NR605 Final Exam {Newest 2024/2025}Questions And Answers
100%Correct/Graded A+
1. cognitive-behavioral -focus on how well individuals can adapt cognitively
therapy and functionally to their environments
-short-term, structured, goal-oriented form of psy-
chotherapy
-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 dis-
tortions
• 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 -Orem's self-care deficit nursing theory
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 CBT -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
4. Principles of CBT in- -way an ind cognitively structures thoughts about
clude: self & the world determines how the ind feels &
, NR605 Final Exam
behaves
-Dysfunctional thoughts are rooted in irrational as-
sumptions
-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 partic-
ipation
-CBT includes action plans in the form of therapy
homework
5. Role of the Psy- -using a structured, collaborative approach to help
chotherapist in CBT clients recognize and reevaluate cognitive distor-
tions
-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 interview- -helps individuals prepare for change
ing (MI) -person-centered, evidence-based approach to be-
havior change
-using a collaborative, goal-oriented communica-
tion style
-empowers clients to draw on their meanings &
capacities to facilitate change
• addressing issues with ambivalence and resis-
tance
-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
, NR605 Final Exam
7. Indications for MI -reduction of substance use and health promotion
-improving medication adherence in clients with
schizophrenia
8. MI Guiding Principles -acceptance
-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 Psy- represented by the mnemonic RULE:
chotherapist
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 conversa-
tion
• recommended to use at least two reflections for
every question
, NR605 Final Exam
-Summarizing
• links together what has been stated to help the
client organize their experiences
11. MI Phases of the -engagement
Change Process • 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 com- -helps individuals accept life's challenges while fo-
mitment therapy (ACT) cusing 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 ther- -future-oriented approach
apy (SFT) -helps client ID problems & construct solutions that
will result in change
100%Correct/Graded A+
1. cognitive-behavioral -focus on how well individuals can adapt cognitively
therapy and functionally to their environments
-short-term, structured, goal-oriented form of psy-
chotherapy
-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 dis-
tortions
• 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 -Orem's self-care deficit nursing theory
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 CBT -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
4. Principles of CBT in- -way an ind cognitively structures thoughts about
clude: self & the world determines how the ind feels &
, NR605 Final Exam
behaves
-Dysfunctional thoughts are rooted in irrational as-
sumptions
-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 partic-
ipation
-CBT includes action plans in the form of therapy
homework
5. Role of the Psy- -using a structured, collaborative approach to help
chotherapist in CBT clients recognize and reevaluate cognitive distor-
tions
-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 interview- -helps individuals prepare for change
ing (MI) -person-centered, evidence-based approach to be-
havior change
-using a collaborative, goal-oriented communica-
tion style
-empowers clients to draw on their meanings &
capacities to facilitate change
• addressing issues with ambivalence and resis-
tance
-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
, NR605 Final Exam
7. Indications for MI -reduction of substance use and health promotion
-improving medication adherence in clients with
schizophrenia
8. MI Guiding Principles -acceptance
-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 Psy- represented by the mnemonic RULE:
chotherapist
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 conversa-
tion
• recommended to use at least two reflections for
every question
, NR605 Final Exam
-Summarizing
• links together what has been stated to help the
client organize their experiences
11. MI Phases of the -engagement
Change Process • 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 com- -helps individuals accept life's challenges while fo-
mitment therapy (ACT) cusing 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 ther- -future-oriented approach
apy (SFT) -helps client ID problems & construct solutions that
will result in change
