Lifespan Final Exam: (Latest Update) Comprehensive Q&A | Grade A
Subject: Diagnosis & Management in Psychiatric-Mental Health (NR605) – Final Exam: Cognitive-
Behavioral Therapy, Motivational Interviewing, ACT, Solution-Focused Therapy, Group Therapy Principles
Source: Final Exam Blueprint – CBT Techniques, Cognitive Distortions, Stages of Change, OARS, RULE
Framework, Psychodrama, Group Therapeutic Factors
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest Update | Grade A Guaranteed
1: What are the types of individual therapy?
Correct Answer: Cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT),
solution-focused therapy, motivational interviewing.
1. CBT focuses on changing maladaptive thoughts.
2. ACT combines mindfulness with value-based action.
3. Solution-focused therapy is brief, goal-oriented.
4. Motivational interviewing addresses ambivalence to change.
2: What is Cognitive Behavioral Therapy (CBT)?
Correct Answer: Based on the idea that thoughts, emotions, and behaviors are interconnected.
Changing maladaptive thoughts can influence emotions and behaviors. Focuses on identifying and
modifying negative thought patterns (cognitive distortions). Structured, goal-oriented, and often time-
limited.
1. CBT is evidence-based for multiple disorders.
2. Core principle: cognitive triad (self, world, future).
3. Homework and active coping strategies are key.
3: How does CBT relate to nursing theory?
Correct Answer: Aligns with nursing theories that emphasize holistic care, patient-centered
approaches, and active engagement. Particularly Peplau's Theory of Interpersonal Relations – nurses use
CBT principles to empower patients to develop coping skills and promote mental health resilience.
1. Peplau emphasized therapeutic nurse-patient relationship.
2. CBT's collaborative empiricism aligns with patient-centered care.
3. Both foster patient autonomy and self-efficacy.
4: What diagnoses are treated with CBT?
Correct Answer: Anxiety disorders (GAD, panic disorder), depression, PTSD, OCD, eating disorders,
substance use disorders, chronic pain, insomnia.
1. CBT is first-line for anxiety and depression.
2. Strong evidence for PTSD and OCD.
3. Also effective for insomnia (CBT-I).
, 5: Define cognitive distortions.
Correct Answer: Irrational or biased ways of thinking that negatively influence emotions and
behaviors. Types: all-or-nothing thinking, catastrophizing, overgeneralization, personalization, mind
reading.
1. Cognitive distortions maintain psychopathology.
2. CBT identifies and restructures distortions.
3. Thought records are common homework tool.
6: Define all-or-nothing thinking.
Correct Answer: Viewing situations in black-and-white terms (e.g., "If I'm not perfect, I'm a complete
failure").
1. Also called dichotomous or polarized thinking.
2. Common in depression and perfectionism.
3. Challenge with intermediate possibilities.
7: Define catastrophizing.
Correct Answer: Expecting the worst-case scenario to happen (e.g., "If I make a mistake at work, I'll
definitely be fired").
1. "What if" thinking amplifies anxiety.
2. Decatastrophizing technique asks "What's the worst that could happen? How would I cope?"
3. Common in panic disorder and GAD.
8: Define overgeneralization.
Correct Answer: Making sweeping conclusions based on a single incident (e.g., "I failed one exam, so
I'll never succeed in school").
1. Uses words like "always," "never," "everyone."
2. Examine evidence for and against.
3. Replace with more accurate statements.
9: Define personalization.
Correct Answer: Taking responsibility for events outside of one's control (e.g., "My friend is sad
because I didn't call her yesterday").
1. Excessive self-blame for external events.
2. Differentiate influence from responsibility.
3. Often seen in depression and guilt.
10: Define mind reading.
Correct Answer: Assuming others' thoughts without evidence (e.g., "She didn't say hello, so she must
be angry with me").
1. Leads to avoidance and misinterpretation.
2. Ask for evidence and alternative explanations.
3. Role-play direct communication.