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NR 605 SCRIPT 2026 FULL SOLVED
CONTENT
◉Provide a characteristics to help build, therapeutic alliance include. Answer: Empathy Genuineness Warmth Acceptance Collaborative goalsetting Strong communication skills Building trust with unconditional positive regard Communicating an attitude of caring and acceptance of the client, regardless of their actions ◉According to Paape Lower, the nurse, client relationship has four sequential phases. Answer: Orientation Identification Exploitation Resolution
◉Alexander received an improve your performance evaluation at work when he arrives home. After a long day, he shouted at a three- year-old daughter for leaving her toys out in the playroom. Defense mechanism?. Answer: Displacement ◉Displacement. Answer: occurs when a person expresses an emotion, such as anger or frustration towards a safe person, rather than towards the cause of the emotion ◉Rita drinks 5 to 6 alcohol beverages when she comes home from work she typically drinks till she passes out. She never misses a day of work due to drinking but it's impacted her relationship with her spouse. She does not believe she has a drinking problem because she pays her bills. Defense mechanism?. Answer: Denial ◉Denial. Answer: psychoanalytic defense mechanism by which people refuse to believe or even to perceive painful realities. ◉Gabriella presents to the therapy with concerns about anxiety and difficulty forming relationships. She suffered a childhood abuse however she has a little memory of the incidence defense mechanism?. Answer: Repression ◉Repression. Answer: Defense mechanism by which anxiety- provoking thoughts and feelings are forced to the unconscious. They are forgotten forcibly.
◉Intellectualization. Answer: use of excessive reasoning or logic to deal with situations rather than feeling their emotions person uses intellectual toileting to suppress an emotional aspects of a situation ◉Levi ask his coworker Marilyn out on a date. She declined the invitations. When selling his friend about the incident, he said he wasn't attracted to her anyway defense mechanism?. Answer: Rationalization ◉Rationalization (defense mechanism). Answer: offers self- justifying explanations in place of the real, more threatening, unconscious reasons for one's actions ◉Ramona and sexually assaulted when walking home from work late at night. Following the assault, she begin, sucking her thumb for comfort defense mechanism?. Answer: Regression ◉Regression. Answer: Occurs when a person reverts to early developmental coping mechanisms based on Freud stages of psychosexual development ◉Orientation phase begins. Answer: Occurs when the nurse and client meet as changes in includes the nursing assessment and identification of the clients needs
◉The identification phase involves. Answer: Selection of the intervention ◉The exploitation phase involves. Answer: The nursing client collaborate to explore and understand the problem and explain it all possible options to resolve the clients problem ◉Final phase is a resolution phase. Answer: Termination of a therapeutic alliance ◉The PMHNP service in six primary rules. Answer: Stranger Teacher Resource person Counselor Surrogate Leader ◉Boundaries may include the psychotherapists. Answer: Self disclosure Therapeutic use of touch Exchange of gifts Fees Timing
◉Psychotherapist may choose therapeutic techniques from?. Answer: Anywhere on the continuum as a client's needs change ◉Psycho analysis is directed at. Answer: Interpreting, unconscious conflict and gaining insight ◉An important aspect of the psychotherapeutic relationship involves creating. Answer: I say therapeutic environment with establish boundaries and rules with a client and therapist can establish trust ◉The frame of the therapeutic relationship includes the rules and boundaries such as?. Answer: Process for contacting the provider What to do in case of an emergency Adherence to a schedule Fees Confidentiality Eating and drinking during the session Whether session interruptions are allowed Starting and stopping on time ◉The overall goal of psychotherapy is to help lions gain. Answer: Self awareness and I and decision making
◉The written therapy contract to detail the terms of a therapeutic relationship, such as. Answer: Scheduling Missed appointments Fees Confidentiality Termination ◉90832. Answer: Psychotherapy - 30 minutes (16-37 minutes)- ◉90833. Answer: Psychotherapy duration, 16-37 minutes use as an add-on code to an E/M code ◉90834. Answer: Psychotherapy - 45 minutes (38-52 minutes) ◉90836. Answer: Psychotherapy, duration, 38 or more minutes uses an add on code to an E/M code ◉90837. Answer: Psychotherapy 53 minutes or more ◉90846. Answer: Psychotherapy with family, patient absent ◉90847. Answer: Family psychotherapy w/Patient
◉MDM is based on which three components?. Answer: The number of diagnosis the amount of data being reviewed and the risk of mortality and morbidity. ◉Y=4. Answer: Moderate Includes 123 history of present illness elements HPI Or one to two chronic conditions History components and 2/ more ROS elements ◉Y = 5. Answer: High Used most often for complex clients, includes 3 chronic conditions, or for HPI elements 2 - 3 history elements, and a complete ROS ◉Y=2. Answer: Straight forward this is not used by providers. This cold is due by the office staff for procedures, such as INJECTIONS ◉Y=3. Answer: ◉Maslow's hierarchy of needs. Answer: 1 self actualization 2 esteem
3 love/belonging 4 safety 5 physiological ◉Treatment of hierarchy framework. Answer: Foundational needs External resources Internal resources Stabilization Model is not static clients may move forward and regress ◉Goals of psychotherapy include. Answer: Develop stronger internal & external resources & goal is to increase resiliency and achieve stabilization, mending interpersonal relations. improving one's sense of self. restoring a sense of hope and optimism to clients. ◉Civilization helps the client to. Answer: Manage stressors and develop stronger internal resources to enhance resiliency ◉Strategies to support resource development and stabilization include?. Answer: Case management Provision of safety
◉What are the constructs of the health belief model?. Answer: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy ◉Perceived susceptibility. Answer: beliefs about the chances of getting a condition ◉Perceived severity (HBM). Answer: beliefs about the seriousness of a condition and its consequences if left unattended ◉Perceived Benefits. Answer: beliefs about the effectiveness of taking action to reduce risk or seriousness/ susceptibility ◉Perceived barriers (HBM). Answer: Clients must believe that the benefits of acting or greater than the perceived barriers ◉D-needs (deficiency needs). Answer: The first four levels of need in the Maslow hierarchy Physiological needs Safety Love Belonging Esteem
◉Contemplation stage of change. Answer: 2 nd stage of change in which people are considering changing behavior in the next 6 months ◉Precontemplation stage. Answer: stage of change in which people are unwilling to change their behavior they don't acknowledge that there's a problem that needs to be changed ◉preparation/determination stage. Answer: individuals preparing to take action and make a change ◉Action/Willpower (Stages of Change Model). Answer: Changing behavior commit to and enact plan ◉Maintenance. Answer: Continued commitment to sustaining the new behavior Post six months to five years ◉Relapse. Answer: Resumption of old behaviors Fall from Grace ◉Treatment Hierarchy. Answer: Foundational needs
◉Culture shapes ones. Answer: Perceptions, attributions, emotions, and judgments, in ways that are both conscious and unconscious ◉What impacts whether a behavior is considered normal/desirable or abnormal?. Answer: Cultural and social norms ◉Outline for cultural formulation, includes an assessment of the following categories. Answer: Cultural identity of the individual Cultural conceptualizations of distress Psychosocial, stressors and cultural features of vulnerability and resilience Cultural features of the relationship between the individual and clinician Overall cultural assessment ◉Epi-genetics. Answer: the study of environmental influences on gene expression that occur without a DNA change Study of how the environment and other factors change the way that gene is expressed ◉Although genetics plays a role in the development of psychological characteristics, the environment can impact?. Answer: Although genetics plays a role in the development of psychological characteristics, the environment can impact whether a gene becomes active or not.
◉Documentation requirements include the use of a standard format of?. Answer: Chief complaint History of present illness Review of systems Past psychiatric history Mental status exam Diagnostic formulation Treatment plan ◉Psychotherapy sessions must include the following documentation requirements by the centers for Medicare and Medicaid services, CMS reimbursement. Answer: Target symptoms Goals of therapy Methods of monitoring outcomes Frequency of treatment Clinical records to support relevant medical history Results of diagnostic tests, or procedures Prognosis or progress to date Estimated duration of treatment ◉CPT codes. Answer: Clinical Procedural Terminology
◉I want initiating therapy one of the most important goals of the first session is. Answer: Establishing a therapeutic alliance ◉Therapeutic alliance. Answer: the relationship between therapist and client that develops as a warm, caring, accepting relationship characterized by empathy, mutual respect, and understanding
