1
NR 605 MIDTERM EXAM NEWEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
Maslow's Hierarchy of Needs
framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and
belonging, and esteem) are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need (B-
need)
• Once D-needs are met, clients can focus on self-actualization and personal
growth
• As the B-need is met, motivation for further growth increases
self-actualized person
is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
Maslow's Hierarchy of Needs Pyramid
TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts
Methods of Collaboration
Intraprofessional Collaboration
, 2
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
common goals, role ambiguity, generational differences, and lack of
undergraduate nursing education on intraprofessional practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with others to ensure
care is delivered safely
• Potential barrier: lack of training
Role of PMHNPs in Psychotherapy
-unique, full-spectrum approach
-may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency department,
inpatient, and outpatient settings
Holistic Paradigm of Healing
-holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and therapist
• Emotional connection in the relationship is critical to the success of
psychotherapy
, 3
• PMHNP approaches the nurse-client relationship with acceptance, empathy,
patience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and disharmony in
the present moment
• achieves acceptance of the present, they may be able to let go of resistance,
relax, and release fears
Theoretical Models in Psychotherapy
Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the family, and of
health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
Health Belief Model
-used to explain and predict health behaviors
, 4
-a 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
Transtheoretical Model of Change
assumes that behavior changes take place over time and that people move
through stages of decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
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.
NR 605 MIDTERM EXAM NEWEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
Maslow's Hierarchy of Needs
framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and
belonging, and esteem) are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need (B-
need)
• Once D-needs are met, clients can focus on self-actualization and personal
growth
• As the B-need is met, motivation for further growth increases
self-actualized person
is self-fulfilled
-Qualities exhibited by the self-actualized person include independence,
autonomy, creativity, and maturity
Maslow's Hierarchy of Needs Pyramid
TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts
Methods of Collaboration
Intraprofessional Collaboration
, 2
-the interaction and efforts between two disciplines with the same profession
• Potential barriers: tension, large team size, high turnover, lack of familiarity and
common goals, role ambiguity, generational differences, and lack of
undergraduate nursing education on intraprofessional practice.
Transprofessional Collaboration
-includes communication with various disciplines: physicians,
physical/occupational therapy, and social services, along with others to ensure
care is delivered safely
• Potential barrier: lack of training
Role of PMHNPs in Psychotherapy
-unique, full-spectrum approach
-may provide psychotherapy in addition to prescribing medications
-providing client and family education
-coordinating care and referrals as a part of the treatment plan
-provide psychotherapy in a variety of ambulatory, emergency department,
inpatient, and outpatient settings
Holistic Paradigm of Healing
-holistic model of care with a focus on healing
-Holistic therapy respects the complexity of each unique individual
• appreciating the relationship between the client's mind, body, and spirit
• recognizing the interdependence of all parts of the human system
-Foundational to healing is the relationship between the client and therapist
• Emotional connection in the relationship is critical to the success of
psychotherapy
, 3
• PMHNP approaches the nurse-client relationship with acceptance, empathy,
patience, and kindness to create a space for healing
-psychotherapy can help the individual accept dysregulation and disharmony in
the present moment
• achieves acceptance of the present, they may be able to let go of resistance,
relax, and release fears
Theoretical Models in Psychotherapy
Maslow's Hierarchy of Needs
Health Belief Model
Transtheoretical Model of Change
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the family, and of
health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
Health Belief Model
-used to explain and predict health behaviors
, 4
-a 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
Transtheoretical Model of Change
assumes that behavior changes take place over time and that people move
through stages of decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
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.
