NR605 Final Exam With Correct Detailed Answers
cognitive-behavioral therapy - ANSWER--focus 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
CBT Relationship to Nursing Theory - ANSWER--Orem'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.
,NR605 Final Exam With Correct Detailed Answers
Indications for CBT - ANSWER--treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
Principles of CBT include: - ANSWER--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
Role of the Psychotherapist in CBT - ANSWER--using a structured,
collaborative approach to help clients recognize and reevaluate
cognitive distortions
-help clients:
,NR605 Final Exam With Correct Detailed Answers
• 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
motivational interviewing (MI) - ANSWER--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
Indications for MI - ANSWER--reduction of substance use and health
promotion
-improving medication adherence in clients with schizophrenia
MI Guiding Principles - ANSWER--acceptance
, NR605 Final Exam With Correct Detailed Answers
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
MI Role of the Psychotherapist - ANSWER-represented by the
mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
Listen to the patient
Empower the patient
OARS - ANSWER-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
cognitive-behavioral therapy - ANSWER--focus 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
CBT Relationship to Nursing Theory - ANSWER--Orem'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.
,NR605 Final Exam With Correct Detailed Answers
Indications for CBT - ANSWER--treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
Principles of CBT include: - ANSWER--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
Role of the Psychotherapist in CBT - ANSWER--using a structured,
collaborative approach to help clients recognize and reevaluate
cognitive distortions
-help clients:
,NR605 Final Exam With Correct Detailed Answers
• 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
motivational interviewing (MI) - ANSWER--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
Indications for MI - ANSWER--reduction of substance use and health
promotion
-improving medication adherence in clients with schizophrenia
MI Guiding Principles - ANSWER--acceptance
, NR605 Final Exam With Correct Detailed Answers
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
MI Role of the Psychotherapist - ANSWER-represented by the
mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
Listen to the patient
Empower the patient
OARS - ANSWER-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
