NR605 Final Exam Questions with Correct
Detailed Answers Graded A+ 2025
Who is the grandfather of cognitive behavior therapy? Who else contributed to it? -
Correct Answers ✔-Albert Ellis
Aaron Beck
Which nursing theorists have associations with CBT? -Correct Answers ✔-Orem
Roy
Parse
What nursing theory did Orem develop? How does it relate to CBT? -Correct
Answers ✔-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? -Correct
Answers ✔-Adaptation Theory, with its premise that individuals use coping
mechanisms to adapt to stimuli, both internal and external
What diagnoses does CBT treat? -Correct Answers ✔-depression, anxiety
disorders, substance use disorders, eating disorders, severe mental illness, OCD,
and PTSD
What are the key concepts of CBT? -Correct Answers ✔--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.
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-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? -Correct Answers ✔-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? -Correct Answers ✔-
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? -Correct Answers ✔-
Promotes empowering clients to identify and correct maladaptive thoughts,
enhancing self-care and autonomy
What is the role of the psychotherapist in CBT? -Correct Answers ✔--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 -Correct Answers ✔-faulty, exaggerated, or irrational
thinking patterns that cause individuals to inaccurately perceive reality
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In CBT describe Socratic dialogue as a technique for stabilization -Correct
Answers ✔-Encourages the client to question automatic thoughts and assumptions
and explore alternative explanations
In CBT describe de-catastrophizing as a technique for stabilization -Correct
Answers ✔-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) -Correct Answers ✔-
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? -Correct Answers ✔-Accepting
reactions and being present
What does the "C" in ACT therapy represent? -Correct Answers ✔-Choosing a
valued direction
What does the "T" in ACT therapy represent? -Correct Answers ✔-Taking action
What is the goal of acceptance and commitment therapy? -Correct Answers ✔-
Encourage clients to accept difficult emotions while committing to value-based
actions.
What are the core processes of acceptance and commitment therapy? -Correct
Answers ✔-Cognitive Defusion
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Acceptance
Present Moment Awareness
Self-as-Context
Values Clarification
Committed Action
What three areas does acceptance and commitment therapy focus on? -Correct
Answers ✔-(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? -Correct
Answers ✔-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? -Correct Answers
✔-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? -Correct Answers ✔-William R. Miller
in collaboration with Stephan Rollnick
When is motivational interviewing indicated? -Correct Answers ✔-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? -Correct Answers
✔-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? -Correct Answers ✔-
help draw out the client's internal capacity for change.
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