CURRENTLY TESTING ACTUAL EXAM QUESTIONS
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What is the basis of CBT? Name some main principles of CBT - ANSWER It
focuses on how well individuals can adapt cognitively and functionally to their
environments. So it believes that the healthier a person acts behaviorally that is due
to how well they deal with situations such as sudden life instances which then
reflects on their behavior. It is a common, short-term , goal oriented psychotherapy
that is useful alone or in conjunction with other therapy. CBT puts emphasis on
client ownership and self-confidence in the change process. Psychoeducation is a
huge aspect of CBT- so HW may be given such as reading a book or ETC to aid
with learning or some activity prescribed to the persons deficit.
Dysfunctional thoughts are rooted in irrational assumptions.
Dysfunctional thinking and learned patterns of maladaptive behavior contribute to
psychological problems.
Individuals can learn more adaptive behaviors which can relieve symptoms and
improve quality of life.
CBT is positive and stresses collaboration and active participation.
CBT includes action plans in the form of therapy homework,
, What is the goal of CBT? - ANSWER To help patient observe, evaluate, monitor
and adapt the patient's problematic views and behaviors toward a more hopeful,
flexible inclusive and rational confidence skill set. Cognitive and behavioral skill
training that includes the person's goals and abilities in a respectful, collaborative,
structured manner is the hallmark of CBT-based psychotherapy.
______ is the founder of CBT. - ANSWER Aaron Beck
What are some diagnosis' that can be treated with CBT? - ANSWER Depression,
Anxiety, Eating Disorders, PTSD, ADHD, chronic pain, tinnitus, schizophrenia
Severe mental illness and substance abuse. CBT can be used to treat many
disorders, it is the most effective psychotherapy.
__________ are faulty, exaggerated, or irrational thinking patterns that cause
individuals to inaccurately perceive reality, which can lead to negative emotions
and psychopathological states, including depression and anxiety. One of the aims
of CBT is to help clients recognize and address cognitive distortions to improve
psychological health. - ANSWER COGNITIVE DISTORTIONS
Name some different kinds of cognitive distortions - ANSWER all or nothing
thinking
overgeneralizing
filtering
mind reading
etc
What are two cognitive techniques in CBT that be used to relieve our patients of
cognitive distortions? - ANSWER Socratic dialogue-SD can be used to facilitate
cognitive reappraisal, information processing, emotional regulation, and support
treatment processes.
Decatastrophizing is a cognitive restructuring technique used to explore fears and
help challenge catastrophic thinking. Decatastrophizing involves examining the
,outcome the client considers to be the "worst possible" and developing a plan of
action to address that outcome to decrease anxiety.
What is the hallmark cognitive technique of CBT therapy? and explain it. -
ANSWER Socratic dialogue. It is when the therapist or PMHNP asks questions
that will help lead the patient to express and work through cognitive distortions
that they may feel or have convinced themselves. Its also known as a mutual
discovery. The questions are outlined based on such: memory, translation,
interpretation, application, analysis, synthesis, and evaluation
Example: I waved at my friend from afar. They didn't wave back-they dont like me.
What made you come to that assumption?
Why do you think that is the conclusion you settled on?
It is more important to allow the patient to answer their own question vs.
answering for them.
What are some behavioral techniques used in CBT? - ANSWER Assertiveness
training:
Behavioral rehearsal: example the exchange btwn Mickey and I with my therapist.
Contingency Management: a paycheck after a job is complete.
Bibliotherapy: prescribed readings related to the persons difficulty
This behavioral technique can assist clients who are experiencing symptoms of
depression, anxiety, and low self-worth. It may help clients learn how to express
their point of view in a respectful manner. The client and therapist may use
role-play to practice verbal and nonverbal behaviors and improve assertiveness -
ANSWER Assertiveness training
, This behavioral technique can assist clients who experience anxiety with social
skills or interactions with others. Rehearsal may be conducted using guided
imagery where the client pictures themselves responding appropriately, or the
client and therapist may choose to explore a behavioral rehearsal using role-play -
ANSWER Behavioral rehearsal
CBT therapists may prescribe specific readings or self-help books related to the
client's condition as an adjunct to in-session work. What behavioral technique is
this? - ANSWER Bibliotherapy
cognitive-behavioral therapy - 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
CBT Relationship to Nursing Theory - 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
• premise that individuals use coping mechanisms to adapt to stimuli, both internal
and external
• share underpinnings with CBT.