water shelter
clothing sleep
,What are the 5 steps of SAFE-T?
1. identify risk factors
2. identify protective factors
3. conduct suicide inquiry
4. determine risk level/intervention
5. document
What are risk factors in SAFE-T?
Prior suicide attempt(s)
• Alcohol or substance use
• History of mental health concerns, particularly depression and
other mood disorders
• Access to lethal means, including firearms
• Knowing someone who died by suicide, particularly a family member
• Social isolation
• Chronic disease and/or disability
• Lack of access to behavioral health care
• Prolonged feelings of hopelessness
,What populations are at an increased risk of suicide?
American Indian, Alaska Native, and Tribal communities
• Black youth
• Rural communities
• LGBTQI
+ youth and young adults
• Middle-aged men
• Older adults
In SAFE-T what are the protective factors?
Connectedness to people, family, community, and social supports
• Effective behavioral health care
• Life skills (including problem-solving skills, coping skills,
emotional regulation, ability to adapt to change)
• Self-esteem and a sense of purpose or meaning in life
• Cultural, religious, or personal beliefs that discourage suicide
• No access to lethal means
What is the frame of the relationship?
therapeutic environment with established boundaries and rules
where the client and therapist can establish trust
, What should be included in the initial contact (makes the frame)?
-process for contacting the provider
-what to do in case of an emergency
-adherence to a schedule
-fees
-confidentiality
-boundaries of the therapeutic relationship.
-whether eating and drinking during the session are appropriate
-whether session interruptions are allowed
-whether phone calls between sessions are acceptable
- starting and stopping on time
What is a suicide contract?
not a legal document but rather an agreement between the client and
therapist about what the client should do if they become suicidal
involves a commitment by the client to not commit suicide
Tell me about the working phase of therapy
when therapeutic interventions typically take place. The content of
the working phase is driven by the client's diagnosis, identified goals,
and the selected treatment modality.