NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
1. cognitive-behavioral ther- -focus on how well individuals can adapt cognitively and function-
apy ally 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 Nurs- -Orem's self-care deficit nursing theory
ing 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
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
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 be-
havior contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve symp-
toms & improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
5. Role of the Psychothera- -using a structured, collaborative approach to help clients recognize
pist in CBT and reevaluate cognitive distortions
-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 -helps individuals prepare for change
(MI) -person-centered, evidence-based approach to behavior change
-using a collaborative, goal-oriented communication style
-empowers clients to draw on their meanings & capacities to facili-
tate 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
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
-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 Psychother- represented by the mnemonic RULE:
apist
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 opportunities for the client to elaborate on their
concerns
• empower clients to take control of the conversation
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
• recommended to use at least two reflections for every question
-Summarizing
• links together what has been stated to help the client organize
their experiences
11. MI Phases of the Change -engagement
Process • establishment of trust & a helping relationship between the ther-
apist & client
• uses reflections that communicate understanding
-focusing
• identification of the direction or target of the change
• uses open-ended questions
-evoking
• identifying the client's motivation for change and evoking hope
• uses reflections and summaries
-planning
• creating a plan for change
12. acceptance and commit- -helps individuals accept life's challenges while focusing on their
ment therapy (ACT) values and goals
• learning how to relate to thoughts & feelings which impact life
rather than changing those thoughts & feelings
-referred to as a "third wave" CBT therapy
-Accepting reactions and being present
-Choosing a valued direction
-Taking action
-Used for:
Study online at https://quizlet.com/_dy9f1h
1. cognitive-behavioral ther- -focus on how well individuals can adapt cognitively and function-
apy ally 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 Nurs- -Orem's self-care deficit nursing theory
ing 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
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
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 be-
havior contribute to psychological problems
-Ind's can learn more adaptive behaviors which can relieve symp-
toms & improve quality of life
-CBT is (+) & stresses collaboration & active participation
-CBT includes action plans in the form of therapy homework
5. Role of the Psychothera- -using a structured, collaborative approach to help clients recognize
pist in CBT and reevaluate cognitive distortions
-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 -helps individuals prepare for change
(MI) -person-centered, evidence-based approach to behavior change
-using a collaborative, goal-oriented communication style
-empowers clients to draw on their meanings & capacities to facili-
tate 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
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
-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 Psychother- represented by the mnemonic RULE:
apist
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 opportunities for the client to elaborate on their
concerns
• empower clients to take control of the conversation
, NR605 Final Exam
Study online at https://quizlet.com/_dy9f1h
• recommended to use at least two reflections for every question
-Summarizing
• links together what has been stated to help the client organize
their experiences
11. MI Phases of the Change -engagement
Process • establishment of trust & a helping relationship between the ther-
apist & client
• uses reflections that communicate understanding
-focusing
• identification of the direction or target of the change
• uses open-ended questions
-evoking
• identifying the client's motivation for change and evoking hope
• uses reflections and summaries
-planning
• creating a plan for change
12. acceptance and commit- -helps individuals accept life's challenges while focusing on their
ment therapy (ACT) values and goals
• learning how to relate to thoughts & feelings which impact life
rather than changing those thoughts & feelings
-referred to as a "third wave" CBT therapy
-Accepting reactions and being present
-Choosing a valued direction
-Taking action
-Used for:
