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FINAL EXAM: NR605/ NR 605 (LATEST
UPDATE 2024/ 2025) DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC-
MENTAL HEALTH ACROSS THE LIFESPAN
I PRACTICUM REVIEW |WEEKS 5-8
COVERED EXAM WITH ACTUAL
QUESTIONS AND COMPLETE
100%CORRECTANSWERS WITH
VERIFIED AND WELL
EXPLAINEDRATIONALES ALREADY
GRADED A+ BY EXPERTS |LATEST
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,
,acceptance and commitment therapy (ACT) -helps individuals accept life's challenges while focusing
on their values 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

solution-focused therapy (SFT) -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, identi ty, and self-actualization

-client is considered to be the expert of their lives

-focus from the problem to the solution

-grew out of the work at the Brief Family Therapy Center in Milwaukee in the 1970s

• influenced by many psychotherapists, work at the Mental Research Institute in California, and the
philosophies of Buddhism and Taoism

solution-focused therapy Key Concepts and the Role of the Psychotherapist -Solutions talk

• Shift talk from problems to solutions



-Positive orientation

• Shift focus from problems to new possibilities



-Looking for what is working

• Focus on the exceptions within problem patterns

, cognitive-behavioral therapy -focus on how well individuals can adapt cognitively 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 therapy

-Beck

• originally trained in psychoanalysis, pioneered cognitive therapy in the 1960s, through his research on
depression

• also developed the popular Depression Inventory instrument

CBT Relationship to Nursing Theory -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 ex ternal

• share underpinnings with CBT.

Indications for CBT -treatment of a wide range of diagnoses

• depression

• anxiety disorders

• substance use disorders

• eating disorders

• severe mental illness

• PTSD

Principles of CBT include: -way an ind cognitively structures thoughts about self & the world
determines how the ind feels & behaves

-Dysfunctional thoughts are rooted in irrational assumptions

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