1
NR
NR 605/ NR605 FINAL EXAM: (NEW 2025/ 2026
UPDATE) DIAGNOSIS & MANAGEMENT IN PMH ACROSS
THE LIFESPAN I REVIEW| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Behavioral theory - ANS ✓-Personality is a result of the interaction between an ind.
and their environment.
-focus on observable and measurable behavior
-Skinner
• associated with the concept of operant conditioning, using rewards and punishments to
increase or decrease a behavior
-Pavlov
• Russian Physiologist, father of behaviorism, associated with classical conditioning, Pavlov
dog,
2. Cognitive theory - ANS ✓-Study of mental processes and complex behaviors
-Albert Bandura combines concepts of observing, thinking, and behaving.
-Tying external behaviors in with internal mental processes that facilitate them
• learning, memory, language development, mental problem solving.
3. Cognitive Distortions - ANS ✓-faulty, exaggerated, or irrational thinking patterns
• cause ind's to inaccurately perceive reality
• lead to (-) emotions & psychopathological states, including depression & anxiety
4. common cognitive distortions - ANS ✓-Should statement
• "I shouldn't yell at my kids. I should always be able to keep my temper. I'm the adult here."
-All-or-nothing thinking
• "I got an A- on the biology exam! I never get below an A. I am such a complete failure!"
-Catastrophizing
• "I know my relationship is in trouble. If my girlfriend leaves, I know I'll never find someone
else and will be alone forever."
-Filtering
• "I just read my student evaluations for the term. While they're almost all positive, one
student felt that I was insensitive and never responded promptly even though I answered
every email within 24 hours. I'm a terrible teacher."
NR 605
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-Overgeneralization
• "Every single time I work the night shift at the hospital, they always give me the worst
assignments! It's always a nightmare!"
-Mind reading
• "I was at lunch with my friend today. She kept looking at her phone the whole time. I just
know she didn't want to be there and is bored with our friendship."
-Emotional reasoning
• "I started a diet on Monday and was doing well until they brought in pizza for lunch on
Thursday. I feel like I'll never be able to succeed at this, so I'm giving up."
5. Cognitive Techniques for Stabilization - ANS ✓-Socratic dialogue (SD)
-Decatastrophizing
6. Socratic dialogue (SD) - ANS ✓-hallmark of CBT
-helps facilitate guided discovery
-therapist guides the client through a series of questions & answers to draw out the client's
automatic thoughts & assumptions
• collaboratively examine the logic underlying the assumptions
• ID thought processes that may be creating problems
-can be used to:
• facilitate cognitive reappraisal
• information processing
• emotional regulation
• support tx processes
7. Socratic questions - ANS ✓-Socratic questions
• What is the evidence your belief is true?
• What is the evidence your belief is not true?
-Alternative Explanation Socratic Questions
• Is there another point of view?
• Are you paying attention to only one aspect of the situation?
• Are you misinterpreting the evidence?
• Are you making assumptions?
-Impact of the automatic thought Socratic Question
• What is the effect of believing "If I'm not perfect then I'm a failure?"
-Distancing Socratic Question
• What would you advise a friend who told you something similar?
-Problem solving Socratic Question
• What would be good to do now?
• What would you like to do about this situation?
NR 605
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8. Decatastrophizing - ANS ✓-Catastrophic thinking
• common for clients with anxiety
• focusing on most (-) outcome of a situation
-Decatastrophizing
• cognitive restructuring technique
• used to explore fears
• help challenge catastrophic thinking
-examining the outcome the client considers to be the "worst possible"
• developing a plan of action to address that outcome to decrease anxiety
Valerie is a 34-year-old who presents for therapy with symptoms of anxiety and depressive
disorder. She has been in a relationship with her partner for the past 12 years. She feels like
her partner makes all the decisions in the relationship, and when Valerie's opinions differ, she
does not feel comfortable sharing her thoughts. She states, "If my partner can't figure out
what my needs are after so many years, I don't know how we can save this relationship."
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
9. Behavioral rehearsal - ANS ✓Assertiveness training
Rationale: Assertiveness training can assist clients who are experiencing symptoms of
depression, anxiety, and low self-worth. It may help clients learn how to express their point
of view in a respectful manner. The client and therapist may use role-play to practice verbal
and nonverbal behaviors and improve assertiveness.
Dustin is a 24-year-old who presents for therapy with symptoms of anxiety. He has a remote
position with a large company and rarely meets with colleagues or clients in person. When he
does have an in-person meeting, he states "I feel like an idiot whenever I open my mouth. I'm
always tripping over my words, and I feel so awkward."
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
10. Behavioral rehearsal - ANS ✓Behavioral rehearsal
Rationale: Behavioral rehearsal can assist clients who experience anxiety with social skills or
interactions with others. Rehearsal may be conducted using guided imagery where the client
pictures themselves responding appropriately, or the client and therapist may choose to
explore a behavioral rehearsal using role-play.
NR 605
, 4
NR
Corinne is a 46-year-old who presents for therapy with symptoms of depression. The
therapist recommends that Corinne read Cognitive Behavioral Therapy in 7 Weeks by Dr.
Seth J. Gillihan between sessions.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
11. Behavioral rehearsal - ANS ✓Bibliotherapy
Rationale: CBT therapists may prescribe specific readings or self-help books related to the
client's condition as an adjunct to in-session work.
Tina is a 52-year-old who presents with depression and obesity. She has struggled with her
weight for the last several years. The therapist implements a series of rewards when Tina
adheres to treatment goals.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
12. Behavioral rehearsal - ANS ✓Contingency management
Rationale: Contingency management reinforces or rewards positive behavioral changes. The
client and therapist can work together to identify appropriate rewards; for instance, Tina may
choose to reward herself for maintaining an exercise regimen by scheduling a relaxation
massage.
Amina is a 40-year-old who presents for therapy. She reports that she has felt "depressed"
most of her life but never sought mental health services. She discloses that she was a victim
of childhood incest and neither reported the abuse nor discussed it with anyone before this
time. She feels that the time is right to do therapy. The psychiatric mental health nurse
practitioner (PMHNP) selects solution-focused therapy (SFT) to create a warm and
supportive climate in which the client can identify her resources to create a shift from the past
to the present, integrate her memories, and empower herself beyond her victimization.
Which of the following provider statements or question prompts are congruent with SFT?
Select all that apply.
"What needs to happen today so that when you leave, you'll think this was a good session?"
13. "I can see that things have been difficult for you. How have you managed to
carry on and preve - ANS ✓"What needs to happen today so that when you leave,
you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and
prevent things from becoming worse?"
NR 605
NR
NR 605/ NR605 FINAL EXAM: (NEW 2025/ 2026
UPDATE) DIAGNOSIS & MANAGEMENT IN PMH ACROSS
THE LIFESPAN I REVIEW| QUESTIONS & ANSWERS| GRADE
A| 100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN
1. Behavioral theory - ANS ✓-Personality is a result of the interaction between an ind.
and their environment.
-focus on observable and measurable behavior
-Skinner
• associated with the concept of operant conditioning, using rewards and punishments to
increase or decrease a behavior
-Pavlov
• Russian Physiologist, father of behaviorism, associated with classical conditioning, Pavlov
dog,
2. Cognitive theory - ANS ✓-Study of mental processes and complex behaviors
-Albert Bandura combines concepts of observing, thinking, and behaving.
-Tying external behaviors in with internal mental processes that facilitate them
• learning, memory, language development, mental problem solving.
3. Cognitive Distortions - ANS ✓-faulty, exaggerated, or irrational thinking patterns
• cause ind's to inaccurately perceive reality
• lead to (-) emotions & psychopathological states, including depression & anxiety
4. common cognitive distortions - ANS ✓-Should statement
• "I shouldn't yell at my kids. I should always be able to keep my temper. I'm the adult here."
-All-or-nothing thinking
• "I got an A- on the biology exam! I never get below an A. I am such a complete failure!"
-Catastrophizing
• "I know my relationship is in trouble. If my girlfriend leaves, I know I'll never find someone
else and will be alone forever."
-Filtering
• "I just read my student evaluations for the term. While they're almost all positive, one
student felt that I was insensitive and never responded promptly even though I answered
every email within 24 hours. I'm a terrible teacher."
NR 605
, 2
NR
-Overgeneralization
• "Every single time I work the night shift at the hospital, they always give me the worst
assignments! It's always a nightmare!"
-Mind reading
• "I was at lunch with my friend today. She kept looking at her phone the whole time. I just
know she didn't want to be there and is bored with our friendship."
-Emotional reasoning
• "I started a diet on Monday and was doing well until they brought in pizza for lunch on
Thursday. I feel like I'll never be able to succeed at this, so I'm giving up."
5. Cognitive Techniques for Stabilization - ANS ✓-Socratic dialogue (SD)
-Decatastrophizing
6. Socratic dialogue (SD) - ANS ✓-hallmark of CBT
-helps facilitate guided discovery
-therapist guides the client through a series of questions & answers to draw out the client's
automatic thoughts & assumptions
• collaboratively examine the logic underlying the assumptions
• ID thought processes that may be creating problems
-can be used to:
• facilitate cognitive reappraisal
• information processing
• emotional regulation
• support tx processes
7. Socratic questions - ANS ✓-Socratic questions
• What is the evidence your belief is true?
• What is the evidence your belief is not true?
-Alternative Explanation Socratic Questions
• Is there another point of view?
• Are you paying attention to only one aspect of the situation?
• Are you misinterpreting the evidence?
• Are you making assumptions?
-Impact of the automatic thought Socratic Question
• What is the effect of believing "If I'm not perfect then I'm a failure?"
-Distancing Socratic Question
• What would you advise a friend who told you something similar?
-Problem solving Socratic Question
• What would be good to do now?
• What would you like to do about this situation?
NR 605
, 3
NR
8. Decatastrophizing - ANS ✓-Catastrophic thinking
• common for clients with anxiety
• focusing on most (-) outcome of a situation
-Decatastrophizing
• cognitive restructuring technique
• used to explore fears
• help challenge catastrophic thinking
-examining the outcome the client considers to be the "worst possible"
• developing a plan of action to address that outcome to decrease anxiety
Valerie is a 34-year-old who presents for therapy with symptoms of anxiety and depressive
disorder. She has been in a relationship with her partner for the past 12 years. She feels like
her partner makes all the decisions in the relationship, and when Valerie's opinions differ, she
does not feel comfortable sharing her thoughts. She states, "If my partner can't figure out
what my needs are after so many years, I don't know how we can save this relationship."
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
9. Behavioral rehearsal - ANS ✓Assertiveness training
Rationale: Assertiveness training can assist clients who are experiencing symptoms of
depression, anxiety, and low self-worth. It may help clients learn how to express their point
of view in a respectful manner. The client and therapist may use role-play to practice verbal
and nonverbal behaviors and improve assertiveness.
Dustin is a 24-year-old who presents for therapy with symptoms of anxiety. He has a remote
position with a large company and rarely meets with colleagues or clients in person. When he
does have an in-person meeting, he states "I feel like an idiot whenever I open my mouth. I'm
always tripping over my words, and I feel so awkward."
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
10. Behavioral rehearsal - ANS ✓Behavioral rehearsal
Rationale: Behavioral rehearsal can assist clients who experience anxiety with social skills or
interactions with others. Rehearsal may be conducted using guided imagery where the client
pictures themselves responding appropriately, or the client and therapist may choose to
explore a behavioral rehearsal using role-play.
NR 605
, 4
NR
Corinne is a 46-year-old who presents for therapy with symptoms of depression. The
therapist recommends that Corinne read Cognitive Behavioral Therapy in 7 Weeks by Dr.
Seth J. Gillihan between sessions.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
11. Behavioral rehearsal - ANS ✓Bibliotherapy
Rationale: CBT therapists may prescribe specific readings or self-help books related to the
client's condition as an adjunct to in-session work.
Tina is a 52-year-old who presents with depression and obesity. She has struggled with her
weight for the last several years. The therapist implements a series of rewards when Tina
adheres to treatment goals.
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
12. Behavioral rehearsal - ANS ✓Contingency management
Rationale: Contingency management reinforces or rewards positive behavioral changes. The
client and therapist can work together to identify appropriate rewards; for instance, Tina may
choose to reward herself for maintaining an exercise regimen by scheduling a relaxation
massage.
Amina is a 40-year-old who presents for therapy. She reports that she has felt "depressed"
most of her life but never sought mental health services. She discloses that she was a victim
of childhood incest and neither reported the abuse nor discussed it with anyone before this
time. She feels that the time is right to do therapy. The psychiatric mental health nurse
practitioner (PMHNP) selects solution-focused therapy (SFT) to create a warm and
supportive climate in which the client can identify her resources to create a shift from the past
to the present, integrate her memories, and empower herself beyond her victimization.
Which of the following provider statements or question prompts are congruent with SFT?
Select all that apply.
"What needs to happen today so that when you leave, you'll think this was a good session?"
13. "I can see that things have been difficult for you. How have you managed to
carry on and preve - ANS ✓"What needs to happen today so that when you leave,
you'll think this was a good session?"
"I can see that things have been difficult for you. How have you managed to carry on and
prevent things from becoming worse?"
NR 605
