Chapter 12 mental health

Rational beliefs accept that human beings are fallible and reject absolutes such as what? Select all that apply.

"Always" "Never"

Which question asked by the nurse demonstrates an attempt to implement cognitive behavioral therapy (CBT) with a client who has stated, "I'm worthless"?

"Can you identify one quality you admire in yourself?"

Which response by a client involved in solution focused brief therapy demonstrates an understanding of the fundamental principles of this form of therapy?

"Finding ways to manage my anger will allow my relationships to be so much more fulfilling."

Which statement demonstrates a client's cognitive distortion about success in a course the client is enrolled in?

"I didn't make an A on that test; I'm never going to pass this course."

Which statement made by a client engaged in solution-focused behavior therapy (SFBT) demonstrates an understanding of a fundamental assumption of this form of therapy?

"I'm trying to find ways to change how I function when I'm faced with a frustrating situation."

A client with extreme anxiety associated with flying is involved in cognitive behavior therapy to help manage those fears. Which statement demonstrates the client's attempt to refute the belief that supports the fear of flying?

"I've read that flying is safer than traveling in a car."

An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction?

"Lengths of stay for clients in inpatient settings are becoming longer each year."

A psychiatric-mental health nurse is working as part of the interdisciplinary team to develop the plan of care for a client who is to receive solution-focused behavior therapy. Which question would the nurse identify as being most appropriate to ask during the client's initial session?

"What brought you here today?"

A client is beginning rational emotive behavior therapy (REBT). When focusing on the factors that tend to exacerbate an individual's potential for irrational thinking, which assessment question will the therapist ask? Select all that apply.

"What is your cultural view on what makes a person successful?" "Are you viewed as being successful by your family?" "Who do your friends view as being successful?"

In which of the following environments did cognitive interventions have their beginning?

Long-term inpatient settings

Which type of cognitive intervention identifies the possible solutions before addressing the problem?

Solution-focused behavior therapy

A therapist meeting with a client for the first time plans to use a type of therapy that focuses more on solutions than problems and that asks the client to explore his or her life. This type of therapy is referred to as ...

Solution-focused brief therapy

considering that cognitive behavioral therapy (CBT) requires a clear understanding of one's own belief system, which client is not a candidate for effective CBT?

The client diagnosed with schizophrenia 2 years ago.v

Which is accurate about schema?

They are the individual's life rules.

A client states that she is anxious about separating from her emotionally abusive husband because she hasn't worked in many years. Using Beck's cognitive triad, the nurse understands that the client is concerned primarily about what?

Threats about her future

Which types of questions reinforce the client's successes and the strengths needed to achieve those successes?

compliments

The education provided to a client receiving cognitive behavioral therapy provides the client with information on the nature and course of the disorder and ...

empowers clients to engage in a collaborative approach to their care.

A psychiatric-mental health nurse is assessing a client and evaluating a client's beliefs. The nurse determines that the client's beliefs are rational because the belief:

reflects flexibility.

An "all or nothing at all" thought process is an example of which theme associated with irrational beliefs?

Absolute thinking

A nurse who plans to use cognitive therapy (CT) with a client knows that in the first meeting with the client it is important to do what?

Establish rapport.

Which form of questioning typically used as part of solution-focused behavioral therapy should be avoided for clients diagnosed with thought disorders?

Miracle

A psychiatric-mental health nurse is teaching a client about cognitive behavioral therapy. Which client statement demonstrates an understanding of the fundamental framework of this therapy?

"My distorted beliefs about how I look are responsible for my distorted thoughts."

A psychiatric-mental health nurse is working with several clients who are hospitalized for mential illness. The nurse would anticipate the use of solution-focused approaches with clients experiencing which issue?

Schizophrenia

Which is an assumption of solution-focused behavior therapy?

Change is most likely to occur when the focus is on what is changeable.

A nursing student has heard that material on the next test is difficult to master and many students have failed this particular test over the last few years. The student chooses to go skiing for the weekend instead of studying for the test and ultimately fails. The student then blames the test, not the lack of attention to study. This is an example of which cognitive process?

Cognitive distortion

A nursing student does not prepare for a test on the respiratory system because she believes that the material on the test will be too difficult and that she will fail regardless. What cognitive process is the student exhibiting?

Cognitive distortions

A nurse working on a psychiatric unit is helping clients to understand how individual perceptions determine a person's response or behavior in stressful situations. Which therapeutic approach is the nurse employing?

Cognitive therapy

A client is receiving cognitive behavioral therapy (CBT). In which step of this therapy does the therapist develop the theme that problems are manageable?

Enagagement

From the standpoint of cognitive therapy, the term cognition refers to what?

How clients think about themselves and their world

A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what?

Restructure how a person perceives events.

Which type of question is useful in making the client's problem or issue more specific?

Scaling questions

An individual's life rules that act as a filter for cognitive distortions are known as what?

Schema

A nurse is reading a journal article about cognitive behavior therapy and cognitive processes involved in the development of common mental disorders such as depression. The nurse demonstrates understanding of the information by identifying which area as being included in the cognitive triad? Select all that apply.

oneself world future

Dysfunctional consequences follow which type of belief?

Rigid

Cognitive techniques focus on the client's patterns of which type of thinking?

Automatic

Which statement made by the client identifies a misconception of the goal of cognitive behavioral therapy (CBT) that the nurse should address initially?

"Concentrating on past mistakes will help me make better decisions in the future."

Cognitive interventions are based on the concept of cognition. Who developed cognitive behavioral therapy?

Aaron Beck

A psychiatric-mental health nurse is working with a client who is receiving rational emotive behavior therapy. While reviewing the client's history, the nurse identifies statements that reflect common themes associated with irrational beliefs. Which theme would the nurse most identify in these beliefs?

Absolute thinking

A client is using cognitive therapy as an adjunct treatment for bipolar disorder. Which would be an overall goal for this client related to the use of cognitive therapy for this condition?

The client will engage in self-care independent of professional assistance.

A psychiatric- mental health advanced practice nurse is conducting rational emotive behavior therapy (REBT) with a client. When explaining the concept of consequences, which information would the nurse most likely include about dysfunctional consequences?

They are the result of irrational beliefs

Cognitive behavioral therapy is not effective with which client population?

Thought disorders

A client reports anxiety over "sounding stupid" when talking to strangers. As a part of cognitive behavioral therapy, the client is expected to speak to a stranger on the bus ride home and to journal about the experience. What information will be evaluated to determine the effect the activity has on the client's irrational belief about "sounding stupid"?

What actually happened compared to what the client feared would happen