NR 605 FINAL EXAM ACTUAL EXAM WITH

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NR 605 FINAL EXAM (ACTUAL EXAM) WITH

CORRECT 180+ QUESTIONS AND CORRECTLY

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Sasha is a 22-year-old, single female who presents for psychotherapy. Sasha has a history of major depression and substance abuse disorder. She was previously prescribed various psychotropics medications that only increased her depression. She began self-medicating with her boyfriend's pain medications to tolerate her depressive symptoms. The psychiatric mental health nurse practitioner (PMHNP) selects DBT as an adjunct to pharmacological interventions.DBT is selected to address Sasha's problematic behavioral patterns and enhance her functioning.In the early phase of DBT, the PMHNP helps Sasha build skills in mindfulness to enhance her awareness and self-observation. Which of the following are the most appropriate exercises to enhance mindfulness skills? Select all that apply.

abdominal breathing wise mind judgment diffusion assertive listening 1 / 4

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2 negotiating relaxation - ANSWER-abdominal breathing wise mind judgment diffusion

Rationale: Mindful abdominal breathing, wise mind, and judgment diffusion are common mindfulness exercises. Assertive listening and negotiating are exercises to build interpersonal effectiveness and relaxation exercises are used to build distress tolerance skills.

Sasha also has low distress tolerance. The PMHNP helps her build distress tolerance skills as a healthier alternative than self-medicating with her boyfriend's pain medications.Which of the following are the most appropriate exercises to enhance distress tolerance? Select all that apply.

reducing vulnerabilities relaxation recognizing emotions making a request self-soothing radical acceptance - ANSWER-relaxation 2 / 4

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3 self-soothing radical acceptance

Rationale: Radical acceptance, relaxation, and self-soothing exercises build skills in distress tolerance. Recognizing emotions and reducing vulnerabilities exercises build skills in emotional regulation. Making a request is an exercise to build interpersonal effectiveness.

In the next phase of DBT, Sasha reports that she wants to be able to feel again since her emotions have been "numbed out" due to her substance abuse. The PMHNP uses skills in emotional regulation to help Sasha learn to control her feelings rather than being controlled by them.Which of the following are the most appropriate exercises to enhance emotional regulation?Select all that apply.

problem-solving realistic goal setting passive versus aggressive behavior radical acceptance opposite action to emotion - ANSWER-opposite action to emotion problem-solving

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4 Rationale: Opposite action to emotion and problem-solving exercises build skills in emotional regulation. Realistic goal setting is an exercise to enhance self-management. Radical acceptance builds skills in distress tolerance, whereas exercises in passive versus aggressive behavior build skills in interpersonal effectiveness.

Psychotherapy with older adults considerations - ANSWER--higher prevalence of dementia •raises need for neuropsychological screening

-higher prevalence of medical disorders • req careful consideration of physical causes of symptoms & effects of meds

Child Development: - ANSWER--Physical Development

• by three months, infants can lift their heads and clasp their hands • by six months, they may roll over, sit with support, and reach for objects and transfer them from hand to hand • by one year, infants can stand and start to take steps • by one year, birth weight triples and height increases by 50% -Cognitive and Language Development • by two months, infants start to coo • by six months, infants begin to babble

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