Comprehensive Q&A | Grade A | 100% Verified
Subject: Diagnosis & Management in Psychiatric-Mental Health (NR605) – Final Exam: CBT, ACT,
Motivational Interviewing, Solution-Focused Therapy, Group Therapy, Trauma-Informed Care, DBT,
EMDR
Source: Final Exam Blueprint – Cognitive Distortions, Socratic Dialogue, Yalom's Therapeutic Factors,
Systemic Family Therapy, Structural Family Therapy, Trauma Resiliency Model
Format: Q&A Guide with Rationale – 100% Verified Answers
Verified: Latest Update | Grade A Guaranteed
1: Who is the grandfather of cognitive behavior therapy? Who else contributed?
Correct Answer: Albert Ellis (Rational Emotive Behavior Therapy) and Aaron Beck (Cognitive
Therapy).
1. Ellis developed REBT focusing on irrational beliefs.
2. Beck developed cognitive therapy focusing on automatic thoughts and schemas.
3. Both are foundational to modern CBT.
2: Which nursing theorists have associations with CBT?
Correct Answer: Orem, Roy, Parse.
1. Orem's Self-Care Deficit Theory aligns with CBT's empowerment focus.
2. Roy's Adaptation Theory relates to coping with stimuli.
3. Parse's Human Becoming Theory emphasizes meaning and choice.
3: Define all-or-nothing thinking.
Correct Answer: Viewing situations in extremes with no middle ground. Example: "If I don't succeed
perfectly, I'm a complete failure."
1. Also called black-and-white or polarized thinking.
2. Common in depression and perfectionism.
3. Interventions: embrace middle ground, reframe mistakes as learning, use balanced language.
4: Define catastrophizing/magnification.
Correct Answer: Exaggerating negatives while downplaying positives. Example: "If I make one
mistake, everyone will think I'm incompetent."
1. Anticipating worst-case scenario.
2. Decatastrophizing technique helps explore realistic outcomes.
3. "What is the worst that could happen? How would you cope?"
, 5: Define personalization and blame.
Correct Answer: Taking responsibility for things outside of your control or blaming others unfairly.
Example: "My friend is upset—it must be my fault."
1. Excessive self-blame for external events.
2. Differentiate influence from responsibility.
3. Common in depression and guilt.
6: Define mind reading.
Correct Answer: Assuming you know what others think. Example: "She didn't text back—she must be
mad at me."
1. Leads to avoidance and misinterpretation.
2. Ask for evidence, consider alternative explanations.
3. Role-play direct communication.
7: Who founded motivational interviewing?
Correct Answer: William R. Miller in collaboration with Stephen Rollnick.
1. MI is client-centered communication style for eliciting behavior change.
2. Effective for substance use, health behaviors, medication adherence.
3. Core principles: OARS and RULE framework.
8: What does OARS stand for in motivational interviewing?
Correct Answer: Open-ended questions, Affirmations, Reflective listening, Summarizing.
1. Open-ended questions elicit elaboration.
2. Affirmations build confidence and self-efficacy.
3. Reflections convey empathy; use at least two per question.
4. Summaries link experiences and confirm understanding.
9: What are the phases of the change process in motivational interviewing?
Correct Answer: Engagement, focusing, evoking, and planning.
1. Engagement: establish trust and therapeutic alliance.
2. Focusing: identify direction or target of change.
3. Evoking: identify client's motivation for change.
4. Planning: create a plan for change.
10: What is solution-focused therapy?
Correct Answer: Goal-oriented, future-focused therapy that emphasizes solutions rather than problems.
Client is considered the expert of their lives.
1. Disavows therapist as expert.
2. Techniques: miracle question, scaling questions, exception seeking.
3. Focus on "what is already working."