NR668 WEEK 2 EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

NR668 WEEK 2 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025

 Theoretical models in psychotherapy - CORRECT-ANSWERS-Maslow's Hierarchy of
Needs
 -Health Belief Model
 -Transtheoretical Model of Change
 Maslow's Hierarchy of Needs - CORRECT-ANSWERS-Abraham Maslow theorized that
all individuals have the same basic needs
 -provides a framework for understanding client motivation
 -first four levels of need in the hierarchy
• physiological needs, safety, love & belonging, esteem
• deficiency needs (D-needs)
• Motivation decreases once D-needs are met
 -highest level of need
• self-actualization
• considered a growth or being need (B-need)
 -Once D-needs are met, clients can focus on self-actualization and personal growth
 -A self-actualized person is self-fulfilled.
 Qualities exhibited by the self-actualized person include: - CORRECT-
ANSWERSindependence, autonomy, creativity, and maturity
 Ed is a 32-year-old client who is beginning psychotherapy with the PMHNP. During the
interview, Ed shares that he has been unemployed for the past 6 months due to
consolidation at his former place of employment. Since then, he reports that he has had
difficulty sleeping due to worries about what he should do. His wife has a full-time job
with health benefits and has been supportive of him taking time to find the ideal position
while he is collecting unemployment; however, his unemployment will run out in a few
months. He would love to find a position that would allow him to use his artistic talents
but expresses a lack of self-confidence in his ability to succeed in a new position. Ed
reports that he has felt somewhat isolated now that he doesn't see his friends at work.

, The PMHNP has identified needs for Ed at all levels of Maslow's hierarchy. Drag the
client's concern to the appropriate level of the hierarchy - CORRECT-
ANSWERSPhysiological: difficulty sleeping
 Safety: unemployment
 Love/belonging: isolation
 Esteem: lack of self-confidence
 Self-actualization: the need for creativity
 The client expresses that his goal is to focus on improving his self-confidence. Based on
Maslow's hierarchy of needs, is Ed likely to be prepared to explore his lack of self-
confidence?


 Yes
 No - CORRECT-ANSWERSNo


 Rationale: Because Ed has unmet needs at the physiological, safety, and love/belonging
levels of the hierarchy, he may not yet be prepared to explore self-confidence. The
PMHNP may need to help the client address more foundational needs as part of the initial
therapy before helping him focus on improving his confidence.
 Health Belief Model - CORRECT-ANSWERS-used to explain and predict health
behaviors
 -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
 Health Belief Model Constructs: Perceived susceptibility - CORRECT-ANSWERSclients
must believe they are susceptible to the condition

, Health Belief Model Constructs: Perceived severity - CORRECT-ANSWERSclients must
believe the condition has serious consequences if left unattended
 Health Belief Model Constructs: Perceived benefits - CORRECT-ANSWERSclients must
believe that taking action reduces their susceptibility
 Health Belief Model Constructs: Perceived barriers - CORRECT-ANSWERSclients must
believe that the benefits of acting are greater than the barriers perceived
 Health Belief Model Constructs: Cue to action - CORRECT-ANSWERSclients are
exposed to something that causes them to act, such as an ad or discussion with a provider
 Health Belief Model Constructs: Self-efficacy - CORRECT-ANSWERSclients feel they
can succeed when performing an action
 Transtheoretical Model of Change - CORRECT-ANSWERS-assumes that behavior
changes take place over time & that people move through stages of decision-making to
make changes to behavior
 -five stages
 precontemplation
• not aware or interested in change
 contemplation
• begin thinking about change
 preparation
• plan for change
 action
• change old habits and gain new, healthier habits
 maintenance
• continue with healthier behaviors
 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 being overweight.
 -Help Nancy create a list of non-food rewards. - CORRECT-ANSWERSAsk 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.
 Freud's 5 Stages of Psychosexual Development - CORRECT-ANSWERS-oral phase
• age 0-1


 -anal phase
• age 1-3


 -phallic
• age 3-6
• boy's conflict: rivalry with father (Oedipus complex); desire to poses mother and
fantasize about getting ride of father but know father is stronger and fear being
punished for desire (castration anxiety)


 -latency
• age 7-13
• libido is suppressed, sexual energy sublimed into developing life skills
• superego strengthens, identify with social values, same sex heros & friends.
• no real conflict during this phase


 -genital
• puberty-death