NR 605 NR605 Final Exam Qs & Ans (Latest ) Diagnosis & Management in Psychiatric-Mental Health across the Lifespan I Practicum (Verified Answers).pdf

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NR605 Final Exam Questions with Correct Verified An
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swers 2024/2025 m




Cognitive-behavioral therapy - ANS m m m m -
focus on how well individuals can adapt cognitively and functionally to th
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eir environments
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-short-term, structured, goal-oriented form of psychotherapy
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stresses necessity of challenging maladaptive thoughts that lead to b
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ehavioral problems m




-first emerged in 1955
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-most widely practiced psychotherapy
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-help clients recognize and address cognitive distortions
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• by Albert Ellis, widely known as the grandfather of cognitive beha
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vior therapym




-Beck

• originally trained in psychoanalysis, pioneered cognitive therapy i
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n the 1960s, through his research on depression
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• also developed the popular Depression Inventory instrument
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CBT Relationship to Nursing Theory - ANS
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care deficit nursing theory
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• provides a framework to view CBT as a supportive intervention
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• fosters effective self-care behaviors
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-Roy's Adaptation Theory
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• premise that individuals use coping mechanisms to adapt to stimu
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li, both internal and external
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• share underpinnings with CBT.
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Indications for CBT - ANS m m m m m -treatment of a wide range of diagnoses
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• depression
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• anxiety disorders
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• substance use disorders
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• eating disorders
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• severe mental illness
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• PTSD
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Principles of CBT include: - ANS
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way an ind cognitively structures thoughts about self & the world determ
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ines how the ind feels & behaves
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-Dysfunctional thoughts are rooted in irrational assumptions
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Dysfunctional thinking and learned patterns of maladaptive behavio
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r contribute to psychological problems
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Ind's can learn more adaptive behaviors which can relieve symptom
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s & improve quality of life
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-CBT is (+) & stresses collaboration & active participation
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-CBT includes action plans in the form of therapy homework
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Role of the Psychotherapist in CBT - ANS
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using a structured, collaborative approach to help clients recognize and r
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e-evaluate cognitive distortions
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-help clients:
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• better understand the behaviors of others
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• develop improved coping skills
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-Psychoeducation

-Homework

• to help clients reinforce & build on what was learned during the t
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herapy session m




Motivational interviewing (MI) - ANS
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helps individuals prepare for change
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-person-centered, evidence-based approach to behavior change
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-using a collaborative, goal-oriented communication style
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empowers clients to draw on their meanings & capacities to facilitat
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e change
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• addressing issues with ambivalence and resistance
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grew out of William R. Miller's clinical practice working with clients
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with substance use disorders in the 1980s
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• collaborated with Stephen Rollnick to write book: Motivational int
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erviewing



Indications for MI - ANS m m m m m -
reduction of substance use and health promotion
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-improving medication adherence in clients with schizophrenia
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MI Guiding Principles - ANS
m m m m m -acceptance

-empathy

-compassion

-respect of client autonomy
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-acknowledgment of the client's strengths & efforts m m m m m m




-Spirit of MI m m




• Partnership, compassion, acceptance, evocation
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