Nr605 Final Exam Questions And Answers

NR605 FINAL EXAM QUESTIONS
AND ANSWERS
cognitive-behavioralgbtherapygb-gbANSWERS---
focusgbongbhowgbwellgbindividualsgbcangbadaptgbcognitivelygbandgbfunctionallygbtogbtheirgbe
nvironments
-short-term,gbstructured,gbgoal-orientedgbformgbofgbpsychotherapy
-
stressesgbnecessitygbofgbchallenginggbmaladaptivegbthoughtsgbthatgbleadgbtogbbehavioralgb
problems
-firstgbemergedgbingb1955
-mostgbwidelygbpracticedgbpsychotherapy
-helpgbclientsgbrecognizegbandgbaddressgbcognitivegbdistortions
•gbbygbAlbertgbEllis,gbwidelygbknowngbasgbthegbgrandfathergbofgbcognitivegbbehaviorgbtherap
y
-Beck
•gboriginallygbtrainedgbingbpsychoanalysis,gbpioneeredgbcognitivegbtherapygbingbthegb1960s
,gbthroughgbhisgbresearchgbongbdepression
•gbalsogbdevelopedgbthegbpopulargbDepressiongbInventorygbinstrument

CBTgbRelationshipgbtogbNursinggbTheorygb-gbANSWERS---Oremi'sgbself-
caregbdeficitgbnursinggbtheory
•gbprovidesgbagbframeworkgbtogbviewgbCBTgbasgbagbsupportivegbintervention
•gbfostersgbeffectivegbself-caregbbehaviors

-Roy'sgbAdaptationgbTheory
•gbpremisegbthatgbindividualsgbusegbcopinggbmechanismsgbtogbadaptgbtogbstimuli,gbbothgbint
ernalgbandgbexternal
•gbsharegbunderpinningsgbwithgbCBT.

IndicationsgbforgbCBTgb-gbANSWERS---treatmentgbofgbagbwidegbrangegbofgbdiagnoses
•gbdepression
•gbanxietygbdisorders
•gbsubstancegbusegbdisorders
•gbeatinggbdisorders
•gbseveregbmentalgbillness
•gbPTSD

PrinciplesgbofgbCBTgbinclude:gb-gbANSWERS---
waygbangbindgbcognitivelygbstructuresgbthoughtsgbaboutgbselfgb&gbthegbworldgbdeterminesgb
howgbthegbindgbfeelsgb&gbbehaves
-Dysfunctionalgbthoughtsgbaregbrootedgbingbirrationalgbassumptions
-
Dysfunctionalgbthinkinggbandgblearnedgbpatternsgbofgbmaladaptivegbbehaviorgbcontributegb
togbpsychologicalgbproblems

,-
Ind'sgbcangblearngbmoregbadaptivegbbehaviorsgbwhichgbcangbrelievegbsymptomsgb&gbimpro
vegbqualitygbofgblife
-CBTgbisgb(+)gb&gbstressesgbcollaborationgb&gbactivegbparticipation
-CBTgbincludesgbactiongbplansgbingbthegbformgbofgbtherapygbhomework

RolegbofgbthegbPsychotherapistgbingbCBTgb-gbANSWERS---
usinggbagbstructured,gbcollaborativegbapproachgbtogbhelpgbclientsgbrecognizegbandgbreeval
uategbcognitivegbdistortions
-helpgbclients:
gb•gbbettergbunderstandgbthegbbehaviorsgbofgbothers

•gbdevelopgbimprovedgbcopinggbskills
-Psychoeducation
-Homework
•gbtogbhelpgbclientsgbreinforcegb&gbbuildgbongbwhatgbwasgblearnedgbduringgbthegbtherapygbse
ssion

motivationalgbinterviewinggb(MI)gb-gbANSWERS---
helpsgbindividualsgbpreparegbforgbchange
-person-centered,gbevidence-basedgbapproachgbtogbbehaviorgbchange
-usinggbagbcollaborative,gbgoal-orientedgbcommunicationgbstyle
-empowersgbclientsgbtogbdrawgbongbtheirgbmeaningsgb&gbcapacitiesgbtogbfacilitategbchange
•gbaddressinggbissuesgbwithgbambivalencegbandgbresistance
-
grewgboutgbofgbWilliamgbR.gbMiller'sgbclinicalgbpracticegbworkinggbwithgbclientsgbwithgbsubst
ancegbusegbdisordersgbingbthegb1980s
•gbcollaboratedgbwithgbStephengbRollnickgbtogbwritegbbook:gbMotivationalgbinterviewing

IndicationsgbforgbMIgb-gbANSWERS---
reductiongbofgbsubstancegbusegbandgbhealthgbpromotion
-improvinggbmedicationgbadherencegbingbclientsgbwithgbschizophrenia

MIgbGuidinggbPrinciplesgb-gbANSWERS---acceptance
-empathy
-compassion
-respectgbofgbclientgbautonomy
-acknowledgmentgbofgbthegbclient'sgbstrengthsgb&gbefforts
-SpiritgbofgbMI
•gbPartnership,gbcompassion,gbacceptance,gbevocation

MIgbRolegbofgbthegbPsychotherapistgb-gbANSWERS--
representedgbbygbthegbmnemonicgbRULE:

Resistgbthegbrightinggbreflex
Understandgbthegbpatient'sgbmotivation
Listengbtogbthegbpatient
Empowergbthegbpatient

OARSgb-gbANSWERS--CommunicationgbskillsgbforgbMI:
-Opengbquestions

,•gbcannotgbbegbansweredgbwithgbagbyesgborgbno,gbrequiregbelaboration

-Affirming
•gbprovidegbencouragement,gbaregb(+)gbcommentsgbongbagbclient'sgbstrengthsgborgbefforts

-Reflecting
•gbmirrorgbthegbcontentgborgbfeelingsgbexplicitlygborgbimplicitlygbstatedgbbygbthegbclient
•gbconveygbempathy,gbdemonstrategblistening,gbhighlightgbemotionsgb&gbbeliefs,gb•gbprovid
egbopportunitiesgbforgbthegbclientgbtogbelaborategbongbtheirgbconcerns
•gbempowergbclientsgbtogbtakegbcontrolgbofgbthegbconversation
•gbrecommendedgbtogbusegbatgbleastgbtwogbreflectionsgbforgbeverygbquestion

-Summarizing
•gblinksgbtogethergbwhatgbhasgbbeengbstatedgbtogbhelpgbthegbclientgborganizegbtheirgbexperie
nces

MIgbPhasesgbofgbthegbChangegbProcessgb-gbANSWERS---engagement
•gbestablishmentgbofgbtrustgb&gbagbhelpinggbrelationshipgbbetweengbthegbtherapistgb&gbclient
•gbusesgbreflectionsgbthatgbcommunicategbunderstanding

-focusing
•gbidentificationgbofgbthegbdirectiongborgbtargetgbofgbthegbchange
•gbusesgbopen-endedgbquestions


-evoking
•gbidentifyinggbthegbclient'sgbmotivationgbforgbchangegbandgbevokinggbhope
•gbusesgbreflectionsgbandgbsummaries

-planning
•gbcreatinggbagbplangbforgbchange

acceptancegbandgbcommitmentgbtherapygb(ACT)gb-gbANSWERS---
helpsgbindividualsgbacceptgblife'sgbchallengesgbwhilegbfocusinggbongbtheirgbvaluesgbandgbgo
als
•gblearninggbhowgbtogbrelategbtogbthoughtsgb&gbfeelingsgbwhichgbimpactgblifegbrathergbthangbc
hanginggbthosegbthoughtsgb&gbfeelings
-referredgbtogbasgbagb"thirdgbwave"gbCBTgbtherapy
-Acceptinggbreactionsgbandgbbeinggbpresent
-Choosinggbagbvaluedgbdirection
-Takinggbaction
-Usedgbfor:
•gbdepression,gbanxiety,gbsubstancegbuse,gbchronicgbpain,gbtransdiagnosticgbcombination
sgbofgbconditions

solution-focusedgbtherapygb(SFT)gb-gbANSWERS---future-orientedgbapproach
-helpsgbclientgbIDgbproblemsgb&gbconstructgbsolutionsgbthatgbwillgbresultgbingbchange
-postmoderngbthinking
•gbrealitygbisgbshapedgbbygbmultiplegbandgbconflictinggb"truths"gb&gbconstructedgbthroughgbh
umangbinteraction

, •gbtheregbaregbasgbmanygbstoriesgbofgbmeaninggbasgbtheregbaregbpeoplegbinvolved
-fourthgbforcegbofgbpsychotherapy
•gbtranspersonal,gbgoinggbbeyondgbthegbideasgbofgbhumanness,gbidentity,gbandgbself-
actualization
-clientgbisgbconsideredgbtogbbegbthegbexpertgbofgbtheirgblives
-focusgbfromgbthegbproblemgbtogbthegbsolution
-
grewgboutgbofgbthegbworkgbatgbthegbBriefgbFamilygbTherapygbCentergbingbMilwaukeegbingbtheg
b1970s

•gbinfluencedgbbygbmanygbpsychotherapists,gbworkgbatgbthegbMentalgbResearchgbInstitutegb
ingbCalifornia,gbandgbthegbphilosophiesgbofgbBuddhismgbandgbTaoism

solution-focusedgbtherapygbKeygbConceptsgbandgbthegbRolegbofgbthegbPsychotherapistgb-
gbANSWERS---Solutionsgbtalk

•gbShiftgbtalkgbfromgbproblemsgbtogbsolutions

-Positivegborientation
•gbShiftgbfocusgbfromgbproblemsgbtogbnewgbpossibilities

-Lookinggbforgbwhatgbisgbworking
•gbFocusgbongbthegbexceptionsgbwithingbproblemgbpatterns

IndicationsgbforgbSFTgb-gbANSWERS---
usedgbforgbindividualgborgbgroupgbtherapygbacrossgbsettings
•gbmarriage,gbfamily,gbandgbchildgbtherapies
•gbtrauma
•gbpostpartumgbdepression
•gbdepression
•gbeatinggbdisorders
•gbseveregbmentalgbillness

howgbSFTgbisgbusedgbtogballeviategbanxietygb-gbANSWERS--4-
StepgbApproachgbforgbOvercominggbAnxiety

-Identifygbthegbmeaningfulgbpartsgbofgblifegbthatgbthegbanxietygbisgbblocking.

-Shiftgbthegbfocusgbawaygbfromgbthegbanxietygbitselfgbtowardgbthegbmeaningfulgbgoal.

-Creategbagblistgbofgbpositivegbmessagesgbthatgbwouldgbmotivategbyougbtowardgbthatgbgoal.

-Begbgentlegbwithgbyourselfgb-
gbyou'regbnotgbalone.gbManygbofgbthegbpeoplegbyougbmeetgbmaygbbegbworkinggbthroughgbso

methinggbsimilar.

Behavioralgbtheorygb-gbANSWERS---
Personalitygbisgbagbresultgbofgbthegbinteractiongbbetweengbangbind.gbandgbtheirgbenvironmen
t.
-focusgbongbobservablegbandgbmeasurablegbbehavior
-Skinner