NR 605 STUDY GUIDE 2026 MASTER SOLUTION DIGEST, Exams of Nursing

NR 605 STUDY GUIDE 2026 MASTER SOLUTION DIGEST

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2025/2026

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NR 605 STUDY GUIDE 2026 MASTER
SOLUTION DIGEST
◉Psychodrama. Answer: -an experiential group therapy that uses
role-playing to explore and resolve emotional and interpersonal
issues
-facilitates self-expression, insight, and behavioral practice in a safe
and supportive environment
-founded by Jacob L. Moreno
◉Principles of Group Therapy. Answer: 1. Universality: realizing
others share similar struggles
2. Altruism: helping others boost self-esteem
3. Cohesion: feeling a sense of belonging in the group
4. Interpersonal Learning: developing social skills though
interaction
5. Catharsis: emotional release leads to healing
6. Existential Factors: confronting life's realities in a supportive
space
◉Types of Group Therapies. Answer: 1. Psychoeducational Groups
2. Support Groups
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NR 605 STUDY GUIDE 2026 MASTER

SOLUTION DIGEST

◉Psychodrama. Answer: - an experiential group therapy that uses role-playing to explore and resolve emotional and interpersonal issues

  • facilitates self-expression, insight, and behavioral practice in a safe and supportive environment
  • founded by Jacob L. Moreno ◉Principles of Group Therapy. Answer: 1. Universality: realizing others share similar struggles
  1. Altruism: helping others boost self-esteem
  2. Cohesion: feeling a sense of belonging in the group
  3. Interpersonal Learning: developing social skills though interaction
  4. Catharsis: emotional release leads to healing
  5. Existential Factors: confronting life's realities in a supportive space ◉Types of Group Therapies. Answer: 1. Psychoeducational Groups
  6. Support Groups
  1. Self-help Groups
  2. Inpatient Groups ◉Psychoeducational Groups. Answer: Focus: educating clients on specific topics (stress management) Example: a class on coping skills for anxiety ◉Support Groups. Answer: Focus: providing emotional support and shared experiences Example: a group for caregivers of individuals with Alzheimer's ◉Self-Help Group. Answer: Focus: peer-led groups for mutual support Example: Alcoholics Anonymous (AA) ◉Inpatient Group. Answer: Focus: Therapy within hospital settings for acute issues Example: group sessions in psychiatric units addressing coping strategies ◉Phases of Group Formation. Answer: 1. Forming: initial stage of orientation and establishing trust
  3. Storming: members navigate conflicts and establish group norms
  • focuses on problem-solving and identifying specific strategies to address issues
  • uses directives and tasks to influence family behavior and dynamics ◉Emotion-Focused Family Therapy. Answer: - focuses on improving emotional bonds and addressing attachment issues within the family
  • helps family members recognize, express, and regulate emotions
  • commonly used to resolve conflicts and rebuild trust ◉Key Brain Structures Involved in Therapy and Trauma. Answer: - Prefrontal Cortex: responsible for decision-making, problem-solving, and emotional regulation
  • Amygdala: processes fear and emotional responses, plays a key role in trauma and hyperarousal
  • Hippocampus: critical for memory formation and distinguishing between past and present experiences, often affected by trauma
  • Anterior Cingulate Cortex (ACC): involved in regulating emotions, empathy, and impulse control
  • Hypothalamus: manages stress response by activating the Hypothalamic-Pituitary-Adrenal (HPA) Axis ◉Which Brain Structures Store Trauma?. Answer: - Amygdala: plays a central role in storing and processing trauma. It encodes emotional memories and can become hyperactive in individuals with PTSD, leading to heightened fear and stress response
  • Hippocampus: helps contextualize memories, may shrink or function abnormally in trauma survivors, causing difficulty distinguishing past trauma from present safety ◉Trauma Resiliency Model (TRM) Therapy. Answer: - a body- centered, somatic approach to trauma treatment
  • focuses on teaching clients to track physical sensations in the body and restore balance to the nervous system
  • draws on the biology of trauma and the natural resilience of the human body
  • teaches self-regulation techniques to help clients manage emotional and physiological responses
  • incorporates grounding techniques and tools to promote a sense of safety
  • effective for treating: PTSD, anxiety, depression, and other trauma- related disorders
  • can be used with individuals, families, or groups ◉Trauma Resiliency Skills. Answer: 1. Tracking
  1. Resourcing
  2. Grounding
  3. Gesturing
  4. Shift and Stay
  5. Help Now! Strategies
  1. Desensitization: using bilateral simulation to reprocess traumatic memories
  2. Installation: strengthening positive beliefs to replace negative ones
  3. Body Scan: identifying and resolving residual physical tension
  4. Closure: ensuring the client feels stable at the end of the session
  5. Reevaluation: reviewing progress in subsequent sessions ◉How Trauma Impacts Different Types of Memory. Answer: - Implicit Memory: trauma can create intense emotional and bodily responses that bypass conscious thought
  • Explicit Memory: trauma may disrupt the ability to recall events in a coherent, chronological manner
  • Fragmented Memory: memories may be stored in disconnected fragments (sensations, emotions) rather than cohesive narratives ◉Top-Down Approach to Treating Trauma. Answer: - focuses on cognitive processing and reframing (CBT)
  • aim to regulate thoughts to influence the emotional/bodily responses ◉Bottom-Up Approach to Treating Trauma. Answer: - address the body's physiological responses to trauma (TRM, somatic therapies)
  • focus on grounding, sensory awareness, and regulating the autonomic nervous system ◉Dialectical Behavior Therapy (DBT). Answer: a form of cognitive- behavioral therapy designed to help individuals regulate emotions, improve interpersonal relationships, and tolerate distress ◉Founder of DBT. Answer: Dr. Marsha Linehan ◉Key Tenets of DBT. Answer: 1. Mindfulness: being present in the moment without judgement
  1. Emotion Regulation: identifying and managing intense emotions
  2. Distress Tolerance: developing skills to cope with crisis situations without making them worse
  3. Interpersonal Effectiveness: building healthy relationships and assertively communicating needs
  4. Validation: acknowledging emotions and experiences as real and valid ◉Cultural Concepts of Distress. Answer: - refers to the ways in which cultural groups experience, express, and interpret distress
  • examples: somatization (physical symptoms used to express psychological distress), ataque de nervios (common in Latinx cultures, characterized by episodes of intense emotional upset), susto (a cultural explanation of distress from fright or trauma)
  1. Generativity vs. Stagnation (40-65 years): contributing to future generations
  2. Integrity vs. Despair (65+ years): reflecting on life with satisfaction ◉Piaget's Cognitive Development Theory. Answer: 1. Sensorimotor Stage (0-2 years): learning through sensory and motor interaction, object permanence develops
  3. Preoperational Stage (2-7 years): use of language and symbols, egocentrism and lack of conservation
  4. Concrete Operational Stage (7-11 years): logical thinking and understanding of conservation
  5. Formal Operational Stage (12+ years): abstract and hypothetical thinking ◉Underlying Assumptions in Child Therapy. Answer: - therapy focuses on developmental needs, emotional regulation, and strengthening relationships
  • emphasis on play, creativity, and concrete examples to engage children
  • different from adult therapy in its use of symbolic communication and family involvement ◉Supplies for Child Therapy. Answer: - art supplies (crayons, markers, paper)
  • toys (dolls, puppets, figurines)
  • games (board games, sand tray tools)
  • books and visual aids ◉Bandura's Self-Efficacy Theory. Answer: - Definition: self-efficacy is the belief in one's ability to succeed in specific situations
  • Key Concepts: mastery experiences, vicarious experiences (learning through others), verbal persuasion, emotional and physiological states ◉Parent Management Training. Answer: - a behavioral therapy approach that teaches parents strategies to manage children's challenging behaviors
  • focuses on positive reinforcement, consistent discipline, and effective communication ◉Legal/Ethical Considerations: HIPAA for Children in Therapy. Answer: - protects confidentiality of minors, but parents/guardians generally have access to medical records unless specific exceptions apply
  • exceptions may include cases where disclosing information harms the child