MIDTERM EXAM: NR605/ NR 605
(LATEST UPDATE 2024/ 2025)
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH ACROSS
THE LIFESPAN I PRACTICUM REVIEW
|WEEKS 1-4 COVERED EXAM
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, Maslow's Hierarchy of Needs framework for understanding client motivation
-first four levels of need in the hierarchy (physiological needs, safety, love and belonging, and esteem)
are sometimes referred to as deficiency needs (D-needs)
• Motivation decreases once D-needs are met
-highest level of need, self-actualization, is considered a growth or being need (B-need)
• Once D-needs are met, clients can focus on self-actualization and personal growth
• As the B-need is met, motivation for further growth increases
self-actualized person is self-fulfilled
-Qualities exhibited by the self-actualized person include independence, autonomy, creativity, and
maturity
Maslow's Hierarchy of Needs Pyramid TOP: Self-actualization
-Morality, creativity, spontaneity, lack of prejudice, acceptance of facts
Esteem
-Self-esteem, respect, achievement, confidence
Love/Belonging
-Friendship, family, intimacy, sense of connection with others
Safety
-Security of body, of employment, of resources, of morality, of the family, and of health, of property
Bottom: Physiological
-Air, food, water, shelter, clothing, sleep
Health Belief Model -used to explain and predict health behaviors
-a person's belief about a perceived threat of illness combined with belief in the effectiveness of the
recommended action predict the person's willingness to change
-constructs:
• perceived seriousness
, • perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
Transtheoretical Model of Change assumes that behavior changes take place over time and that
people move through stages of decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
Nancy is a 64-year-old who is wondering if losing weight might benefit her self-esteem and self-
confidence. Based on the transtheoretical model of change, which of the following actions by the
PMHNP would be appropriate for Nancy if she is in the contemplation stage of change?
Ask Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an exercise program.
Psychotherapy -nonpharmacological intervention
-used to tx mental health diagnoses or distress
-help clients improve functioning and well-being
-talk therapy
-provided by psychiatrists, psychologists, social workers, marriage and family therapists, counselors, and
PMHNPs
-may include individual, couple, family, or group sessions
-Goals: symptom reduction, improvement in functioning, relapse prevention, empowerment,
achievement of collaborative goals set by the client & therapist.
