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NR 605 Exam Study Guide 1,2,3, Exams of Health sciences

NR 605 Exam Study Guide 1,2,3 Foundations of Foundations and Principles psychotherapy • Appropriate application of types of referrals discussed in the explore section Know coding information. • What each number means in a code for example- what type of visit is a 99214? How does this differ from a 99204? • Know what each particular number placement relates to- new, established, management level, etc. Reimbursement • Requirements for payment • When are fees established? Transtheoretical Model

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2023/2024

Available from 01/24/2024

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NR605 Study Guide
1.23 CCK
WK TOPICS
1Foundations of Foundations and Principles
psychotherapy Appropriate application of types of referrals discussed in the explore section
Know coding information.
What each number means in a code for example- what type of visit is a
99214? How does this differ from a 99204?
Know what each particular number placement relates to- new,
established, management level, etc.
Reimbursement
Requirements for payment
When are fees established?
Transtheoretical Model of Change
Constructs
Stages
Holistic Model of Care
Cornerston
es Health Belief
Model
Constructs – be able to identify or apply each construct to a clinical scenario
Maslow Hierarchy of Needs
know levels
identify levels in a clinical situation
Therapy:
Components of the therapy contract- what are the necessary components?
Be able to select the best candidate for a type of therapy- review the criteria
and be
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WK TOPICS

1 Foundations of Foundations and Principles psychotherapy • Appropriate application of types of referrals discussed in the explore section Know coding information.

  • What each number means in a code for example- what type of visit is a 99214? How does this differ from a 99204?
  • Know what each particular number placement relates to- new, established, management level, etc. Reimbursement
  • Requirements for payment
  • When are fees established? Transtheoretical Model of Change
  • Constructs
  • Stages Holistic Model of Care
  • Cornerston es Health Belief Model
  • Constructs – be able to identify or apply each construct to a clinical scenario Maslow Hierarchy of Needs
  • know levels
  • identify levels in a clinical situation Therapy:
  • Components of the therapy contract- what are the necessary components?
  • Be able to select the best candidate for a type of therapy- review the criteria and be

prepared to identify/apply to a clinical scenario

  • Know the techniques associated with each type of therapy (reflection, encouragement, advice giving, empathic listening). Be prepared to identify/apply to a clinical scenario
  • Know the average length of time a client engages in each type of therapy Key Points
  • PMHNPs provide a unique, full-spectrum approach to psychiatric care including psychotherapy and medication management.
  • Goals of psychotherapy include symptom reduction, improvement in functioning, relapse prevention, empowerment, and achievement of collaborative goals set by the client and therapist.
  • In psychotherapy, the relationship between the client and therapist is foundational to holistic healing.
  • Maslow’s hierarchy of needs provides a framework for understanding client motivation.
  • The Health Belief Model and the Transtheoretical Model of Change address how clients may approach changes in health behaviors.
  • The PMHNP should select an approach to psychotherapy based on the client’s needs, past traumas, support systems, and resources.
  • Stabilization must occur before clients can process adverse life events.
  • Culture impacts the ways psychological symptoms are expressed and interpreted and how the client and therapist interact.
  • Documentation requirements include the use of a standard format of chief complaint, history of present illness, review of systems, past psychiatric history, mental status exam, diagnostic formulation, and treatment plan.
  • Clinical procedural terminology (CPT) codes are standardized codes used by medical professionals to communicate services completed to Medicare and insurance companies for reimbursement.
  • The PMHNP may engage in interprofessional collaboration or serve on interdisciplinary teams with providers from other disciplines to ensure that clients’ holistic needs are met.

outcomes due to a variety of factors. 2 Therapy Phases & Legal/Ethical Considerations 3 Therapeutic Alliance & Therapy phases

  • Know each phase and what is most likely to occur in each phase
  • Setting boundaries
  • Grounds for termination Psychotherapy setting considerations Documentation requirements Safety plans
  • Legal components
  • Protective factors- be able to identify in a clinical scenario
  • Safety assessment
  • Suicide contract Legal requirements of disclosure
  • Know the components/situations that require disclosure Psychodynamic Therapy Therapeutic Alliance
  • Techniques for building alliance
  • Communication techniques Therapy:
  • Components of the therapy contract
  • Be able to select the best candidate for a type of therapy
  • Know the techniques associated with each type of therapy
  • Be able to identify a technique in a clinical scenario
  • Know the average length of time a client engages in each type of therapy

Defense mechanisms

  • Select the appropriate defense mechanism in a provided scenario
  • Define a defense mechanism Transference
  • Types of transference
  • Definition
  • Usefulness in therapy Theorists and their theories
  • if given a description of the theory, can you identify the theorist?
  • Know the constructs /essential components/stages of the theories
  • Know the focus of each discussed theory Freud- Psychoanalytic psychotherapy Peplau- review roles associate with Peplau Bowlby 4 Individual Therapy- humanistic approaches & Interpersonal 5 Individual Therapy- CBT,ACT, solution focused

& MI

Cognitive Behavioral therapy (CBT) Exposure therapy Acceptance and Commitment Therapy (ACT) Motivational Interviewing (including change phases) OARS: Open Questions, Affirming, Reflecting, and Summarizing Solution Focused therapy Which nursing theory aligns closely to CBT? Who is the nurse theorist? Be able to apply the following cognitive distortions all-or-nothing thinking should statement overgeneralizatio n mind reading filtering emotional reasoning catastrophizing 6 Group therapy Know which clients are appropriate/not appropriate for group therapy.

  • Which diagnoses/clients would not benefit from or are potentially disruptive to group therapy? Principles of group therapy Group therapy
  • Phases (You will be asked to select the correct phase for a specific clinical scenario)
  • Purpose of each type. (You will be asked to select the most appropriate therapy for a specific clinical scenario) o support group o psychoeducational group o self-help group o acute inpatient therapy group o family systems therapy

o family structural therapy

Parent management training Legal and Ethical- HIPAA for children in therapy Elder abuse, types of offenders Reminiscence therapy