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Psychiatric-Mental Health Practicum: Weeks 5-8 Exam Review, Exams of Investment Management and Portfolio Theory

A series of exercises and questions related to the nr605 course, focusing on diagnosis and management in psychiatric-mental health across the lifespan. It covers topics such as cognitive-behavioral therapy (cbt), motivational interviewing (mi), acceptance and commitment therapy (act), solution-focused therapy (sft), and behavioral and cognitive theories. The document aims to help students prepare for the final exam by providing practice questions and explanations.

Typology: Exams

2024/2025

Available from 04/14/2025

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NR605 / NR 605 Diagnosis & Management in Psychiatric-
Mental Health across the Lifespan I Practicum
Final Exam Weeks 5 - 8 Covered
100% Guarantee Pass - Chamberlain
1. cognitive-behavioral therapy
Answer
focus on how well individuals can adapt cogni-
tively 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
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NR605 / NR 605 Diagnosis & Management in Psychiatric-

Mental Health across the Lifespan I Practicum

Final Exam Weeks 5 - 8 Covered

100% Guarantee Pass - Chamberlain

  1. cognitive-behavioral therapy Answer focus on how well individuals can adapt cogni- tively 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

2 / therapy -Beck

  • originally trained in psychoanalysis, pioneered cognitive therapy in the 1960s, through his research on depression
  • also developed the popular Depression Inventory instrument
  1. CBT Relationship to Nursing Theory Answer 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.
  1. Indications for CBT Answer treatment of a wide range of diagnoses
  • depression

4 / -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
  1. motivational interviewing (MI) Answer 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
  1. Indications for MI

5 / Answer reduction of substance use and health promotion -improving medication adherence in clients with schizophrenia

  1. MI Guiding Principles Answer acceptance -empathy -compassion -respect of client autonomy -acknowledgment of the client's strengths & efforts -Spirit of MI
  • Partnership, compassion, acceptance, evocation
  1. MI Role of the Psychotherapist: Answer represented by the mnemonic RULE: Resist the righting reflex Understand the patient's motivation Listen to the patient

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  1. MI Phases of the Change Process Answer engagement
  • establishment of trust & a helping relationship between the therapist & client
  • uses reflections that communicate understanding -focusing
  • identification of the direction or target of the change
  • uses open-ended questions -evoking
  • identifying the client's motivation for change and evoking hope
  • uses reflections and summaries -planning
  • creating a plan for change
  1. acceptance and commitment therapy (ACT) Answer helps individuals accept life's challenges while focusing on their values

8 / and goals

  • learning how to relate to thoughts & feelings which impact life rather than changing those thoughts & feelings -referred to as a "third wave" CBT therapy -Accepting reactions and being present -Choosing a valued direction
  • Taking action -Used for:
  • depression, anxiety, substance use, chronic pain, transdiagnostic combinations of conditions
  1. solution-focused therapy (SFT) Answer future-oriented approach -helps client ID problems & construct solutions that will result in change -postmodern thinking
  • reality is shaped by multiple and conflicting "truths" & constructed through human interaction
  • there are as many stories of meaning as there are people involved -fourth force of psychotherapy
  • transpersonal, going beyond the ideas of humanness, identity, and self-

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  1. Indications for SFT Answer used for individual or group therapy across settings
  • marriage, family, and child therapies
  • trauma
  • postpartum depression
  • depression
  • eating disorders
  • severe mental illness
  1. how SFT is used to alleviate anxiety Answer : 4-Step Approach for Overcoming Anxiety -Identify the meaningful parts of life that the anxiety is blocking. -Shift the focus away from the anxiety itself toward the meaningful goal. -Create a list of positive messages that would motivate you toward that goal. -Be gentle with yourself - you're not alone. Many of the people you meet may be working through something similar.

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  1. Behavioral theory Answer Personality is a result of the interaction between an ind. and their environment. -focus on observable and measurable behavior -Skinner
  • associated with the concept of operant conditioning, using rewards and punish- ments to increase or decrease a behavior -Pavlov
  • Russian Physiologist, father of behaviorism, associated with classical conditioning, Pavlov dog,
  1. Cognitive theory Answer Study of mental processes and complex behaviors -Albert Bandura combines concepts of observing, thinking, and behaving.
  • Tying external behaviors in with internal mental processes that facilitate them
  • learning, memory, language development, mental problem solving.

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  • "I just read my student evaluations for the term. While they're almost all positive, one student felt that I was insensitive and never responded promptly even though I answered every email within 24 hours. I'm a terrible teacher." -Overgeneralization
  • "Every single time I work the night shift at the hospital, they always give me the worst assignments! It's always a nightmare!" -Mind reading
  • "I was at lunch with my friend today. She kept looking at her phone the whole time. I just know she didn't want to be there and is bored with our friendship." -Emotional reasoning
  • "I started a diet on Monday and was doing well until they brought in pizza for lunch on Thursday. I feel like I'll never be able to succeed at this, so I'm giving up."

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  1. Cognitive Techniques for Stabilization Answer Socratic dialogue (SD) -Decatastrophizing
  2. Socratic dialogue (SD) Answer hallmark of CBT -helps facilitate guided discovery -therapist guides the client through a series of questions & answers to draw out the client's automatic thoughts & assumptions
  • collaboratively examine the logic underlying the assumptions
  • ID thought processes that may be creating problems -can be used to:
  • facilitate cognitive reappraisal
  • information processing
  • emotional regulation
  • support tx processes
  1. Socratic questions Answer

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  • common for clients with anxiety
  • focusing on most (-) outcome of a situation -Decatastrophizing
  • cognitive restructuring technique
  • used to explore fears
  • help challenge catastrophic thinking

17 / -examining the outcome the client considers to be the "worst possible"

  • developing a plan of action to address that outcome to decrease anxiety
  1. Valerie is a 34-year-old who presents for therapy with symptoms of anxiety and depressive disorder. She has been in a relationship with her partner for the past 12 years. She feels like her partner makes all the decisions in the relationship, and when Valerie's opinions differ, she does not feel comfortable sharing her thoughts. She states, "If my partner can't figure out what my needs are after so many years, I don't know how we can save this relationship." What can you use to assist the client? Assertiveness training Bibliotherapy Contingency management Behavioral rehearsal: Assertiveness training Rationale: Assertiveness training can assist clients who are experiencing symptoms of depression, anxiety, and low self-worth. It may help clients learn how to express their point of view in a respectful manner. The client and therapist may use role-play to practice verbal and nonverbal behaviors

19 / Behavioral Therapy in 7 Weeks by Dr. Seth J. Gillihan between sessions.

20 / What can you use to assist the client? Assertiveness training Bibliotherapy Contingency management Behavioral rehearsal: Bibliotherapy Rationale: CBT therapists may prescribe specific readings or self-help books related to the client's condition as an adjunct to in-session work.

  1. Tina is a 52-year-old who presents with depression and obesity. She has struggled with her weight for the last several years. The therapist implements a series of rewards when Tina adheres to treatment goals. What can you use to assist the client? Assertiveness training Bibliotherapy Contingency management Behavioral rehearsal: Contingency management Rationale: Contingency management reinforces or rewards positive