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📋 DOCUMENT OVERVIEW 29 Qs
This document, "NR605 Week 5," covers specific topics related to various therapeutic approaches,
including cognitive-behavioral therapy (CBT), solution-focused therapy (SFT), and contingency
management. It provides a comprehensive review of 29 questions with correct answers and rationales,
offering a study aid for students to review and understand key concepts in mental health nursing. This
document can be used to reinforce learning, review key concepts, and prepare for exams.
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EXAM QUESTIONS
QUESTION 1
cognitive-behavioral therapy
CORRECT ANSWER
-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
QUESTION 2
CBT Relationship to Nursing Theory
CORRECT ANSWER
-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
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, • premise that individuals use coping mechanisms to adapt to stimuli, both internal and external
• share underpinnings with CBT.
QUESTION 3
Indications for CBT
CORRECT ANSWER
-treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
QUESTION 4
Principles of CBT include:
CORRECT ANSWER
-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
QUESTION 5
Role of the Psychotherapist in CBT
CORRECT ANSWER
-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
QUESTION 6
motivational interviewing (MI)
CORRECT ANSWER
-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
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