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NR605 Final Exam (2025/2026) | Complete Questions and Verified 100% Correct Solutions

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This document provides the NR605 Final Exam with complete, verified, and 100% accurate questions and answers, fully updated for the 2025/2026 academic year. It covers essential topics in Advanced Physical Assessment and Diagnostic Reasoning, including patient evaluation, differential diagnosis, clinical decision-making, and evidence-based practice. Designed for nurse practitioner students seeking a trusted and comprehensive study resource to prepare for their final assessment.

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NR605 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED 100% RATED
cognitive-behavioral therapy

-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

• 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

CBT Relationship to Nursing Theory

,-Orem's self-care deficit nursing theory

• 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

-treatment of a wide range of diagnoses

• depression

• anxiety disorders

• substance use disorders

• eating disorders

• severe mental illness

• PTSD

Principles of CBT include:

-way an ind cognitively structures thoughts about self & the world determines how the

ind feels & behaves

,-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

-using a structured, collaborative approach to help clients recognize and reevaluate

cognitive distortions

-help clients:

• 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)

-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 change

• 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

-reduction of substance use and health promotion

-improving medication adherence in clients with schizophrenia

MI Guiding Principles

-acceptance

-empathy

-compassion

-respect of client autonomy

-acknowledgment of the client's strengths & efforts

-Spirit of MI

• Partnership, compassion, acceptance, evocation

MI Role of the Psychotherapist

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