NR605 Final Exam 2025/2026 Latest And
Updated Version Contains Practice
Questions And Verified Answers
Who is the grandfather of cognitive behavior therapy? Who else contributed
to it? - ANS>> Albert Ellis
Aaron Beck
Which nursing theorists have associations with CBT? - ANS>> Orem
Roy
Parse
What nursing theory did Orem develop? How does it relate to CBT? -
ANS>> self-care deficit nursing theory
provides a framework to view CBT as a supportive intervention that fosters
effective self-care behaviors
What nursing theory did Roy develop? How does it relate to CBT? - ANS>>
Adaptation Theory, with its premise that individuals use coping
mechanisms to adapt to stimuli, both internal and external
What diagnoses does CBT treat? - ANS>> depression, anxiety disorders,
substance use disorders, eating disorders, severe mental illness, OCD, and
PTSD
What are the key concepts of CBT? - ANS>> -The way an individual
cognitively structures thoughts about the self and the world determines how
the individual feels and behaves.
-Dysfunctional thoughts are rooted in irrational assumptions.
-Dysfunctional thinking and learned patterns of maladaptive behavior
contribute to psychological problems.
-Individuals can learn more adaptive behaviors which can relieve
symptoms and improve quality of life.
-CBT is positive and stresses collaboration and active participation.
-CBT includes action plans in the form of therapy homework.
,What are the core principles of CBT? - ANS>> 1.) Thoughts, Emotions, and
Behaviors Are Connected:
Dysfunctional thoughts lead to emotional distress and maladaptive
behaviors.
2.) Cognitive Restructuring:
Identifying and challenging negative automatic thoughts and cognitive
distortions.
3.) Behavioral Activation:
Encourages engagement in positive activities to improve mood and
functioning.
How is CBT related to Peplau's Interpersonal Theory? - ANS>> Focuses
on the nurse-client relationship and communication, aligning with CBT's
collaborative and goal-oriented approach.
How is CBT related to Orem's Self-Care Deficit Theory? - ANS>> Promotes
empowering clients to identify and correct maladaptive thoughts, enhancing
self-care and autonomy
What is the role of the psychotherapist in CBT? - ANS>> -Help clients
recognize and reevaluate cognitive distortions and adapt new skills
-help clients better understand the behaviors of others and develop
improved coping skills.
-clients learn to identify and change their thinking, emotions, and behaviors
to better cope with environmental challenges and stressful situations
-psychoeducation is integral
-Homework is given
Define cognitive distortions - ANS>> faulty, exaggerated, or irrational
thinking patterns that cause individuals to inaccurately perceive reality
In CBT describe Socratic dialogue as a technique for stabilization - ANS>>
Encourages the client to question automatic thoughts and assumptions and
explore alternative explanations
What three areas does acceptance and commitment therapy focus on? -
ANS>> (a) accept your reactions and be present;
,(b) choose a valued direction; and
(c) take action
What does acceptance and commitment therapy help the client do? -
ANS>> helps the person to accept undesirable thoughts and feelings, while
behaving in a manner that is congruent with his or her values and goals
What are clients taught in acceptance and commitment therapy? - ANS>>
Patients are taught to observe and mindfully watch their thoughts while
they fully feel their feelings, rather than trying to change them. They are
next taught to focus on overt actions that will move them in valued
directions
Who founded motivational interviewing? - ANS>> William R. Miller in
collaboration with Stephan Rollnick
When is motivational interviewing indicated? - ANS>> reduction of
substance use and health promotion
shown efficacy in improving medication adherence in clients with
schizophrenia
What are the guiding principles of motivational interviewing? - ANS>>
acceptance, empathy, compassion, respect of client autonomy, and
acknowledgment of the client's strengths and efforts
What is the role of the therapist in motivational interviewing? - ANS>> help
draw out the client's internal capacity for change.
Core principles/role of psychotherapist in motivational interviewing (RULE)
- ANS>> R: Resist the righting reflex.
U: Understand and explore the client's motivations.
L: Listen with empathy.
E: Empower the client.
Tell me about the "R" in RULE in motivational interviewing - ANS>> Resist
the righting reflex: Resist the urge to educate or correct patient perceptions
about decisions that may not appear to be in their best interest; instead,
explore the values behind their decisions.
, Tell me about the "U" in RULE in motivational interviewing - ANS>>
Understand the patient's motivation: Approach patients with open-
mindedness and curiosity about their individual experiences and
motivations.
Tell me about the "L" in RULE in motivational interviewing - ANS>> Listen
to the patient: Create safe environments in which patients and families feel
accepted and free to express their emotions and beliefs.
Tell me about the "E" in RULE in motivational interviewing - ANS>>
Empower the patient: Empower patients and family members in the
decision-making process.
In CBT describe de-catastrophizing as a technique for stabilization -
ANS>> Helps the client reframe worst-case scenarios and consider more
realistic outcomes.
examining the outcome the client considers to be the "worst possible" and
developing a plan of action to address that outcome to decrease anxiety.
Tell me about acceptance and Commitment Theory (ACT) - ANS>> focus
on a client's relationship to their thoughts and feelings rather than on the
content
The focus is learning how to relate to thoughts and feelings which impact
life rather than changing those thoughts and feelings.
focuses on acceptance of self by recognizing we are all humans with flaws
and committing to living one's personal values
What does the "A" in ACT therapy represent? - ANS>> Accepting reactions
and being present
What does the "C" in ACT therapy represent? - ANS>> Choosing a valued
direction
What does the "T" in ACT therapy represent? - ANS>> Taking action
What is the goal of acceptance and commitment therapy? - ANS>>
Encourage clients to accept difficult emotions while committing to value-
based actions.
Updated Version Contains Practice
Questions And Verified Answers
Who is the grandfather of cognitive behavior therapy? Who else contributed
to it? - ANS>> Albert Ellis
Aaron Beck
Which nursing theorists have associations with CBT? - ANS>> Orem
Roy
Parse
What nursing theory did Orem develop? How does it relate to CBT? -
ANS>> self-care deficit nursing theory
provides a framework to view CBT as a supportive intervention that fosters
effective self-care behaviors
What nursing theory did Roy develop? How does it relate to CBT? - ANS>>
Adaptation Theory, with its premise that individuals use coping
mechanisms to adapt to stimuli, both internal and external
What diagnoses does CBT treat? - ANS>> depression, anxiety disorders,
substance use disorders, eating disorders, severe mental illness, OCD, and
PTSD
What are the key concepts of CBT? - ANS>> -The way an individual
cognitively structures thoughts about the self and the world determines how
the individual feels and behaves.
-Dysfunctional thoughts are rooted in irrational assumptions.
-Dysfunctional thinking and learned patterns of maladaptive behavior
contribute to psychological problems.
-Individuals can learn more adaptive behaviors which can relieve
symptoms and improve quality of life.
-CBT is positive and stresses collaboration and active participation.
-CBT includes action plans in the form of therapy homework.
,What are the core principles of CBT? - ANS>> 1.) Thoughts, Emotions, and
Behaviors Are Connected:
Dysfunctional thoughts lead to emotional distress and maladaptive
behaviors.
2.) Cognitive Restructuring:
Identifying and challenging negative automatic thoughts and cognitive
distortions.
3.) Behavioral Activation:
Encourages engagement in positive activities to improve mood and
functioning.
How is CBT related to Peplau's Interpersonal Theory? - ANS>> Focuses
on the nurse-client relationship and communication, aligning with CBT's
collaborative and goal-oriented approach.
How is CBT related to Orem's Self-Care Deficit Theory? - ANS>> Promotes
empowering clients to identify and correct maladaptive thoughts, enhancing
self-care and autonomy
What is the role of the psychotherapist in CBT? - ANS>> -Help clients
recognize and reevaluate cognitive distortions and adapt new skills
-help clients better understand the behaviors of others and develop
improved coping skills.
-clients learn to identify and change their thinking, emotions, and behaviors
to better cope with environmental challenges and stressful situations
-psychoeducation is integral
-Homework is given
Define cognitive distortions - ANS>> faulty, exaggerated, or irrational
thinking patterns that cause individuals to inaccurately perceive reality
In CBT describe Socratic dialogue as a technique for stabilization - ANS>>
Encourages the client to question automatic thoughts and assumptions and
explore alternative explanations
What three areas does acceptance and commitment therapy focus on? -
ANS>> (a) accept your reactions and be present;
,(b) choose a valued direction; and
(c) take action
What does acceptance and commitment therapy help the client do? -
ANS>> helps the person to accept undesirable thoughts and feelings, while
behaving in a manner that is congruent with his or her values and goals
What are clients taught in acceptance and commitment therapy? - ANS>>
Patients are taught to observe and mindfully watch their thoughts while
they fully feel their feelings, rather than trying to change them. They are
next taught to focus on overt actions that will move them in valued
directions
Who founded motivational interviewing? - ANS>> William R. Miller in
collaboration with Stephan Rollnick
When is motivational interviewing indicated? - ANS>> reduction of
substance use and health promotion
shown efficacy in improving medication adherence in clients with
schizophrenia
What are the guiding principles of motivational interviewing? - ANS>>
acceptance, empathy, compassion, respect of client autonomy, and
acknowledgment of the client's strengths and efforts
What is the role of the therapist in motivational interviewing? - ANS>> help
draw out the client's internal capacity for change.
Core principles/role of psychotherapist in motivational interviewing (RULE)
- ANS>> R: Resist the righting reflex.
U: Understand and explore the client's motivations.
L: Listen with empathy.
E: Empower the client.
Tell me about the "R" in RULE in motivational interviewing - ANS>> Resist
the righting reflex: Resist the urge to educate or correct patient perceptions
about decisions that may not appear to be in their best interest; instead,
explore the values behind their decisions.
, Tell me about the "U" in RULE in motivational interviewing - ANS>>
Understand the patient's motivation: Approach patients with open-
mindedness and curiosity about their individual experiences and
motivations.
Tell me about the "L" in RULE in motivational interviewing - ANS>> Listen
to the patient: Create safe environments in which patients and families feel
accepted and free to express their emotions and beliefs.
Tell me about the "E" in RULE in motivational interviewing - ANS>>
Empower the patient: Empower patients and family members in the
decision-making process.
In CBT describe de-catastrophizing as a technique for stabilization -
ANS>> Helps the client reframe worst-case scenarios and consider more
realistic outcomes.
examining the outcome the client considers to be the "worst possible" and
developing a plan of action to address that outcome to decrease anxiety.
Tell me about acceptance and Commitment Theory (ACT) - ANS>> focus
on a client's relationship to their thoughts and feelings rather than on the
content
The focus is learning how to relate to thoughts and feelings which impact
life rather than changing those thoughts and feelings.
focuses on acceptance of self by recognizing we are all humans with flaws
and committing to living one's personal values
What does the "A" in ACT therapy represent? - ANS>> Accepting reactions
and being present
What does the "C" in ACT therapy represent? - ANS>> Choosing a valued
direction
What does the "T" in ACT therapy represent? - ANS>> Taking action
What is the goal of acceptance and commitment therapy? - ANS>>
Encourage clients to accept difficult emotions while committing to value-
based actions.
