NR 605 FINAL EXAM DIAGNOSIS AND MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS THE LIFESPAN
COMPREHENSIVE QUESTIONS AND SOLUTIONS
◉ CBT Relationship to Nursing Theory
Answer: -Orem's self-care deficit 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.
,◉ 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
-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
◉ MI Guiding Principles
Answer: -acceptance
-empathy
PSYCHIATRIC MENTAL HEALTH ACROSS THE LIFESPAN
COMPREHENSIVE QUESTIONS AND SOLUTIONS
◉ CBT Relationship to Nursing Theory
Answer: -Orem's self-care deficit 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.
,◉ 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
-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
◉ MI Guiding Principles
Answer: -acceptance
-empathy
