Week 2 - Chap 12 Cognitive Interventions

Schema are the individual's life rules that act as a sieve or filter. Which of the following influence schema development? Select all that apply.

• Ethnicity • Culture • Gender • Religious affiliation

In which step of cognitive-behavioral therapy (CBT) does the therapist develop the theme that problems are manageable?

engagement

Dysfunctional consequences follow which type of belief?

Rigid

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

The client diagnosed with schizophrenia two years ago

A client is using cognitive therapy as an adjunct treatment for bipolar disorder. Which of the following 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 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

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

Rational beliefs accept that human beings are fallible and reject absolutes such as which of the following? Select all that apply.

• "Never" • "Always"

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 which of the following?

Establishing rapport

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

Restructure how a person perceives events.

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

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

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

Absolute thinking

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

How clients think about themselves and their world

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

Miracle

When the nurse asks the client to rate the issue or problem on a scale of 1 to 10, the nurse is using which question type?

Scaling

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

Schema

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

automatic

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 of the following therapeutic approaches is the nurse employing?

cognitive therapy

The client has repeatedly stated, "I'm nothing if I'm not in an intimate relationship". What mental health related consequence will the nurse assess for when it's learned that the client's spouse has filed for divorce?

drug abuse

What step in cycle of cognition immediately follows the event?

Perception

Which of the following is an assumption of solution-focused behavior therapy?

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

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."

When clients are asked to consider the points of view of significant others in their lives, the nurse is asking which type of question?

relationship

Which response by a client involved in solution focused brief therapy (SFBT) 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."

What statement accurately describes the order of focus when providing solution-focused therapy (SFBT) to a client?

"First we need to work on stress management techniques and then we'll discuss what is at the root of your stress."

Which statement made by a client demonstrates an understanding of the fundamental framework of cognitive behavior therapy (CBT)?

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

Preferential rational emotive behavior therapy includes general rational emotive behavior therapy (REBT) but also emphasizes which of the following?

A profound philosophic change

Who developed cognitive therapy for persons with depression?

Aaron Beck

A therapist who uses cognitive therapy (CT) knows that prior to concluding all sessions, which of the following interventions must be completed?

Summarizing issues identified

Which question, asked by the psychiatric nurse, would be most helpful when prioritizing the client's identified depression related problems?

How severe would you rate your sense of hopelessness?"

Which question asked of a client being treated with solution-focused behavioral therapy (SFBT) is an example of a miracle question?

"How would your life be different if you woke up tomorrow without any anxiety?"

Which statement made by a client receiving cognitive behavioral therapy (CBT) demonstrates a basic assumption made by the psychiatric healthcare staff that influences the care provided?

"I know I can do this; I can control my temper."

Which statement made by the nurse, focuses on the a fundamental component of cognitive behavioral therapy (CBT)?

"The next time you feel like a failure, remind yourself how well you raised your children."

What statement asked by the psychiatric nurse identifies the primary theme of the engagement and assessment phase of the cognitive behavioral (CBT) therapy process?

"The problems created by depression are serious; CBT will help you manage them more effectively."

A client is involved in solution-focused behavior therapy (SFBT) for a phobia associated with talking to strangers. How should the nurse respond when the client states, "What difference is saying hello to a stranger going to make. I'm horrified of having to talk to someone I don't know"?

"This is a small change in your behavior but all change starts small."

Which statement by the psychiatric nurse identifies the goal of rational emotive behavior therapy (REBT)?

"We will work at helping you develop rational beliefs about eating and how you look."

A therapist using cognitive-behavioral therapy (CBT) with a client has introduced a tool to help change self-perception. This tool uses books that offer alternative thoughts and responses. Additionally, the therapist encourages the client to keep a diary focused on emotional responses. These approaches are known as which of the following?

Bibliotherapy

Which of the following reinforce the client's successes and strengths?

Compliments

A nurse is applying principles of cognitive behavioral therapy (CBT) in the treatment of a client with depression. Which of the following interventions is an example of CBT?

Encouraging the client to identify destructive thoughts and practice mindfulness

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

A psychiatric nurse knows that with solution-focused behavior therapy (SFBT), it is important for the interventions used to focus on which of the following types of goals?

Specific and achievable

Solution-focused approaches have been effective with hospitalized clients who experience symptoms of which mental illness?

Schizophrenia

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

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.

What statement regarding rational emotive behavior therapy (REBT) should the nurse include in a discussion with a client about the foundations of this therapy?

• "Irrational beliefs are the root of many emotional problems." • "REBT is a form of cognitive behavioral therapy." • "According to REBT everyone has the potential to formulate self-defeating beliefs."

Which statement made by the nurse identifies a factor has affected the context of nursing practice over that last several decades? Select all that apply.

• "The client's admission will be for 3 days only." • "The client is extremely paranoid and physically aggressive." • "The client's insurance will only pay for outpatient services." • "I need to see if the acute care facility can accept a psychotic client."

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?"

Which statement reflects an assumption upon which solution-focused behavior therapy (SFBT) is based? Select all that apply.

• "You have strengths and abilities that will help you manage this problem." • "There is no right or wrong way to view your situation." • "Change is most likely to occur when the focus is on that which can be changed."

What are the key concepts the psychiatric nurse should be aware of when educating a client about cognitive behavioral therapy (CBT)? Select all that apply.

• CBT introduces positive thoughts to replace cognitive distortions • CBT focuses on identifying negative, inaccurate thoughts. • CBT strives to help the client accurately interpret situations • CBT introduces the client to the rewards of appropriate behaviors

A nursing student realizes that increasingly the focus of practice is in which of the following? Select all that apply.

• Community • Private homes • Primary care settings

Which of the following components is part of the cognitive triad? Select all that apply.

• Future • World • Oneself

Which statements are accurate regarding cognition as it is referred to when determining the appropriateness of interventions? Select all that apply.

• It involves the actions associated with perception. • Memory is included in the process of cognition. • It is defined as an internal process • Judgement is included when discussion cognition.

When focusing on the cause of a client's depression, the nurse helps the client identify triggers associated with what processes? Select all that apply.

• The cognitive triad • Cognitive distortions • Schema

The nurse is providing a client information about what the goals are for the first phase of cognitive behavior therapy (CBT). What statement accurately provides that information. Select all that apply.

• The problem triggering the need for treatment is identified by the client • Treatment goals are prioritized with input from both client and therapist • The number of needed sessions is jointly decided upon • The therapist summaries the progress made during the session