NR605 / NR 605 Midterm Exam ( Update 2026/2027): Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum Weeks 1 - 4 Covered Questions and Answers - Chamberlain

NR-605 Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum Midterm Exam (Weeks 1 – 4) Question: 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 Question: 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 Question: 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 Question: 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 Question: Illness Perception Answer: psychodynamic approach -attributes mental illness to environmental and psychosocial problems biophysiological model -attributes mental illnesses to chemical imbalances of neurotransmitters Question: Epigenetics Answer: the study of how the environment and other factors change the way genes are expressed Question: 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 Question: 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