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

Activate LearningHealth 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

Typology: Exams

2023/2024

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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