NR605 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR605 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. cognitive-behavioral therapyfocus 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 2. CBT Relationship to Nursing TheoryOrem'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. 3. Indications for CBTtreatment of a wide range of diagnoses • depression • anxiety disorders • substance use disorders • eating disorders • severe mental illness • PTSD 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 behavior contribute to psychological problems -Ind's can learn more adaptive behaviors which can relieve symptoms & improve quality of life -CBT is (+) & stresses collaboration & active participation -CBT includes action plans in the form of therapy homework 5. Role of the Psychotherapist in CBTusing a structured, collaborative approach to help clients recognize 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 (MI)helps individuals prepare for change -person-centered, evidence-based approach to behavior change -using a collaborative, goal-oriented communication style -empowers clients to draw on their meanings & capacities to facilitate 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 MIreduction of substance use and health promotion -improving medication adherence in clients with schizophrenia 8. MI Guiding Principlesacceptance -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 Psychotherapist: represented by the mnemonic RULE: 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 • 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 Processengagement • establishment of trust & a helping relationship between the therapist & 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 commitment therapy (ACT)helps individuals accept life's challenges while focusing on their 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: • depression, anxiety, substance use, chronic pain, transdiagnostic combinations of conditions 13. solution-focused therapy (SFT)future-oriented approach -helps client ID problems & construct solutions that will result in change -postmodern thinking • reality is shaped by multiple and conflicting "truths" & constructed through human interaction • there are as many stories of meaning as there are people involved -fourth force of psychotherapy • transpersonal, going beyond the ideas of humanness, identity, and self-actualization -client is considered to be the expert of their lives -focus from the problem to the solution -grew out of the work at the Brief Family Therapy Center in Milwaukee in the 1970s • influenced by many psychotherapists, work at the Mental Research Institute in California, and the philosophies of Buddhism and Taoism 14. solution-focused therapy Key Concepts and the Role of the Psychotherapist- Solutions talk