NR605 / NR 605 Final Exam Newest 2025
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Graded A+ Diagnosis & Management in
Psychiatric-Mental Health across the
Lifespan I Practicum
Bandura's Self-Efficacy Theory .....answer.....-relates to a person's sense of
control over their functioning, motivation, behavior, and environment
-Individuals cultivate efficacy by taking on and mastering new challenges
-individuals develop confidence as they realize that they can acquire new
skills and achieve goals
-individual's sense of self-efficacy is influenced by their emotional and
psychological state
PMHNP can foster self-efficacy in older adults by: .....answer.....-advocating
for participation in care planning
-providing opportunities to make choices
-promoting physical activity
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-providing health self-management education
-encouraging social interaction
-providing positive feedback
Psychosocial Considerations in Older Adults .....answer.....-Common life
events experienced by older adults:
• Retirement
• Raising grandchildren
• Caregiving for significant other
• Widowhood
Older Adults Functional Considerations .....answer.....-race, gender, ethnicity
& social determinants of health (SDOH)
• economic stability, social & community context, & healthcare access &
quality
‣ contribute to wide variability in health status
-physical changes
• lead to frailty, functional decline, dependency
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-higher prevalence of dementia
• raises need for neuropsychological screening
-often seek tx for depression r/t challenges caused by medical comorbidities
& cognitive changes
-may also need support navigating healthcare, housing, & finances
psychotherapy for older adults: Transference/Countertransference
.....answer.....-Clients may view therapists as they would a child or grandchild
-therapist may inadvertently project their feelings, biases, or fears about aging
onto the client
-Therapists may have own experiences providing care for an older adult family
member, which could influence the therapist's perspective
older adults: Common Approaches to Treatment .....answer.....-
cognitivebehavioral therapy (CBT)
-interpersonal psychotherapy (ITP)
-problem-solving therapy for executive dysfunction (PST-ED)
-cognitive behavioral therapy for mild dementia (CBT-MD)
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• for pts with cognitive impairment
-ecosystem-focused therapy (EFT)
• for pts with post-stroke depression
older adults: Mindfulness-Based Interventions .....answer.....-
Mindfulnessbased stress reduction (MBSR)
• typically provided over eight weeks
• shown some efficacy for novice and regular meditating adults
• reduce stress and mood disturbances
older adults: Reminiscence Therapy and Life Review .....answer.....-
Reminiscence therapy (RT) and life review therapy (LRT)
• approaches used to help older adults recall life events
• promote reflection
• help clients understand who they are as individuals
• help clients achieve ego integrity
-RT can help improve psychosocial outcomes, cognition, communication, and
quality of life for clients with dementia