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NR605 Questions & Answers 2025/2026 Diagnosis & Management in Psychiatric-Mental Health, Exams of Nursing

Norwich UniversityNursing

NR605 Questions & Answers 2025/2026 Diagnosis & Management in Psychiatric-Mental Health 1. NR605 midterm exam study guide weeks 1-4 2. NR605 psychiatric-mental health practicum review 3. Diagnosis and management in mental health across lifespan 4. NR605 155 verified questions and answers 5. Latest 2025 NR605 exam rationales 6. NR605 psychiatric assessment techniques 7. Mental health diagnosis practice questions NR605 8. NR605 lifespan mental health management strategies 9. Psychiatric-mental health practicum exam preparation 10. NR605 midterm exam tips and tricks 11. Mental health diagnosis coding for NR605 exam 12. NR605 psychiatric medication management review 13. Psychiatric assessment tools for NR605 practicum 14. NR605 mental health interventions across lifespan 15. Evidence-based practice in psychiatric nursing NR605 16. NR605 psychopharmacology study guide 17. Mental health crisis intervention techniques NR605 18. NR605 therapeutic communication strategies

Typology: Exams

2024/2025

Available from 03/20/2025

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NR605 Midterm Exam Review Weeks 1-4 Covered 155 Questions & Verified
Answers with Rationales (Latest 2025 / 2026): Diagnosis & Management in
Psychiatric-Mental Health across the Lifespan I Practicum
1. Psychotherapy:k-nonpharmacologicalkintervention
-usedktoktxkmentalkhealthkdiagnoseskorkdistress
-helpkclientskimprovekfunctioningkandkwell-being
-talkktherapy
-providedkbykpsychiatrists,kpsychologists,ksocialkworkers,kmarriagekandkfamilykther-
kapists,kcounselors,kandkPMHNPs
-maykincludekindividual,kcouple,kfamily,korkgroupksessions
-Goals:ksymptomkreduction,kimprovementkinkfunctioning,krelapsekprevention,kempow-
kerment,kachievementkofkcollaborativekgoalsksetkbykthekclientk&ktherapist.
2. MethodskofkCollaboration:kIntraprofessionalkCollaboration
-thekinteractionkandkeffortskbetweenktwokdisciplineskwithktheksamekprofession
• Potentialkbarriers:ktension,klargekteamksize,khighkturnover,klackkofkfamiliaritykandkcommonkgo
als,krolekambiguity,kgenerationalkdifferences,kandklackkofkundergraduateknursingkeducationkonki
ntraprofessionalkpractice.
TransprofessionalkCollaboration
-
includeskcommunicationkwithkvariouskdisciplines:kphysicians,kphysical/occupationalktherapy,kan
dksocialkservices,kalongkwithkothersktokensurekcarekiskdeliveredksafely
• Potentialkbarrier:klackkofktraining
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Download NR605 Questions & Answers 2025/2026 Diagnosis & Management in Psychiatric-Mental Health and more Exams Nursing in PDF only on Docsity!

NR605 Midterm Exam Review Weeks 1-4 Covered 155 Questions & Verified Answers with Rationales (Latest 202 5 / 202 6 ): Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum

  1. Psychotherapy:k - nonpharmacologicalkintervention
  • usedktoktxkmentalkhealthkdiagnoseskorkdistress
  • helpkclientskimprovekfunctioningkandkwell-being
  • talkktherapy
  • providedkbykpsychiatrists,kpsychologists,ksocialkworkers,kmarriagekandkfamilykther- kapists,kcounselors,kandkPMHNPs
  • maykincludekindividual,kcouple,kfamily,korkgroupksessions
  • Goals:ksymptomkreduction,kimprovementkinkfunctioning,krelapsekprevention,kempow- kerment,kachievementkofkcollaborativekgoalsksetkbykthekclientk&ktherapist.
  1. MethodskofkCollaboration:k IntraprofessionalkCollaboration
  • thekinteractionkandkeffortskbetweenktwokdisciplineskwithktheksamekprofession
  • Potentialkbarriers:ktension,klargekteamksize,khighkturnover,klackkofkfamiliaritykandkcommonkgo als,krolekambiguity,kgenerationalkdifferences,kandklackkofkundergraduateknursingkeducationkonki ntraprofessionalkpractice. TransprofessionalkCollaboration

includeskcommunicationkwithkvariouskdisciplines:kphysicians,kphysical/occupationalktherapy,kan dksocialkservices,kalongkwithkothersktokensurekcarekiskdeliveredksafely

  • Potentialkbarrier:klackkofktraining
  1. RolekofkPMHNPskinkPsychotherapy:k - unique,kfull-spectrumkapproach
  • maykprovidekpsychotherapykinkadditionktokprescribingkmedications
  • providingkclientkandkfamilykeducation
  • coordinatingkcarekandkreferralskaskakpartkofkthektreatmentkplan

providekpsychotherapykinkakvarietykofkambulatory,kemergencykdepartment,kinpatient,kandkoutpatien tksettings

  1. HolistickParadigmkofkHealing:k - holistickmodelkofkcarekwithkakfocuskonkhealing
  • Holisticktherapykrespectskthekcomplexitykofkeachkuniquekindividual
  • appreciatingkthekrelationshipkbetweenkthekclient'skmind,kbody,kandkspirit
  • recognizingkthekinterdependencekofkallkpartskofkthekhumanksystem
  • Foundationalktokhealingkiskthekrelationshipkbetweenkthekclientkandktherapist
  • Emotionalkconnectionkinkthekrelationshipkiskcriticalktoktheksuccesskofkpsychotherapy
  • PMHNPkapproachesktheknurse-clientkrelationshipkwithkacceptance,kempathy,kpa- ktience,kandkkindnessktokcreatekakspacekforkhealing

psychotherapykcankhelpkthekindividualkacceptkdysregulationkandkdisharmonykinkthekpresentkmom ent

  • achieveskacceptancekofkthekpresent,ktheykmaykbekablektokletkgokofkresistance,krelax,kandkreleasek fears

Securitykofkbody,kofkemployment,kofkresources,kofkmorality,kofkthekfamily,kandkofkhealth,kofkpropert y Bottom:kPhysiological

  • Air,kfood,kwater,kshelter,kclothing,ksleep
  1. HealthkBeliefkModel:k - usedktokexplainkandkpredictkhealthkbehaviors

akperson'skbeliefkaboutkakperceivedkthreatkofkillnesskcombinedkwithkbeliefkinkthekeffectivenesskofkt hekrecommendedkactionkpredictkthekperson'skwillingnessktokchange

  • constructs:
  • perceivedkseriousness
  • perceivedksusceptibility
  • perceivedkbenefitskofktreatment
  • perceivedkbarriersktoktreatment
  • cuesktokaction
  • self-efficacy
  1. TranstheoreticalkModelkofkChange:k assumeskthatkbehaviorkchangesktakekplacekoverktimekan dkthatkpeoplekmovekthroughkstageskofkdecision-makingktokmakekchangesktokbehavior
  • stages:
  • precontemplation
  • contemplation
  • preparation
  • action
  • maintenance
  1. Nancykiskak 64 - year-oldkwhokiskwonderingkifklosingkweightkmightkbenefitkherkself- esteemkandkself- confidence.kBasedkonkthektranstheoreticalkmodelkofkchange,kwhichkofkthekfollowingkaction skbykthekPMHNPkwouldkbekappropriatekforkNancykifkshekiskinkthekcontemplationkstagekofkch ange? AskkNancyktokcreatekaklistkofkreasonskthatkshekwantsktoklosekweight. ReferkNancyktokherkprimarykproviderktokobtainkmedicalkclearancekforkankexer-kcisekprogram. ExplorekNancy'skanxietykandkemotionalkresponseskrelatedktokbe:k AskkNancyktokcreatekaklistkofkre asonskthatkshekwantsktoklosekweight. Rationale:kCreatingkaklistkofkreasonsktoklosekweightkwouldkbekappropriatekforkthekcontemplationkp hase.kObtainingkmedicalkclearancekforkexercisekiskakpartkofkthekpreparationkphasekofkthekTransthe oreticalkModelkofkChange.kExploringkemotionalkre- ksponsesktokbeingkoverweightkwouldkbekappropriatekforkthekprecontemplationkphase.kAddressingkr
  • exercise
  • cognitivekorkdialecticalkbehavioralktherapy
  • rolekplay
  1. Processing:k involveskhelpingkclientskexplorekthekmeaningkofkadverseklifekevents
  • adaptingkmemory,kcognition,kbehavior,kaffect,kandkbeliefsksurroundingktraumatickevents
  • achievekpositivekchange
  1. CulturalkConsiderations:k Culturekshapeskone'skperceptions,kattributions,kemo- ktions,kandkjudgmentskinkwayskthatkarekbothkconsciouskandkunconscious
  • PMHNPkmustkconsiderkethnicity,kreligion,krace,kclass,kculturalkidentity,kandkthekcul- kturalkexplanationskofkillnessktokeffectivelykdiagnosekandktreatkmentalkhealthkconditions
  • OutlinekforkCulturalkFormulationkincludeskankassessmentkofkthekfollowingkcategories:
  • culturalkidentitykofkthekindividual
  • culturalkconceptualizationskofkdistress
  • psychosocialkstressorskandkculturalkfeatureskofkvulnerabilitykandkresilience
  • culturalkfeatureskofkthekrelationshipkbetweenkthekindividualkandkclinician
  • overallkculturalkassessment
  1. IllnesskPerception:k psychodynamickapproach
  • attributeskmentalkillnessktokenvironmentalkandkpsychosocialkproblems biophysiologicalkmodel
  • attributeskmentalkillnessesktokchemicalkimbalanceskofkneurotransmitters
  1. epigenetics:k thekstudykofkhowkthekenvironmentkandkotherkfactorskchangekthekwaykgenesk arekexpressed
  2. Documentationkrequirements:k -

standardkformatkofkchiefkcomplaint,khistorykofkpresentkillness,kreviewkofksystems,kpastkpsychi atrickhistory,kmentalkstatuskexam,kdiagnostickformulation,kandktreatmentkplan

  • Psychotherapyksessionskmustkincludekthekfollowing:
  • targetksymptoms
  • goalskofktherapy
  • methodkofkmonitoringkoutcomes
  • frequencykofktreatment
  • clinicalkrecordsktoksupportkrelevantkmedicalkhistory
  • resultskofkdiagnosticktestskor
  • procedures
  • prognosiskorkprogressktokdate
  • estimatedkdurationkofktreatment
  1. Reimbursement:k Clinicalkproceduralkterminologyk(CPT)kcodes
  • standardizedkcodeskusedktokcommunicatekserviceskcompletedktokMedicarekand
  • 90846 - kfamilykpsychotherapykclientknotkpresent
  • 90847 - kfamilykpsychotherapykwithkclientkpresent
  • 90853 - kgroupkpsychotherapy
  1. Lori,kak 42 - year-oldkfemale,kpresentsktokthekofficekforkankinitialkconsulta- ktion.kShekhaskjustkexperiencedkakbreakupkafterkak 5 - yearkrelationshipkandkiskfeelingk"depressed."kAkcomprehensivekinitialkevaluationkwhichkincl udeskchiefkcomplaint,khistorykorkpresentkillness,kmedicalkhistory,kpreviouskpsychiatrickhist ory,kfamilykhistorykandkakcomprehensivekreviewkofksystemskwaskcompleted.kPsychotherapykw askincludedkinktheksessionk-k 18 kminutesktime. providekthekappropriatekCPTkcode:k 99205+ Rationale:kThekclientkisknewktokthekpracticek(20)kandkpresentskwithkonekproblem

whichkaddressedk 4 korkmorekelements,khadkakcomprehensivekhistorykandkinterview.kNokadditionalk testingkwaskneeded,ktreatmentkwaskinitiatedk(05).kPsychotherapykwaskincludedkinktheksession- k 18 kminutesktime.kTherapykgoalskwerekestablishedkandkreviewedkwithkthekclient.

  1. Hannibal,kak 23 - year- oldkmale,kiskadmittedktokankinpatientkpsychiatrickfacilitykwithksymptomskofkauditorykhallucin ations,kparanoia,kandksuicidalkideations.kAkcomprehensivekinitialkevaluationkwhichkinclude skchiefkcomplaint,khistorykorkpresentkillness,kmedicalkhistory,kpreviouskpsychiatrickhistory, kfamilykhistorykandkakcomprehensivekreviewkofksystemskwaskcompleted. providekthekappropriatekCPTkcode:k 99223 Rationale:kThekclientkpresentskforkinitialkhospitalkcarek(22)kandkhaskakhighklevelkofkmedicalkdecisio n-makingkduektokankacutekillnesskthatkposeskakthreatktoklifek(3).
  2. Shakina,kak 19 - year-oldktransgenderkfemale,khaskbeenkreferredktokthekPMH- kNPkfromkprimarykcare.kThekPMHNPkreviewskthekprimarykprovider'sknotekandkidentifiesksym ptomskofkbipolarkIkdisorder.kThekPMHNPkcompleteskakcompre- khensivekassessmentkandkprescribeskmedicationskforkthekclient. providekthekappropriatekCPTkcode:k 99245 Rationale:kThekclientkhaskbeenkreferredk(24),khaskcomplexkmedicalkdecision- makingkneedsk(5)kbasedkonkonekundiagnosedknewkproblemkwithkankuncertainkprognosis,krequire dkreviewkofkreferralknotes,kandkrequireskprescriptionkdrugkmanagement.kNokpsychotherapykprovi ded.
  3. Steve,kak 30 - year-

Rationale:kThiskiskgroupkpsychotherapykwithknokmedicationkmanagement.kOnlykakpsychotherapykc odekisknecessary.

  1. InterprofessionalkCollaborationkandkReferrals:k - PMHNPskmaykreceivekclientkreferralskfromkprimarykcarekprovidersktokaddresskmentalkhealthkpr oblems
  • referkclientsktokprimarykcarekproviderskforkmedicalkcare
  • PMHNPskmaykcollaboratekwithksocialkworkersktokaddresskclients'kneedskforksocialksupport
  • vocationalkcounselorsktokassistkwithkemploymentkneeds
  • referkclientsktokotherktherapists
  • geriatrics,kpsychiatrickemergencies,keatingkdisorders,kfamilyktherapy,korkpediatrics
  • telehealthkserviceskorkaksupportkgroup
  1. DisparitieskinkMentalkHealthkServices:k Racial,kethnic,kgender,kandksexualkminorities

oftenkexperiencekpoorkmentalkhealthkoutcomeskduektokinaccessibilitykofkqualitykmentalkhealthkse rvices,kdiscrimination,kakculturalkstigmaksurroundingkmentalkhealthkcare,kandklackkofkknowledgek aboutkmentalkhealth

  • Tokaddresskdisparities,kthekAmericankPsychologicalkAssociationk(2022)kadvocateskforkthekexp ansionkandkusekofkculturallykandklinguisticallykcompetentkpsychologicalkandkbehavioralkresear chkandkservices
  1. Legalk&kEthicalkConsiderations:k ProviderkinitiatedkterminationkforkcausekTerminatio nkletters CourtkmandatedktreatmentkProcesska ndkprogressknotes
  1. CodekofkEthicskforkNurses:k RespectkforkthekIndividualkCommit mentktokthekHealthcarekConsumer AdvocacykforkthekHealthcarekConsumerkResponsibil itykandkAccountabilitykforkPracticekDutiesktokSelfkandk Others ContributionsktokHealthcarekEnvironmentskAdvance mentkofkthekNursingkProfessionkCollaborationktokMe etkHealthkNeedskPromotionkofkthekNursingkProfessio n
  2. AkclientkwhokiskalertkandkorientedkdeclineskthekPMHNP'sktreatmentkrecom- kmendationkforkankantipsychotickinkaknon-emergentksituation. Informedkconsentkrequired Exceptionktokinformedkconsent:k Informedkconsentkrequired

Rationale:kClientskhavekakrightktokinformationkaboutktreatmentkoptionskwithkassociat- kedkriskskandkbenefits.

  1. Circumstanceskthatkincreaseksuicidekrisk:kIndividualkRiskkFactors:k Previousksuicidekatte mpt HistorykofkdepressionkandkotherkmentalkillnesseskSerio uskillnessksuchkaskchronickpainkCriminal/legalkproblem s Job/financialkproblemskorklosskImpulsivekorka ggressivektendencieskSubstancekuse CurrentkorkpriorkhistorykofkadversekchildhoodkexperienceskSensekofkhop elessness Violencekvictimizationkand/orkperpetration
  1. Circumstanceskthatkincreaseksuicidekrisk:kRelationshipkRiskkFactors:k Bul-klying Family/lovedkone'skhistorykofksuicidekLosskofkr elationships HighkconflictkorkviolentkrelationshipskSocialki solation
  2. Circumstanceskthatkincreaseksuicidekrisk:kCommunitykRiskkFactors:k Lackkofkaccessktok healthcare SuicidekclusterkinkthekcommunitykStre sskofkacculturationkCommunitykviolen ce HistoricalktraumakDiscrimin ation
  3. Circumstanceskthatkincreaseksuicidekrisk:kSocietalkRiskkFactors:k Stigmakassociatedk withkhelp-seekingkandkmentalkillness EasykaccessktoklethalkmeanskofksuicidekamongkpeoplekatkriskkUnsafekme diakportrayalskofksuicide
  4. Circumstanceskthatkprotectkagainstksuicidekrisk:kIndividualkProtectivekFac- ktors:k Effectivekcopingkandkproblem-solvingkskills Reasonskforklivingk(forkexample,kfamily,kfriends,kpets,ketc.)kStrongksensek ofkculturalkidentity
  5. Circumstanceskthatkprotectkagainstksuicidekrisk:kRelationshipkProtectivekFactors:k Su pportkfromkpartners,kfriends,kandkfamily Feelingkconnectedktokothers
  6. Circumstanceskthatkprotectkagainstksuicidekrisk:kCommunitykProtectivekFactors:k Fe

Sleepingktooklittlekorktookmuch TalkingkorkpostingkaboutkwantingktokdiekMakin gkplanskforksuicide

  1. PhaseskofkTherapy:k InitiationkWor king Termination
  2. InitiationkofkTherapy:k - onekofkthekmostkimportantkgoalskofkthekfirstksessionkiskestablishingkaktherapeutickalliance
  • fundamentalkcomponentkofksuccessfulktherapy
  • comprehensivekhistoryk&kmentalkstatuskexamination
  • collectkinfoktokestablishkakpsychiatrickhistorykandkdx
  • guidekthekdevelopmentkofkaktxkplan
  • location,kfrequencykofksessions,kandkpayment
  • safety,kprimarykconsiderationkinkpsychotherapy
  • safetykassessmentkshouldkbekconductedkinkthekinitialksession,kquestionskregardingksuicidalka ndkhomicidalkthoughtskandkthoughtskofkself-harm
  • collaborativelykwrittenksafetykplankshouldkbekcreatedkforkanykclientkidentifiedktokbekatkriskkfork self-harm
  1. suicide:k - akleadingkcausekofkdeathkinkthekU.S.
  • Ink2020,ksuicidekwaskthe:
  • 12thkleadingkcausekofkdeathkoverall
  • 2ndkleadingkcausekofkdeathkamongkindividualskbetweenkthekageskofk 10 kandk 34
  • 3rdkleadingkcausekofkdeathkamongkindividualskbetweenkthekageskofk 35 kandk 44

clientskwithkmentalkhealthkdiagnosesksuchkaskmoodkdisorders,kpsychotickdisorders,kandksubstan cekusekdisorderkarekatkparticularlykhighkrisk

  • 50%kofkthosekwhokdiekbyksuicidekdoknotkhavekakpreviouskpsychiatrickhistory
  1. safetykplankincludes::k akprioritizedklistkofkcopingkstrategieskandkresourceskthekclientkcanku sekwhenkthinkingkaboutksuicidekorkself-harm
  2. ImplementingkthekSafetykPlan:k 6 kStepkProcess:k Stepk1:kWarningkSignskStepk2:kInter nalkCopingkStrategies Stepk3:kSocialkContactskWhokMaykDistractkfromkthekCrisiskStepk4:kFa milykMemberskorkFriendskWhokMaykOfferkHelpkStepk5:kProfessionalsk andkAgenciesktokContactkforkHelpkStepk6:kMakingkthekEnvironmentkS afe
  3. Akno-suicidekorkno-harmkcontract::k - notkaklegalkdocumentkbutkratherkankagree- kmentkbetweenkthekclientkandktherapistkaboutkwhatkthekclientkshouldkdokifktheykbecomeksuicidal
  • involveskakcommitmentkbykthekclientktoknotkcommitksuicide.