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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$17.99
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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
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Course
: NR605/ NR 605Update 2024/ 2
Institution
: NR605/ NR 605Update 2024/ 2
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
Dustin is a 24-year-old who presents for therapy with symptoms
of ...
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
Dustin is a 24-year-old who presents for therapy with symptoms
of anxiety. He has a remote position with a large company and
rarely meets with colleagues or clients in person. When he does
have an in-person meeting, he states "I feel like an idiot whenever
I open my mouth. I'm always tripping over my words, and I feel so
awkward."
What can you use to assist the client?
Assertiveness training
Bibliotherapy
Contingency management
Behavioral rehearsal - ANS-Behavioral rehearsal
Rationale: Behavioral rehearsal can assist clients who experience
anxiety with social skills or interactions with others. Rehearsal
may be conducted using guided imagery where the client pictures
themselves responding appropriately, or the client and therapist
may choose to explore a behavioral rehearsal using role-play.
Corinne is a 46-year-old who presents for therapy with symptoms
of depression. The therapist recommends that Corinne read
Cognitive Behavioral Therapy in 7 Weeks by Dr. Seth J. Gillihan
between sessions.
What can you use to assist the client?
,Assertiveness training
Bibliotherapy
Contingency management
Behavioral rehearsal - ANS-Bibliotherapy
cognitive-behavioral therapy - ANS--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 - ANS--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 external
• share underpinnings with CBT.
Indications for CBT - ANS--treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
Principles of CBT include: - ANS--way an ind cognitively
structures thoughts about self & the world determines how the
ind feels & behaves
-Dysfunctional thoughts are rooted in irrational assumptions
-Dysfunctional thinking and learned patterns of maladaptive
behavior contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve
symptoms & improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
Role of the Psychotherapist in CBT - ANS--using a structured,
collaborative approach to help clients recognize and reevaluate
cognitive distortions
-help clients:
• better understand the behaviors of others
• develop improved coping skills
, -Psychoeducation
-Homework
• to help clients reinforce & build on what was learned during the
therapy session
motivational interviewing (MI) - ANS--helps individuals prepare for
change
-person-centered, evidence-based approach to behavior change
-using a collaborative, goal-oriented communication style
-empowers clients to draw on their meanings & capacities to
facilitate change
• addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical practice working with
clients with substance use disorders in the 1980s
• collaborated with Stephen Rollnick to write book: Motivational
interviewing
Indications for MI - ANS--reduction of substance use and health
promotion
-improving medication adherence in clients with schizophrenia
MI Guiding Principles - ANS--acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
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