NR605 / NR 605 Diagnosis & M anagement in Psychiatric-M ental
Health across the Lifespan I Practicum
Final Exam Weeks 5 - 8 Covered
100%Guarantee Pass - Chamberlain
1. cognitive-behavioral therapy
Answer
focus on how well individuals can adapt cogni-
tively and functionally to their environments
- s h or t - t e r m , 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 d is t or t ion s
• by Alb e r t 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 Nursing Theory
Answer
Orem's self-care deficit nursing t h e or y
• provides a framework to view CBT as a supportive intervention
• fosters effective self-care behaviors
-Roy's Adaptation Th e or y
• premise that individuals use coping mechanisms to adapt to stimuli, both in t e r n a l
and external
• share under pinnings with CBT.
3. Indications for CBT
Answer
treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
,4. 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 le a r n e d p a t t e r n s of maladaptive behavior contribute to
psychological problems
-Ind's can le a r n 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
5. Role of the Psychotherapist in CBT
Answer
using a structured, collaborative approach to help clients recognize and reevaluate
cognitive d is t or t ion s
-help clients:
• better understand the behaviors of others
• develop improved coping skills
-Psychoeducation
-Homework
• to help clients reinforce & build on what was le a r n e d during the therapy session
6. 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
7. Indications for MI
Answer
reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
8. MI Guiding Principles
Answer
acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
Health across the Lifespan I Practicum
Final Exam Weeks 5 - 8 Covered
100%Guarantee Pass - Chamberlain
1. cognitive-behavioral therapy
Answer
focus on how well individuals can adapt cogni-
tively and functionally to their environments
- s h or t - t e r m , 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 d is t or t ion s
• by Alb e r t 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 Nursing Theory
Answer
Orem's self-care deficit nursing t h e or y
• provides a framework to view CBT as a supportive intervention
• fosters effective self-care behaviors
-Roy's Adaptation Th e or y
• premise that individuals use coping mechanisms to adapt to stimuli, both in t e r n a l
and external
• share under pinnings with CBT.
3. Indications for CBT
Answer
treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
,4. 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 le a r n e d p a t t e r n s of maladaptive behavior contribute to
psychological problems
-Ind's can le a r n 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
5. Role of the Psychotherapist in CBT
Answer
using a structured, collaborative approach to help clients recognize and reevaluate
cognitive d is t or t ion s
-help clients:
• better understand the behaviors of others
• develop improved coping skills
-Psychoeducation
-Homework
• to help clients reinforce & build on what was le a r n e d during the therapy session
6. 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
7. Indications for MI
Answer
reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
8. MI Guiding Principles
Answer
acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
