Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT
IN PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN
PRACTICUM NEWEST 2025 COMPLETE 150 QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Mateo is a 19-year-old transgender male who presents for therapy. He states that his gender
identity is incongruent with his sex assigned at birth. He has transitioned to dressing as a man,
goes by Mateo, his chosen name, and uses he/him pronouns at school and home. He states that
he becomes very angry when people use his "dead" name or wrong pronoun. He states that he
tries to correct the person, but he gets very frustrated when he must correct the same person
repeatedly. The psychiatric mental - ANSWER-"It's ok if you are angry when people use your
dead name."
"I accept your gender identity and I understand that it is difficult when you interact with people
who don't accept who you are."
"It sounds like when people repeatedly use your dead name, you feel like they do not respect
you."
Rationale: Accurate empathic understanding helps the client to value their experiencing and
increase their confidence in pursuing a course of action. The therapist can express genuineness,
or congruence, towards the client. As the psychotherapist openly expresses feelings, thoughts,
and reactions with the client, trust will be generated, and therapy will occur. During client-
centered therapy, the therapist should refrain from offering extensive advice and allow the
client to drive the therapy session but may paraphrase the client's statements and repeat them
to help the client clarify feelings and actions.
Josefina is a 24-year-old who presents for therapy. She reports she had been working as an
exotic dancer to earn money. She endorses a long history of sexual promiscuity that started
around age 13 when she experimented with sex with neighborhood boys. Since then, she has
1|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
had serial relationships that leave her feeling abandoned. She recently got a job as a waitress
and wants a "clean" start on her life. The psychiatric mental health nurse practitioner (PMHNP)
selects a Gestalt approach to help J - ANSWER-"As you tell me your story, what are you
experiencing?"
"I noticed when you told me the story of your childhood sexual activity, your eyes began
blinking. Can you give a voice to your blinking eyes?"
"Would you agree to an experiment where you imagine each part of yourself in an empty
chair?"
"Would you be willing to say, 'I am finding it so difficult to find a partner?'"
Rationale: Gestalt psychotherapy promotes understanding of the present experience rather
than discussing situations in the abstract or focusing on the content of what the client reveals.
Gestalt techniques are used to increase client awareness of what they are doing and how they
are doing it. The statements: "What needs to happen today so that when you leave, you'll think
this was a good session?" and "Was there ever a time when you felt happy in a relationship?"
focus on content and finding solutions rather than the present experience.
Daniela is a 35-year-old who presents with symptoms of apathy, sadness, and irritation. She
states that she and her husband have been arguing for months about the division of labor
associated with household tasks. Both Daniela and her husband work full time, but she states
she "takes on the lion's share" of the work. She feels fed up and misunderstood.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition - ANSWER-Role dispute
2|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
Rationale: Role disputes occur in marital, family, social, and work settings when individuals have
different expectations of a situation. The conflict leads to significant distress in at least one of
the individuals.
Peg is a 46-year-old teacher and mother of one. She presents with symptoms of sadness and
anger after learning that her husband of 15 years is gay and is planning to move across the
country to live with a partner, leaving her to raise their daughter alone.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition - ANSWER-Role transition
Rationale: Role transitions require an adaptation in life circumstances, often from adjustments
in work, social settings, or after major life events such as parenthood, marriage, or divorce. The
transitions are experienced as a form of loss for those who develop depression.
Tomas is a 27-year-old computer programmer who presents with symptoms of major depressive
disorder. He states that he feels lonely and has never been able to form close friendships. He
occasionally goes to happy hour after work with colleagues but has not been able to establish
connections with any of them. He has had a robust sex life, but he struggles to maintain
relationships with women longer than a few months.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
3|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
In - ANSWER-Interpersonal deficit
Rationale: Interpersonal deficits are noted when clients lack lasting relationships, have difficulty
making friends, or have poor quality relationships.
Claire is a 30-year-old nurse who presents with symptoms of distress and sadness. Several years
ago, she became involved in a relationship with a colleague. One night as she was watching the
news, she saw that he and his family had been killed in a car accident. Until that point, she had
not been aware that he was married with children. She is struggling to move on to a new
relationship.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role tra - ANSWER-Grief
Rationale: Grief involves a loss through death. Clients may present for therapy due to normal,
complicated, or delayed grieving.
Psychotherapy - ANSWER--nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family therapists,
counselors, and PMHNPs
4|Page
Across Lifespan Practicum
NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT
IN PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN
PRACTICUM NEWEST 2025 COMPLETE 150 QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Mateo is a 19-year-old transgender male who presents for therapy. He states that his gender
identity is incongruent with his sex assigned at birth. He has transitioned to dressing as a man,
goes by Mateo, his chosen name, and uses he/him pronouns at school and home. He states that
he becomes very angry when people use his "dead" name or wrong pronoun. He states that he
tries to correct the person, but he gets very frustrated when he must correct the same person
repeatedly. The psychiatric mental - ANSWER-"It's ok if you are angry when people use your
dead name."
"I accept your gender identity and I understand that it is difficult when you interact with people
who don't accept who you are."
"It sounds like when people repeatedly use your dead name, you feel like they do not respect
you."
Rationale: Accurate empathic understanding helps the client to value their experiencing and
increase their confidence in pursuing a course of action. The therapist can express genuineness,
or congruence, towards the client. As the psychotherapist openly expresses feelings, thoughts,
and reactions with the client, trust will be generated, and therapy will occur. During client-
centered therapy, the therapist should refrain from offering extensive advice and allow the
client to drive the therapy session but may paraphrase the client's statements and repeat them
to help the client clarify feelings and actions.
Josefina is a 24-year-old who presents for therapy. She reports she had been working as an
exotic dancer to earn money. She endorses a long history of sexual promiscuity that started
around age 13 when she experimented with sex with neighborhood boys. Since then, she has
1|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
had serial relationships that leave her feeling abandoned. She recently got a job as a waitress
and wants a "clean" start on her life. The psychiatric mental health nurse practitioner (PMHNP)
selects a Gestalt approach to help J - ANSWER-"As you tell me your story, what are you
experiencing?"
"I noticed when you told me the story of your childhood sexual activity, your eyes began
blinking. Can you give a voice to your blinking eyes?"
"Would you agree to an experiment where you imagine each part of yourself in an empty
chair?"
"Would you be willing to say, 'I am finding it so difficult to find a partner?'"
Rationale: Gestalt psychotherapy promotes understanding of the present experience rather
than discussing situations in the abstract or focusing on the content of what the client reveals.
Gestalt techniques are used to increase client awareness of what they are doing and how they
are doing it. The statements: "What needs to happen today so that when you leave, you'll think
this was a good session?" and "Was there ever a time when you felt happy in a relationship?"
focus on content and finding solutions rather than the present experience.
Daniela is a 35-year-old who presents with symptoms of apathy, sadness, and irritation. She
states that she and her husband have been arguing for months about the division of labor
associated with household tasks. Both Daniela and her husband work full time, but she states
she "takes on the lion's share" of the work. She feels fed up and misunderstood.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition - ANSWER-Role dispute
2|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
Rationale: Role disputes occur in marital, family, social, and work settings when individuals have
different expectations of a situation. The conflict leads to significant distress in at least one of
the individuals.
Peg is a 46-year-old teacher and mother of one. She presents with symptoms of sadness and
anger after learning that her husband of 15 years is gay and is planning to move across the
country to live with a partner, leaving her to raise their daughter alone.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role transition - ANSWER-Role transition
Rationale: Role transitions require an adaptation in life circumstances, often from adjustments
in work, social settings, or after major life events such as parenthood, marriage, or divorce. The
transitions are experienced as a form of loss for those who develop depression.
Tomas is a 27-year-old computer programmer who presents with symptoms of major depressive
disorder. He states that he feels lonely and has never been able to form close friendships. He
occasionally goes to happy hour after work with colleagues but has not been able to establish
connections with any of them. He has had a robust sex life, but he struggles to maintain
relationships with women longer than a few months.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
3|Page
, Nr 605 Midterm Exam /Nr 605 Diagnosis & Management In Psychiatric Mental Health
Across Lifespan Practicum
In - ANSWER-Interpersonal deficit
Rationale: Interpersonal deficits are noted when clients lack lasting relationships, have difficulty
making friends, or have poor quality relationships.
Claire is a 30-year-old nurse who presents with symptoms of distress and sadness. Several years
ago, she became involved in a relationship with a colleague. One night as she was watching the
news, she saw that he and his family had been killed in a car accident. Until that point, she had
not been aware that he was married with children. She is struggling to move on to a new
relationship.
Which interpersonal problem area best fits this situation?
Grief
Role dispute
Interpersonal deficit
Role tra - ANSWER-Grief
Rationale: Grief involves a loss through death. Clients may present for therapy due to normal,
complicated, or delayed grieving.
Psychotherapy - ANSWER--nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family therapists,
counselors, and PMHNPs
4|Page
