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NR605 Final Exam Latest 2025/2026 Diagnosis & Management in Psychiatric-Mental Health, Exams of Nursing

NR605 Final Exam Latest 2025/2026 Diagnosis & Management in Psychiatric-Mental Health 1. NR605 final exam study guide 2025 2. Chamberlain NR 605 practice questions with rationales 3. Psychiatric-mental health across lifespan exam tips 4. NR605 weeks 5-8 content review for final 5. Verified answers for NR 605 final exam 2026 6. Diagnosis management in psychiatric mental health practicum 7. Chamberlain NR605 final exam question bank 8. Latest update NR 605 exam preparation materials 9. Mental health across lifespan assessment strategies 10. NR605 final exam rationales explained 11. Psychiatric-mental health practicum exam questions 12. Chamberlain NR 605 final exam success tips 13. NR605 diagnosis and management exam review 14. Mental health across lifespan case studies for final 15. Chamberlain NR605 weeks 5-8 exam focus areas 16. NR 605 final exam question types and formats 17. Psychiatric-mental health practicum assessment techniques 18. NR605 final exam study strategies for

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1y/y100
NR 605 Final Exam (Latest Update 2025 / 2026) Diagnosis &
Management in Psychiatric-Mental Health across the Lifespan I
Practicum, Weeks 5 - 8 Covered; Questions and Verified Rationalized
Answers, 100% Correct - Chamberlain
1. cognitive-behavioralytherapy:y-focusyonyhowywellyindividualsycanyadaptycogni-
ytivelyyandyfunctionallyytoytheiryenvironments
-short-term,ystructured,ygoal-orientedyformyofypsychotherapy
-stressesynecessityyofychallengingymaladaptiveythoughtsythatyleadytoybehavioralyproblems
-firstyemergedyiny1955
-mostywidelyypracticedypsychotherapy
-helpyclientsyrecognizeyandyaddressycognitiveydistortions
byyAlbertyEllis,ywidelyyknownyasytheygrandfatheryofycognitiveybehaviorytherapy
-Beck
originallyytrainedyinypsychoanalysis,ypioneeredycognitiveytherapyyinythey1960s,ythroughyhi
syresearchyonydepression
alsoydevelopedytheypopularyDepressionyInventoryyinstrument
2. CBTyRelationshipytoyNursingyTheory:y-Orem'syself-careydeficitynursingytheory
providesyayframeworkytoyviewyCBTyasyaysupportiveyintervention
fostersyeffectiveyself-careybehaviors
-Roy'syAdaptationyTheory
premiseythatyindividualsyuseycopingymechanismsytoyadaptytoystimuli,ybothyinternalyandyexter
nal
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Download NR605 Final Exam Latest 2025/2026 Diagnosis & Management in Psychiatric-Mental Health and more Exams Nursing in PDF only on Docsity!

1 y/y 100

NR 605 Final Exam (Latest Update 202 5 / 202 6 ) Diagnosis &

Management in Psychiatric-Mental Health across the Lifespan I

Practicum, Weeks 5 - 8 Covered; Questions and Verified Rationalized

Answers, 100% Correct - Chamberlain

  1. cognitive-behavioralytherapy:y - focusyonyhowywellyindividualsycanyadaptycogni- ytivelyyandyfunctionallyytoytheiryenvironments
  • short-term,ystructured,ygoal-orientedyformyofypsychotherapy
  • stressesynecessityyofychallengingymaladaptiveythoughtsythatyleadytoybehavioralyproblems
  • firstyemergedyiny 1955
  • mostywidelyypracticedypsychotherapy
  • helpyclientsyrecognizeyandyaddressycognitiveydistortions
  • byyAlbertyEllis,ywidelyyknownyasytheygrandfatheryofycognitiveybehaviorytherapy
  • Beck
  • originallyytrainedyinypsychoanalysis,ypioneeredycognitiveytherapyyinythey1960s,ythroughyhi syresearchyonydepression
  • alsoydevelopedytheypopularyDepressionyInventoryyinstrument
  1. CBTyRelationshipytoyNursingyTheory:y - Orem'syself-careydeficitynursingytheory
  • providesyayframeworkytoyviewyCBTyasyaysupportiveyintervention
  • fostersyeffectiveyself-careybehaviors
  • Roy'syAdaptationyTheory
  • premiseythatyindividualsyuseycopingymechanismsytoyadaptytoystimuli,ybothyinternalyandyexter nal

2 y/y 100

  • shareyunderpinningsywithyCBT.
  1. IndicationsyforyCBT:y - treatmentyofyaywideyrangeyofydiagnoses
  • depression
  • anxietyydisorders
  • substanceyuseydisorders
  • eatingydisorders
  • severeymentalyillness
  • PTSD
  1. PrinciplesyofyCBTyinclude::y - wayyanyindycognitivelyystructuresythoughtsyaboutyselfy&ytheyworldydeterminesyhowytheyindyfeel sy&ybehaves
  • Dysfunctionalythoughtsyareyrootedyinyirrationalyassumptions

Dysfunctionalythinkingyandylearnedypatternsyofymaladaptiveybehaviorycontributeytoypsychological yproblems

  • Ind'sycanylearnymoreyadaptiveybehaviorsywhichycanyrelieveysymptomsy&yimproveyqualityyofylife
  • CBTyisy(+)y&ystressesycollaborationy&yactiveyparticipation
  • CBTyincludesyactionyplansyinytheyformyofytherapyyhomework
  1. RoleyofytheyPsychotherapistyinyCBT:y - usingyaystructured,ycollaborativeyapproachytoyhelpyclientsyrecognizeyandyreevaluateycognitiveydi stortions

4 y/y 100

  1. MIyRoleyofytheyPsychotherapist:y representedybyytheymnemonicyRULE: ResistytheyrightingyreflexyUnderstandythey patient'symotivationyListenytoytheypatient Empowerytheypatient
  2. OARS:y CommunicationyskillsyforyMI:
  • Openyquestions
  • cannotybeyansweredywithyayyesyoryno,yrequireyelaboration
  • Affirming
  • provideyencouragement,yarey(+)ycommentsyonyayclient'systrengthsyoryefforts
  • Reflecting
  • mirrorytheycontentyoryfeelingsyexplicitlyyoryimplicitlyystatedybyytheyclient
  • conveyyempathy,ydemonstrateylistening,yhighlightyemotionsy&ybeliefs,y•yprovide

5 y/y 100 opportunitiesyforytheyclientytoyelaborateyonytheiryconcerns

  • empoweryclientsytoytakeycontrolyofytheyconversation
  • recommendedytoyuseyatyleastytwoyreflectionsyforyeveryyquestion
  • Summarizing
  • linksytogetherywhatyhasybeenystatedytoyhelpytheyclientyorganizeytheiryexperiences
  1. MIyPhasesyofytheyChangeyProcess:y - engagement
  • establishmentyofytrusty&yayhelpingyrelationshipybetweenytheytherapisty&yclient
  • usesyreflectionsythatycommunicateyunderstanding
  • focusing
  • identificationyofytheydirectionyorytargetyofytheychange
  • usesyopen-endedyquestions
  • evoking
  • identifyingytheyclient'symotivationyforychangeyandyevokingyhope
  • usesyreflectionsyandysummaries
  • planning
  • creatingyayplanyforychange
  1. acceptanceyandycommitmentytherapyy(ACT):y - helpsyindividualsyacceptylife'sychallengesywhileyfocusingyonytheiryvaluesyandygoals
  • learningyhowytoyrelateytoythoughtsy&yfeelingsywhichyimpactylifeyratherythanychangingythoseythoug htsy&yfeelings

7 y/y 100

  • transpersonal,ygoingybeyondytheyideasyofyhumanness,yidentity,yandyself-actualiza-ytion
  • clientyisyconsideredytoybeytheyexpertyofytheirylives
  • focusyfromytheyproblemytoytheysolution
  • grewyoutyofytheyworkyatytheyBriefyFamilyyTherapyyCenteryinyMilwaukeeyinythey1970s
  • influencedybyymanyypsychotherapists,yworkyatytheyMentalyResearchyInstituteyinyCalifornia, yandytheyphilosophiesyofyBuddhismyandyTaoism
  1. solution-focusedytherapyyKeyyConceptsyandytheyRoleyofytheyPsychothera-ypist:y - Solutionsytalk
  • Shiftytalkyfromyproblemsytoysolutions
  • Positiveyorientation
  • Shiftyfocusyfromyproblemsytoynewypossibilities
  • Lookingyforywhatyisyworking
  • Focusyonytheyexceptionsywithinyproblemypatterns
  1. IndicationsyforySFT:y - usedyforyindividualyorygroupytherapyyacrossysettings
  • marriage,yfamily,yandychildytherapies
  • trauma
  • postpartumy depression
  • depression
  • eatingydisorders
  • severeymentalyillness
  1. howySFTyisyusedytoyalleviateyanxiety:y 4 - StepyApproachyforyOvercomingyAnxiety
  • Identifyytheymeaningfulypartsyofylifeythatytheyanxietyyisyblocking.

8 y/y 100

  • Shiftytheyfocusyawayyfromytheyanxietyyitselfytowardytheymeaningfulygoal.
  • Createyaylistyofypositiveymessagesythatywouldymotivateyyouytowardythatygoal.
  • Beygentleywithyyourselfy- yyou'reynotyalone.yManyyofytheypeopleyyouymeetymayybeyworkingythroughysomethingysimilar.
  1. Behavioralytheory:y - Personalityyisyayresultyofytheyinteractionybetweenyanyind.yandytheiryenvironment.
  • focusyonyobservableyandymeasurableybehavior
  • Skinner
  • associatedywithytheyconceptyofyoperantyconditioning,yusingyrewardsyandypunish- ymentsytoyincreaseyorydecreaseyaybehavior

10 y/y 100

  • Overgeneralization
  • "EveryysingleytimeyIyworkytheynightyshiftyatytheyhospital,ytheyyalwaysygiveymeytheyworstyassign ments!yIt'syalwaysyaynightmare!"
  • Mindyreading
  • "Iywasyatylunchywithymyyfriendytoday.ySheykeptylookingyatyheryphoneytheywholeytime.yIyjustyknowys heydidn'tywantytoybeythereyandyisyboredywithyouryfriendship."
  • Emotionalyreasoning
  • "IystartedyaydietyonyMondayyandywasydoingywellyuntilytheyybroughtyinypizzayforylunchyonyThursday.y IyfeelylikeyI'llyneverybeyableytoysucceedyatythis,ysoyI'mygivingyup."

11 y/y 100

  1. CognitiveyTechniquesyforyStabilization:y - Socraticydialoguey(SD)
  • Decatastrophizing
  1. Socraticydialoguey(SD):y - hallmarkyofyCBT
  • helpsyfacilitateyguidedydiscovery

therapistyguidesytheyclientythroughyayseriesyofyquestionsy&yanswersytoydrawyoutytheyclient'syautom aticythoughtsy&yassumptions

  • collaborativelyyexamineytheylogicyunderlyingytheyassumptions
  • IDythoughtyprocessesythatymayybeycreatingyproblems
  • canybeyusedyto:
  • facilitateycognitiveyreappraisal
  • informationyprocessing
  • emotionalyregulation
  • supportytxyprocesses
  1. Socraticyquestions:y - Socraticyquestions
  • Whatyisytheyevidenceyyourybeliefyisytrue?
  • Whatyisytheyevidenceyyourybeliefyisynotytrue?
  • AlternativeyExplanationySocraticyQuestions
  • Isythereyanotherypointyofyview?
  • Areyyouypayingyattentionytoyonlyyoneyaspectyofytheysituation?
  • Areyyouymisinterpretingytheyevidence?
  • Areyyouymakingyassumptions?
  • ImpactyofytheyautomaticythoughtySocraticyQuestion

13 y/y 100

  • examiningytheyoutcomeytheyclientyconsidersytoybeythey"worstypossible"
  • developingyayplanyofyactionytoyaddressythatyoutcomeytoydecreaseyanxiety
  1. Valerieyisyay 34 - year- oldywhoypresentsyforytherapyywithysymptomsyofyanxietyyandydepressiveydisorder.ySheyhasybe enyinyayrelationshipywithyherypartneryforytheypasty 12 yyears.ySheyfeelsylikeyherypartnerymakesy allytheydecisionsyinytheyrelationship,yandywhenyValerie'syopinionsydiffer,ysheydoesynotyfeelyco mfortableysharingyherythoughts.ySheystates,y"Ifymyypartnerycan'tyfigureyoutywhatymyyneedsyarey afterysoymanyyyears,yIydon'tyknowyhowyweycanysaveythisyrelationship."yWhatycanyyouyuseytoya ssistytheyclient? AssertivenessytrainingyBiblioth erapyyContingencyymanageme nt Behavioralyrehearsal:y Assertivenessytraining Rationale:yAssertivenessytrainingycanyassistyclientsywhoyareyexperiencingysymptomsyofydepressi on,yanxiety,yandylowyself- worth.yItymayyhelpyclientsylearnyhowytoyexpressytheirypointyofyviewyinyayrespectfulymanner.yTheyclie ntyandytherapistymayyuseyrole- playytoypracticeyverbalyandynonverbalybehaviorsyandyimproveyassertiveness.
  2. Dustinyisyay 24 - year-oldywhoypresentsyforytherapyywithysymptomsyofyanx- yiety.yHeyhasyayremoteypositionywithyaylargeycompanyyandyrarelyymeetsywithycolleaguesyorycl ientsyinyperson.yWhenyheydoesyhaveyanyin- personymeeting,yheystatesy"IyfeelylikeyanyidiotywheneveryIyopenymyymouth.yI'myalwaysytripping

14 y/y 100 yoverymyywords,yandyIyfeelysoyawkward." Whatycanyyouyuseytoyassistytheyclient? AssertivenessytrainingyBiblioth erapyyContingencyymanageme nt Behavioralyrehearsal:y Behavioralyrehearsal Rationale:yBehavioralyrehearsalycanyassistyclientsywhoyexperienceyanxietyywithysocialyskillsyoryintera ctionsywithyothers.yRehearsalymayybeyconductedyusingyguidedyimageryywhereytheyclientypicturesyth emselvesyrespondingyappropriately,yorytheyclientyandytherapistymayychooseytoyexploreyaybehavior alyrehearsalyusingyrole-play.

  1. Corinneyisyay 46 - year-oldywhoypresentsyforytherapyywithysymptomsyofyde- ypression.yTheytherapistyrecommendsythatyCorinneyreadyCognitiveyBehavioralyTherapyyiny 7 y WeeksybyyDr.ySethyJ.yGillihanybetweenysessions.

16 y/y 100 everysoughtymentalyhealthyservices.ySheydisclosesythatysheywasyayvictimyofychildhoodyinces tyandyneitheryreportedytheyabuseynorydiscussedyitywithyanyoneybeforeythisytime.ySheyfeelsyth atytheytimeyisyrightytoydoytherapy.yTheypsychiatricymentalyhealthynurseypractitionery(PMH- yNP)yselectsysolution- focusedytherapyy(SFT)ytoycreateyaywarmyandysupportiveyclimateyinywhichytheyclientycanyident ifyyheryresourcesytoycreateyayshiftyfromytheypastytoytheypresent,yintegrateyherymemories,yandye mpoweryherselfybeyondyheryvictimization. WhichyofytheyfollowingyproviderystatementsyoryquestionypromptsyareycongruentywithySFT?ySelec tyallythatyapply. "Whatyneedsytoyhappenytodayysoythatywhenyyouyleave,yyou'llythinkythisywasyaygoodysession?" "Iycanyseeythatythingsyhaveybeenydifficultyforyyou.yHowyhaveyyouymanagedyto

17 y/y 100 carryyonyandypreventythingsyfromybecomingyworse?" "Howybadyisytheyproblem?yWhatywouldyitytakeytoymoveyoneypointyhigher?" "Betweenynowyandytheynextytimeyweymeet,yobserveywhatyhappensyinyyourylifeythatyyouywantyt oycontinue.":y "Whatyneedsytoyhappenytodayysoythatywhenyyouyleave,yyou'llythinkythisywasyaygoodys ession?" "Iycanyseeythatythingsyhaveybeenydifficultyforyyou.yHowyhaveyyouymanagedytoycarryyonyandypreventy thingsyfromybecomingyworse?" "Howybadyisytheyproblem?yWhatywouldyitytakeytoymoveyoneypointyhigher?" "Betweenynowyandytheynextytimeyweymeet,yobserveywhatyhappensyinyyourylifeythatyyouywantytoyco ntinue." Rationale:yJoiningyquestionsyhelpsytheytherapistytoyconnectywithyandyaccommodateytheyclient'sy world.yCopingyquestionsyhelpytheyclientytoyidentifyyresourcesythatymayyhaveygoneyunnoticed.ySc alingyquestionsyhelpsytheyclientytoypayyattentionytoywhatytheyyareydoingyandyhowytheyycanytakeyst epsythatyleadytoytheychangesytheyydesire. Future- orientedyquestionsyhelpytheyclientytoyshiftytheiryfocusyfromyproblemsytoyenvisioningyaybetterylife.

  1. groupytherapyyfirstyappearedyinythey :y 1940s

grewyoutyofytheyneedytoyefficientlyytreatylargeygroupsyofypsychiatricallyydisturbedysoldiersyfollowin gyWorldyWaryII

19 y/y 100 Stages

  • theywarmyup
  • gettingytoyknowyeachyother
  • theydrama
  • theyenactment
  • sharing
  1. Groupytherapy:y - formyofypsychotherapy
  • groupyofyclientsymeetsytoydiscussyproblemsyoryconcernsyunderytheyguidanceyofyaytherapist
  • oneytoytwoyhoursyperyweekyeitheryonlineyoryin-person
  • mayybeydesignedytoyaddressyayspecificyproblemyorydiagnosisyorymayybeymoreygeneral
  • benefit,yprovidesyopportunityytoyexpandyaccessytoycarey&yefficiency
  • therapistsycanyprovideytxytoyseveralyclientsyatyonce
  • moreycost-effectiveythanyindividualytherapy
  1. Mindfulness-yandycognitive-basedygroupytherapyyhasyshownyefficacyyfor :y schizophreniayspectrumydisorders
  2. Groupytherapyyhasyalsoyshownyefficacyyinyhelpingyclientsywithyphysicalydi- yagnosesysuchyasy :y neurologicalycon- yditions,ychronicypain,yandycancer
  3. PrinciplesyofyGroupyTherapy:y ExistentialypsychoanalystyIrvinyYalomyidentifiedyelevenyprinc iplesythatyunderpinygroupytherapy:
  4. Instillationyofyhope
  5. Universality
  6. Impartingy information

20 y/y 100

  1. Altruism
  2. Correctiveyrecapitulationyofytheyprimaryyfamilyygroup
  3. Developmentyofysocializingytechniques
  4. Imitativeybehavior
  5. Interpersonaly learning
  6. Groupycohesiveness
  7. Catharsis
  8. Existentialyfactors
  9. catharsis:y theyprocessyofyreleasing,yandytherebyyprovidingyreliefyfrom,ystrongyoryrepressedye motions.
  10. Altruism:y unselfishyregardyforytheywelfareyofyothers
  11. Nikkiytypicallyypoutedythroughygroupymeetings.yWhenyaskedyaboutyherysilence,ysheysai dysheyfeltyotherymembersywereyfavoredyandythatysheywantedytoyquitytheygroupyandydoytherapyy onyheryown.yOverytime,ysheysawythatyheryfeelings