1
NR605 FINAL EXAM
NEWLY FORMATTED DOCUMENT
-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
cognitive-behavioral behavioral problems
therapy -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
,2
-Orem's self-care deficit nursing theory
• provides a framework to view CBT as a supportive
intervention
• fosters effective self-care behaviors
CBT Relationship to
Nursing Theory
-Roy's Adaptation Theory
• premise that individuals use coping
mechanisms to adapt to stimuli, both
internal and external
• share underpinnings with CBT.
-treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
Indications for CBT
• eating disorders
• severe mental illness
• PTSD
,3
-way an ind cognitively structures thoughts
about self & the world determines how the
ind feels & behaves
-Dysfunctional thoughts are rooted in irrational
assumptions
Principles of CBT -Dysfunctional thinking and learned patterns
include:
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
-using a structured, collaborative approach
to help clients recognize and reevaluate
cognitive distortions
-help clients:
Role of the • better understand the behaviors of others
Psychotherapist in • develop improved coping skills
CBT -Psychoeducation
-Homework
• to help clients reinforce & build on what was
learned during the therapy session
-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
motivational & capacities to facilitate change
interviewing (MI) • addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical
practice working with clients with substance
, 4
use disorders in the 1980s
• collaborated with Stephen Rollnick to write
book: Motivational interviewing
Indications for MI -reduction of substance use and health promotion
-improving medication adherence in clients with
schizophrenia
-acceptance
-empathy
-compassion
-respect of client autonomy
MI Guiding Principles
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
represented by the mnemonic RULE:
Resist the righting reflex
MI Role of the Understand the patient's
Psychotherapist
motivation Listen to the
patient
Empower the patient
NR605 FINAL EXAM
NEWLY FORMATTED DOCUMENT
-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
cognitive-behavioral behavioral problems
therapy -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
,2
-Orem's self-care deficit nursing theory
• provides a framework to view CBT as a supportive
intervention
• fosters effective self-care behaviors
CBT Relationship to
Nursing Theory
-Roy's Adaptation Theory
• premise that individuals use coping
mechanisms to adapt to stimuli, both
internal and external
• share underpinnings with CBT.
-treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
Indications for CBT
• eating disorders
• severe mental illness
• PTSD
,3
-way an ind cognitively structures thoughts
about self & the world determines how the
ind feels & behaves
-Dysfunctional thoughts are rooted in irrational
assumptions
Principles of CBT -Dysfunctional thinking and learned patterns
include:
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
-using a structured, collaborative approach
to help clients recognize and reevaluate
cognitive distortions
-help clients:
Role of the • better understand the behaviors of others
Psychotherapist in • develop improved coping skills
CBT -Psychoeducation
-Homework
• to help clients reinforce & build on what was
learned during the therapy session
-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
motivational & capacities to facilitate change
interviewing (MI) • addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical
practice working with clients with substance
, 4
use disorders in the 1980s
• collaborated with Stephen Rollnick to write
book: Motivational interviewing
Indications for MI -reduction of substance use and health promotion
-improving medication adherence in clients with
schizophrenia
-acceptance
-empathy
-compassion
-respect of client autonomy
MI Guiding Principles
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
represented by the mnemonic RULE:
Resist the righting reflex
MI Role of the Understand the patient's
Psychotherapist
motivation Listen to the
patient
Empower the patient
