NR605 FINAL EXAM Q AND A

NR605 FINAL EXAM Q AND A
cognitive-behavioralgytherapygy-gyanswer---
focusgyongyhowgywellgyindividualsgycangyadaptgycognitivelygyandgyfunctionallygytogytheirgyen
vironments
-short-term,gystructured,gygoal-orientedgyformgyofgypsychotherapy
-
stressesgynecessitygyofgychallenginggymaladaptivegythoughtsgythatgyleadgytogybehavioralgy
problems
-firstgyemergedgyingy1955
-mostgywidelygypracticedgypsychotherapy
-helpgyclientsgyrecognizegyandgyaddressgycognitivegydistortions
•gybygyAlbertgyEllis,gywidelygyknowngyasgythegygrandfathergyofgycognitivegybehaviorgytherap
y
-Beck
•gyoriginallygytrainedgyingypsychoanalysis,gypioneeredgycognitivegytherapygyingythegy1960s,
gythroughgyhisgyresearchgyongydepression

•gyalsogydevelopedgythegypopulargyDepressiongyInventorygyinstrument

CBTgyRelationshipgytogyNursinggyTheorygy-gyanswer---Orem'sgyself-
caregydeficitgynursinggytheory
•gyprovidesgyagyframeworkgytogyviewgyCBTgyasgyagysupportivegyintervention
•gyfostersgyeffectivegyself-caregybehaviors

-Roy'sgyAdaptationgyTheory
•gypremisegythatgyindividualsgyusegycopinggymechanismsgytogyadaptgytogystimuli,gybothgyinte
rnalgyandgyexternal
•gysharegyunderpinningsgywithgyCBT.

IndicationsgyforgyCBTgy-gyanswer---treatmentgyofgyagywidegyrangegyofgydiagnoses
•gydepression
•gyanxietygydisorders
•gysubstancegyusegydisorders
•gyeatinggydisorders
•gyseveregymentalgyillness
•gyPTSD

PrinciplesgyofgyCBTgyinclude:gy-gyanswer---
waygyangyindgycognitivelygystructuresgythoughtsgyaboutgyselfgy&gythegyworldgydeterminesgyh
owgythegyindgyfeelsgy&gybehaves
-Dysfunctionalgythoughtsgyaregyrootedgyingyirrationalgyassumptions
-
Dysfunctionalgythinkinggyandgylearnedgypatternsgyofgymaladaptivegybehaviorgycontributegyt
ogypsychologicalgyproblems
-
Ind'sgycangylearngymoregyadaptivegybehaviorsgywhichgycangyrelievegysymptomsgy&gyimprov
egyqualitygyofgylife

,-CBTgyisgy(+)gy&gystressesgycollaborationgy&gyactivegyparticipation
-CBTgyincludesgyactiongyplansgyingythegyformgyofgytherapygyhomework

RolegyofgythegyPsychotherapistgyingyCBTgy-gyanswer---
usinggyagystructured,gycollaborativegyapproachgytogyhelpgyclientsgyrecognizegyandgyreevalu
ategycognitivegydistortions
-helpgyclients:
gy•gybettergyunderstandgythegybehaviorsgyofgyothers

•gydevelopgyimprovedgycopinggyskills
-Psychoeducation
-Homework
•gytogyhelpgyclientsgyreinforcegy&gybuildgyongywhatgywasgylearnedgyduringgythegytherapygyses
sion

motivationalgyinterviewinggy(MI)gy-gyanswer---helpsgyindividualsgypreparegyforgychange
-person-centered,gyevidence-basedgyapproachgytogybehaviorgychange
-usinggyagycollaborative,gygoal-orientedgycommunicationgystyle
-empowersgyclientsgytogydrawgyongytheirgymeaningsgy&gycapacitiesgytogyfacilitategychange
•gyaddressinggyissuesgywithgyambivalencegyandgyresistance
-
grewgyoutgyofgyWilliamgyR.gyMiller'sgyclinicalgypracticegyworkinggywithgyclientsgywithgysubsta
ncegyusegydisordersgyingythegy1980s
•gycollaboratedgywithgyStephengyRollnickgytogywritegybook:gyMotivationalgyinterviewing

IndicationsgyforgyMIgy-gyanswer---reductiongyofgysubstancegyusegyandgyhealthgypromotion
-improvinggymedicationgyadherencegyingyclientsgywithgyschizophrenia

MIgyGuidinggyPrinciplesgy-gyanswer---acceptance
-empathy
-compassion
-respectgyofgyclientgyautonomy
-acknowledgmentgyofgythegyclient'sgystrengthsgy&gyefforts
-SpiritgyofgyMI
•gyPartnership,gycompassion,gyacceptance,gyevocation

MIgyRolegyofgythegyPsychotherapistgy-gyanswer--representedgybygythegymnemonicgyRULE:

Resistgythegyrightinggyreflex
Understandgythegypatient'sgymotivation
Listengytogythegypatient
Empowergythegypatient

OARSgy-gyanswer--CommunicationgyskillsgyforgyMI:
-Opengyquestions
•gycannotgybegyansweredgywithgyagyyesgyorgyno,gyrequiregyelaboration

-Affirming
•gyprovidegyencouragement,gyaregy(+)gycommentsgyongyagyclient'sgystrengthsgyorgyefforts

-Reflecting

,•gymirrorgythegycontentgyorgyfeelingsgyexplicitlygyorgyimplicitlygystatedgybygythegyclient
•gyconveygyempathy,gydemonstrategylistening,gyhighlightgyemotionsgy&gybeliefs,gy•gyprovid
egyopportunitiesgyforgythegyclientgytogyelaborategyongytheirgyconcerns
•gyempowergyclientsgytogytakegycontrolgyofgythegyconversation
•gyrecommendedgytogyusegyatgyleastgytwogyreflectionsgyforgyeverygyquestion

-Summarizing
•gylinksgytogethergywhatgyhasgybeengystatedgytogyhelpgythegyclientgyorganizegytheirgyexperie
nces

MIgyPhasesgyofgythegyChangegyProcessgy-gyanswer---engagement
•gyestablishmentgyofgytrustgy&gyagyhelpinggyrelationshipgybetweengythegytherapistgy&gyclient
•gyusesgyreflectionsgythatgycommunicategyunderstanding

-focusing
•gyidentificationgyofgythegydirectiongyorgytargetgyofgythegychange
•gyusesgyopen-endedgyquestions


-evoking
•gyidentifyinggythegyclient'sgymotivationgyforgychangegyandgyevokinggyhope
•gyusesgyreflectionsgyandgysummaries

-planning
•gycreatinggyagyplangyforgychange

acceptancegyandgycommitmentgytherapygy(ACT)gy-gyanswer---
helpsgyindividualsgyacceptgylife'sgychallengesgywhilegyfocusinggyongytheirgyvaluesgyandgygo
als
•gylearninggyhowgytogyrelategytogythoughtsgy&gyfeelingsgywhichgyimpactgylifegyrathergythangyc
hanginggythosegythoughtsgy&gyfeelings
-referredgytogyasgyagy"thirdgywave"gyCBTgytherapy
-Acceptinggyreactionsgyandgybeinggypresent
-Choosinggyagyvaluedgydirection
-Takinggyaction
-Usedgyfor:
•gydepression,gyanxiety,gysubstancegyuse,gychronicgypain,gytransdiagnosticgycombination
sgyofgyconditions

solution-focusedgytherapygy(SFT)gy-gyanswer---future-orientedgyapproach
-helpsgyclientgyIDgyproblemsgy&gyconstructgysolutionsgythatgywillgyresultgyingychange
-postmoderngythinking
•gyrealitygyisgyshapedgybygymultiplegyandgyconflictinggy"truths"gy&gyconstructedgythroughgyhu
mangyinteraction
•gytheregyaregyasgymanygystoriesgyofgymeaninggyasgytheregyaregypeoplegyinvolved
-fourthgyforcegyofgypsychotherapy
•gytranspersonal,gygoinggybeyondgythegyideasgyofgyhumanness,gyidentity,gyandgyself-
actualization
-clientgyisgyconsideredgytogybegythegyexpertgyofgytheirgylives
-focusgyfromgythegyproblemgytogythegysolution

, -
grewgyoutgyofgythegyworkgyatgythegyBriefgyFamilygyTherapygyCentergyingyMilwaukeegyingythegy
1970s
•gyinfluencedgybygymanygypsychotherapists,gyworkgyatgythegyMentalgyResearchgyInstitutegyi
ngyCalifornia,gyandgythegyphilosophiesgyofgyBuddhismgyandgyTaoism

solution-focusedgytherapygyKeygyConceptsgyandgythegyRolegyofgythegyPsychotherapistgy-
gyanswer---Solutionsgytalk

•gyShiftgytalkgyfromgyproblemsgytogysolutions

-Positivegyorientation
•gyShiftgyfocusgyfromgyproblemsgytogynewgypossibilities

-Lookinggyforgywhatgyisgyworking
•gyFocusgyongythegyexceptionsgywithingyproblemgypatterns

IndicationsgyforgySFTgy-gyanswer---
usedgyforgyindividualgyorgygroupgytherapygyacrossgysettings
•gymarriage,gyfamily,gyandgychildgytherapies
•gytrauma
•gypostpartumgydepression
•gydepression
•gyeatinggydisorders
•gyseveregymentalgyillness

howgySFTgyisgyusedgytogyalleviategyanxietygy-gyanswer--4-
StepgyApproachgyforgyOvercominggyAnxiety

-Identifygythegymeaningfulgypartsgyofgylifegythatgythegyanxietygyisgyblocking.

-Shiftgythegyfocusgyawaygyfromgythegyanxietygyitselfgytowardgythegymeaningfulgygoal.

-Creategyagylistgyofgypositivegymessagesgythatgywouldgymotivategyyougytowardgythatgygoal.

-Begygentlegywithgyyourselfgy-
gyyou'regynotgyalone.gyManygyofgythegypeoplegyyougymeetgymaygybegyworkinggythroughgysom

ethinggysimilar.

Behavioralgytheorygy-gyanswer---
Personalitygyisgyagyresultgyofgythegyinteractiongybetweengyangyind.gyandgytheirgyenvironment
.
-focusgyongyobservablegyandgymeasurablegybehavior
-Skinner
•gyassociatedgywithgythegyconceptgyofgyoperantgyconditioning,gyusinggyrewardsgyandgypunis
hmentsgytogyincreasegyorgydecreasegyagybehavior
-Pavlov
•gyRussiangyPhysiologist,gyfathergyofgybehaviorism,gyassociatedgywithgyclassicalgyconditio
ning,gyPavlovgydog,

Cognitivegytheorygy-gyanswer---Studygyofgymentalgyprocessesgyandgycomplexgybehaviors