COMPLETE QUESTIONS AND DETAILED CORRECT
ANSWERS ACTUAL REAL EXAM WITH
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NR 605
Pass the NR 605 final exam 2025/2026 with confidence. This exam resource
features questions in areas like: pathophysiology, organ system disorders,
and clinical implications. This study guide is perfect for MSN, DNP, and
nurse practitioner students preparing for exams and clinical practice.
cognitive-behavioral therapy...... ANSWER ......-focus on how well
individuals can adapt cognitively and functionally to their
environments
-short-term, structured, goal-oriented form of psychotherapy
-stresses necessity of challenging maladaptive thoughts that lead to
behavioral problems
-first emerged in 1955
-most widely practiced psychotherapy
-help clients recognize and address cognitive distortions
Rationale:
• by Albert Ellis, widely known as the grandfather of cognitive behavior
therapy
-Beck
, • originally trained in psychoanalysis, pioneered cognitive therapy in the
1960s, through his research on depression
• also developed the popular Depression Inventory instrument
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CBT Relationship to Nursing Theory...... ANSWER ......-Orem's self-
care deficit nursing theory
Rationale:
• provides a framework to view CBT as a supportive intervention
• fosters effective self-care behaviors
-Roy's Adaptation Theory
• premise that individuals use coping mechanisms to adapt to stimuli,
both internal and external
• share underpinnings with CBT.
Indications for CBT...... ANSWER ......-treatment of a wide range of
diagnoses
Rationale:
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
, Principles of CBT include:...... ANSWER ......-way an ind cognitively
structures thoughts about self & the world determines how the ind
feels & behaves
Page | 3 -Dysfunctional thoughts are rooted in irrational assumptions
-Dysfunctional thinking and learned patterns of maladaptive behavior
contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve symptoms
& improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
Role of the Psychotherapist in CBT...... ANSWER ......-using a
structured, collaborative approach to help clients recognize and
reevaluate cognitive distortions
-help clients:
Rationale:
• better understand the behaviors of others
• develop improved coping skills
-Psychoeducation
-Homework
• to help clients reinforce & build on what was learned during the therapy
session
motivational interviewing (MI)...... ANSWER ......-helps individuals
prepare for change
, -person-centered, evidence-based approach to behavior change
-using a collaborative, goal-oriented communication style
-empowers clients to draw on their meanings & capacities to facilitate
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change
Rationale:
• addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical practice working with clients
with substance use disorders in the 1980s
• collaborated with Stephen Rollnick to write book: Motivational
interviewing
Indications for MI...... ANSWER ......-reduction of substance use and
health promotion
-improving medication adherence in clients with schizophrenia
MI Guiding Principles...... ANSWER ......-acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
Rationale:
• Partnership, compassion, acceptance, evocation