NR 605/NR605 FINAL EXAM 2025/2026
BANK CURRENTLY TESTING ACTUAL
EXAM QUESTIONS WITH DETAILED
ANSWERS WITH STUDY GUIDE EXPERT
VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+
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
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• 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.
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
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-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:
• 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
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MI Guiding Principles - (ANSWER)-acceptance
-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