NR 605 Midterm Exam Latest Update: Diagnosis Management in Psychiatric-

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NR 605 Midterm Exam (Latest Update 2024/

2025): Diagnosis & Management in Psychiatric-

Mental Health across the Lifespan I Practicum |Questions and Verified Answers | 100% Correct

• Chamberlain

Initiation of Therapy -correct-answer--one of the most important goals of the first session is establishing a therapeutic alliance • fundamental component of successful therapy -comprehensive history & mental status examination • collect info to establish a psychiatric history and dx • guide the development of a tx plan -location, frequency of sessions, and payment -safety, primary consideration in psychotherapy • safety assessment should be conducted in the initial session, questions regarding suicidal and homicidal thoughts and thoughts of self-harm • collaboratively written safety plan should be created for any client identified to be at risk for self-harm

suicide -correct-answer--a leading cause of death in the U.S.

-In 2020, suicide was the:

• 12th leading cause of death overall

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• 2nd leading cause of death among individuals between the ages of 10 and 34 • 3rd leading cause of death among individuals between the ages of 35 and 44 -clients with mental health diagnoses such as mood disorders, psychotic disorders, and substance use disorder are at particularly high risk • 50% of those who die by suicide do not have a previous psychiatric history

safety plan includes: -correct-answer-a prioritized list of coping strategies and resources the client can use when thinking about suicide or self-harm

Implementing the Safety Plan: 6 Step Process -correct-answer-Step 1: Warning Signs

Step 2: Internal Coping Strategies

Step 3: Social Contacts Who May Distract from the Crisis

Step 4: Family Members or Friends Who May Offer Help

Step 5: Professionals and Agencies to Contact for Help

Step 6: Making the Environment Safe

A no-suicide or no-harm contract: -correct-answer--not a legal document but

rather an agreement between the client and therapist about what the client should do if they become suicidal -involves a commitment by the client to not commit suicide.-may not be effective in a crisis and is not a substitute for clinical judgment.

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-only as beneficial as the therapeutic alliance

frame of the relationship -correct-answer-rules and boundaries -psychotherapist is responsible for setting and keeping the frame during therapy sessions

-Common elements:

• process for contacting the provider • what to do in case of an emergency • adherence to a schedule • fees • confidentiality • boundaries of the therapeutic relationship • whether eating & drinking during the session are appropriate • whether session interruptions are allowed • whether phone calls between sessions are acceptable • starting and stopping on time

establishing a psychotherapeutic environment -correct-answer--Safe and therapeutic -Boundaries -Rules -Environment

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-Contact Processes -Emergency Plan -Miscellaneous -Adherence

Setting Goals and Duration of Therapy -correct-answer--overall goal of psychotherapy is to help clients gain self-awareness and decision-making -psychotherapy is goal-directed • Goal-setting should be a collaborative process between the therapist and the client -duration of therapy varies • common for therapy to last for at least 3-4 months • client's financial situation & insurance coverage may also impact the duration of therapy

Practical considerations for psychotherapy -correct-answer-scheduling -outpatient therapy, sessions are typically scheduled in 45 to 50-minute blocks -permits time between sessions to document and prepare for the next -initial intake session may be up to 90 minutes -inpatient psychotherapy will vary based on unit scheduling & ind client needs.

Fees