Exam (elaborations)

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| Questions and Verified Answers| 100% Correct- Chamberlain

Name: 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| Questions and Verified Answers| 100% Correct- Chamberlain
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Author: nurse_steph

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Course
NR 605/ NR605 (NR605)

Institution
Chamberlain College Of Nursing

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Uploaded on January 29, 2024
Number of pages 56
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Type Exam (elaborations)
Contains Questions & answers

nr 605 nr605
nr 60
midterm exam nr605 nr 605 latest update 2024 2
lori a 42 year old female presents to the office
treatment hierarchy framework answer therapeut
nr 605nr605nr 605 nr605 midterm exam

Institution
Chamberlain College Of Nursing
Course
NR 605/ NR605 (NR605)

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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| Questions and Verified
Answers| 100% Correct- Chamberlain
Q: Treatment Hierarchy Framework

Answer:
therapeutic aims at the base of the model must be addressed before the client can move up the
triangle

Top: Stabilization
Internal resources
External resources
Bottom: Foundational needs

Q: strategies to support resource development and stabilization:

Answer:
-case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play

Q: Processing

Answer:

,involves helping clients explore the meaning of adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding traumatic events
• achieve positive change

Q: Cultural Considerations

Answer:
Culture shapes one's perceptions, attributions, emotions, and judgments in ways that are both
conscious and unconscious
-PMHNP must consider ethnicity, religion, race, class, cultural identity, and the cultural
explanations of illness to effectively diagnose and treat mental health conditions
-Outline for Cultural Formulation includes an assessment of the following categories:
• 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

Q: Illness Perception

Answer:
psychodynamic approach
-attributes mental illness to environmental and psychosocial problems

biophysiological model
-attributes mental illnesses to chemical imbalances of neurotransmitters

Q: epigenetics

Answer:
the study of how the environment and other factors change the way genes are expressed

Q: Documentation requirements

,Answer:
-standard format of chief complaint, history of present illness, review of systems, past psychiatric
history, mental status exam, diagnostic formulation, and treatment plan
-Psychotherapy sessions must include the following:
• target symptoms
• goals of therapy
• method 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

Q: Reimbursement

Answer:
Clinical procedural terminology (CPT) codes
-standardized codes used to communicate services completed to Medicare and other insurance
companies for reimbursement
-PMHNPs can bill for stand-alone psychotherapy using psychiatry specialty codes
• if the encounter includes diagnosing and/or prescribing medications, a medical evaluation and
management (E/M) base code should be used with an add-on psychotherapy procedure code

Q: Medical Evaluation and Management Codes

Answer:
specific five-digit E/M code
-based on the type of client, location of service, and level of service

XX=20 new client office/inpatient visit
XX=21 established client office/outpatient visit
XX=24 consultation for office/outpatient
XX=22 inpatient care

Q: Medical Decision Making

, Answer:
level of medical-decision-making (MDM) is rated as straightforward, low, moderate, or high
-based on three components:
• number of diagnoses
• amount of data being reviewed
• risk of mortality/morbidity
-The level of MDM is selected based on complexity

Q: Psychotherapy Codes

Answer:
• 90832- psychotherapy duration 16-37 minutes
• 90833- psychotherapy duration 16-37 minutes used as an add on code to a E/M code
• 90834- psychotherapy 38-52 minutes
• 90836- psychotherapy duration 38 or more minutes used as an add on code to a E/M code
• 90837- psychotherapy 53 or more minutes
• 90846- family psychotherapy client not present
• 90847- family psychotherapy with client present
• 90853- group psychotherapy

Q: Lori, a 42-year-old female, presents to the office for an initial consultation. She has just
experienced a breakup after a 5-year relationship and is feeling "depressed." A comprehensive
initial evaluation which includes chief complaint, history or present illness, medical history,
previous psychiatric history, family history and a comprehensive review of systems was
completed. Psychotherapy was included in the session - 18 minutes time.

provide the appropriate CPT code

Answer:
99205+90833

Rationale: The client is new to the practice (20) and presents with one problem which addressed
4 or more elements, had a comprehensive history and interview. No additional testing was
needed, treatment was initiated (05). Psychotherapy was included in the session- 18 minutes
time. Therapy goals were established and reviewed with the client.

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Exam (elaborations)

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| Questions and Verified Answers| 100% Correct- Chamberlain

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