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1. The primary premise of Cognitive Behavioral Therapy (CBT)
is that:
a) Unconscious conflicts drive all human behavior.
b) Behavior is solely a product of environmental conditioning.
c) Thoughts, feelings, and behaviors are interconnected and
influence each other.
d) Self-actualization is the primary human motive.
Correct Answer: c) Thoughts, feelings, and behaviors are
interconnected and influence each other.
Rationale: The cognitive-behavioral model is a tripartite one,
positing that our cognitions (thoughts), affect (feelings), and
behaviors are constantly interacting. Changing one (like a
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,thought) can change the others (feelings and behaviors). Option
a is psychodynamic, b is radical behaviorism, and d is humanistic.
2. According to Aaron Beck's cognitive triad, depression is
characterized by negative views of:
a) The past, the present, and the future.
b) The self, the world, and the future.
c) Others, the environment, and the self.
d) Competence, control, and worth.
Correct Answer: b) The self, the world, and the future.
Rationale: Beck's cognitive triad is the cornerstone of his
cognitive theory of depression. It specifically identifies negative
automatic thoughts about the self ("I'm worthless"), the world
("Everyone is against me"), and the future ("Things will never get
better"). The other options are not the specific triad components.
3. A client says, "I'm such a failure, I can't do anything right."
This statement is best described as a(n):
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,a) Core belief.
b) Conditional assumption.
c) Negative automatic thought (NAT).
d) Cognitive distortion.
Correct Answer: c) Negative automatic thought (NAT).
Rationale: NATs are the specific, spontaneous, and often fleeting
negative thoughts that pop into one's mind. They are situation-
specific and are the most accessible level of cognition. Core
beliefs (a) are deeper, global, and absolute (e.g., "I am
unlovable"). Conditional assumptions (b) are "if-then" rules (e.g.,
"If I'm not perfect, I'm a failure"). A cognitive distortion (d) is
the type of error in thinking (e.g., all-or-nothing thinking), which
this statement exemplifies, but the statement itself is the NAT.
4. The primary goal of Socratic questioning in CBT is to:
a) Impose the therapist's logical viewpoint on the client.
b) Uncover unconscious childhood traumas.
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, c) Guide the client to discover and challenge their own
maladaptive thoughts.
d) Provide the client with direct answers to their problems.
Correct Answer: c) Guide the client to discover and challenge
their own maladaptive thoughts.
Rationale: Socratic questioning is a guided discovery technique,
not a lecture. The therapist uses open-ended questions to help the
client examine the evidence for their beliefs, consider alternative
perspectives, and arrive at their own more balanced conclusions.
This empowers the client.
5. A client fails a test and thinks, "I'm going to fail out of
school, lose my job, and end up homeless." This is an
example of:
a) Personalization.
b) Catastrophizing.
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