NR605 Week 5 Questions and Answers
1. cognitive-behavioral therapy: -focus on how well individuals can adapt cogni-
tively 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
2. CBT Relationship to Nursing Theory: -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.
3. Indications for CBT: -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
4. Principles of CBT include:: -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
5. Role of the Psychotherapist in CBT: -using a structured, collaborative approach
to help clients recognize and reevaluate cognitive distortions
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, NR605 Week 5 Questions and Answers
-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
6. motivational interviewing (MI): -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
7. Indications for MI: -reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
8. MI Guiding Principles: -acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
9. MI Role of the Psychotherapist: represented by the mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
Listen to the patient
Empower the patient
10. OARS: Communication skills for MI:
-Open questions
• cannot be answered with a yes or no, require elaboration
-Affirming
• provide encouragement, are (+) comments on a client's strengths or efforts
-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the client
• convey empathy, demonstrate listening, highlight emotions & beliefs, • provide
2/9
1. cognitive-behavioral therapy: -focus on how well individuals can adapt cogni-
tively 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
2. CBT Relationship to Nursing Theory: -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.
3. Indications for CBT: -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
4. Principles of CBT include:: -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
5. Role of the Psychotherapist in CBT: -using a structured, collaborative approach
to help clients recognize and reevaluate cognitive distortions
1/9
, NR605 Week 5 Questions and Answers
-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
6. motivational interviewing (MI): -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
7. Indications for MI: -reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
8. MI Guiding Principles: -acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
9. MI Role of the Psychotherapist: represented by the mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
Listen to the patient
Empower the patient
10. OARS: Communication skills for MI:
-Open questions
• cannot be answered with a yes or no, require elaboration
-Affirming
• provide encouragement, are (+) comments on a client's strengths or efforts
-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the client
• convey empathy, demonstrate listening, highlight emotions & beliefs, • provide
2/9
