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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+

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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+

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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

, 2


• 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

, 3


-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

, 4




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

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