NR 605/ NR605 FINAL EXAM REVIEW COVERED QS & ANS (LATEST
): DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC-MENTAL
HEALTH ACROSS THE LIFESPAN I PRACTICUM (VERIFIED ANSWERS)
What are the core processes of acceptance and commitment therapy? - ANSWER-Cognitive
Defusion
Acceptance
Present Moment Awareness
Self-as-Context
Values Clarification
Committed Action
What three areas does acceptance and commitment therapy focus on? - ANSWER-(a) accept
your reactions and be present;
(b) choose a valued direction; and
(c) take action
What does acceptance and commitment therapy help the client do? - ANSWER-helps the
person to accept undesirable thoughts and feelings, while behaving in a manner that is
congruent with his or her values and goals
What are clients taught in acceptance and commitment therapy? - ANSWER-Patients are taught
to observe and mindfully watch their thoughts while they fully feel their feelings, rather than
trying to change them. They are next taught to focus on overt actions that will move them in
valued directions
Who founded motivational interviewing? - ANSWER-William R. Miller in collaboration with
Stephan Rollnick
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When is motivational interviewing indicated? - ANSWER-reduction of substance use and health
promotion
shown efficacy in improving medication adherence in clients with schizophrenia
What are the guiding principles of motivational interviewing? - ANSWER-acceptance, empathy,
compassion, respect of client autonomy, and acknowledgment of the client's strengths and
efforts
What is the role of the therapist in motivational interviewing? - ANSWER-help draw out the
client's internal capacity for change.
Core principles/role of psychotherapist in motivational interviewing (RULE) - ANSWER-R: Resist
the righting reflex.
U: Understand and explore the client's motivations.
L: Listen with empathy.
E: Empower the client.
Tell me about the "R" in RULE in motivational interviewing - ANSWER-Resist the righting reflex:
Resist the urge to educate or correct patient perceptions about decisions that may not appear
to be in their best interest; instead, explore the values behind their decisions.
Tell me about the "U" in RULE in motivational interviewing - ANSWER-Understand the patient's
motivation: Approach patients with open-mindedness and curiosity about their individual
experiences and motivations.
Tell me about the "L" in RULE in motivational interviewing - ANSWER-Listen to the patient:
Create safe environments in which patients and families feel accepted and free to express their
emotions and beliefs.
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Tell me about the "E" in RULE in motivational interviewing - ANSWER-Empower the patient:
Empower patients and family members in the decision-making process.
Tell me about communication skills in motivational interviewing (OARS) - ANSWER-O: Open-
ended questions.
A: Affirmations to encourage self-efficacy.
R: Reflective listening to show understanding.
S: Summarizing key points to ensure clarity.
Tell me about the "O" in OARS in motivational interviewing - ANSWER-Open questions are
questions that cannot be answered with a yes or no answer but require elaboration by the
client.
Tell me about the "A" in OARS in motivational interviewing - ANSWER-Affirmations provide
encouragement and are positive comments on a client's strengths or efforts.
Tell me about the "R" in OARS in motivational interviewing - ANSWER-Reflections mirror the
content or feelings explicitly or implicitly stated by the client. Reflections convey empathy and
demonstrate listening, highlight emotions and beliefs, and provide opportunities for the client
to elaborate on their concerns. Reflective statements empower clients to take control of the
conversation. It is recommended to use at least two reflections for every question.
Tell me about the "S" in OARS in motivational interviewing - ANSWER-Summaries are a set of
reflections presented to the client that links together what has been stated to help the client
organize their experiences. A summary statement often ends with a question to confirm
accuracy and can be used to make the transition from exploration to information-giving and
decision-making.
What are the phases of the change process in motivational interviewing? - ANSWER-
engagement, focusing, evoking, and planning
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Tell me about engagement in the phases of change process of motivational interviewing -
ANSWER-establishment of trust and a helping relationship between the therapist and client,
commonly uses reflections that communicate understanding
Tell me about focusing in the phases of change process of motivational interviewing - ANSWER-
identification of the direction or target of the change, commonly uses open-ended questions to
elicit information, narrow the focus, and prioritize options
Tell me about evoking in the phases of change process of motivational interviewing - ANSWER-
identifying the client's motivation for change and evoking hope, commonly uses reflections and
summaries
Tell me about planning in the phases of change process of motivational interviewing - ANSWER-
creating a plan for change
Tell me about solution focused psychotherapy - ANSWER-objective realities do not exist
independent of observational processes, meaning, there is no single, universal truth to explain
human behavior. Instead, the postmodern view posits that reality is shaped by multiple and
conflicting "truths" and constructed through human interaction. This emphasis on the social
construction of reality underscores the belief that there are as many stories of meaning as there
are people involved; furthermore, each of these stories is true for the person telling it.
What is the fourth force of psychotherapy? - ANSWER-transpersonal, going beyond the ideas of
humanness, identity, and self-actualization Unlike the first three forces, the fourth force in
psychotherapy was never confined to one theoretical model that underpinned a single
psychotherapeutic approach; rather, several approaches provided a more expansive way of
providing therapy across other theoretical models
Who is the grandfather of cognitive behavior therapy? Who else contributed to it? - ANSWER-
Albert Ellis
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