MH Exam #2 | Chapter 13 PrepU Questions

Cognitive techniques focus on the client's patterns of which type of thinking? 1. Delayed 2. Magical 3. Delusional 4. Automatic

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Which of the following reinforce the client's successes and strengths? 1. Relationship questions 2. Scaling questions 3. Compliments 4. Miracle questions

3

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? 1. They are the result of irrational beliefs 2. They are the end result of any action 3. They give meaning to one's actions 4. They are the reasons people engage in certain behaviors

1

Beck's cognitive triad refers to the client's views about what three areas? 1. Self, the past, and the present 2. Self, the world, and the present 3. Self, the world, and the future 4. Self, the past, and the future

3

From the standpoint of cognitive therapy, the term cognition refers to what? 1. Faulty thought patterns that result in abnormal behavior 2. Dysfunctional ways of responding to situations 3. An idea 4. How clients think about themselves and their world

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The nurse provides care for a client who is participating in rational emotive behavioral therapy (REBT). Which client response indicates an accurate understanding of the primary emphasis of REBT? 1. "My activating event must be one that actually occurred." 2. "We will work on medication adherence, as this is my primary issue." 3. "I am the only one who can exacerbate my irritational thinking." 4. "We will work on changing my irrational beliefs into reasonable thoughts."

4

Changing negative thought patterns as means to improve mood and behavior is the basis of ... 1. Diagnostic evaluation 2. Psychotherapy 3. Cognitive behavior therapy 4. Anxiety disorders

3

A psychiatric-mental health nurse is working with a client. Which statement made by the client involved in solution-focused behavior therapy demonstrates effective use of a scaling question? 1. "Now that I understand what triggers my fear of flying, it feels more like a 7 than a 5." 2. "I need to manage this fear of flying or the consequences will rate a 10—I'll lose my job." 3. "My fear of flying used to be mild but has gotten a lot more intense over the last year." 4. "Flying is my number one fear."

1

An "all or nothing at all" thought process is an example of which theme associated with irrational beliefs? 1. Absolute thinking 2. Low frustration tolerance 3. Catastrophizing 4. A demand

1

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? 1. "Lengths of stay for clients in inpatient settings are becoming longer each year." 2. "The context of practice has changed considerably over the years for psychiatric nurses." 3. "Solution-focused approaches have been effective with hospitalized people experiencing delusions." 4. "Lengths of stay for clients in inpatient settings are becoming shorter each year."

1

The education provided to a client receiving cognitive behavioral therapy provides the client with information on the nature and course of the disorder and ... 1. Empowers clients to engage in a collaborative approach to their care 2. Identifies client weaknesses 3. Promotes the relationship with therapist for indefinite period of time 4. Examines the pros and cons of receiving cognitive behavior therapy

1

When clients are asked to consider the points of view of significant others in their lives, the nurse is asking which type of question? 1. Relationship 2. Compliments 3. Exception 4. Scaling

1

Which is an assumption of solution-focused behavior therapy? 1. Change is most likely to occur when the focus is on what is changeable 2. Usually, long-standing issues cannot be resolved in short periods of time 3. There is only a right way to see things 4. It is necessary to know a lot about the report and its origins or functions in order to resolve it

1

Which technique reinforces the client's successes and the strengths needed to achieve those successes? 1. Giving compliments 2. Asking scaling questions 3. Asking relationship questions 4. Asking exception questions

1

Rational beliefs accept that human beings are fallible and reject absolutes such as what? SATA 1. "Always" 2. "Never" 3. "Sometimes" 4. "Maybe" 5. "Once in a while"

1, 2

A client is scheduled to receive cognitive behavioral therapy. During which step would the client be required to complete homework assignments? 1. Evaluation 2. Intervention 3. Assessment 4. Engagement

2

A client is undergoing cognitive behavioral therapy. The nurse is explaining the cycle of cognition and how functional and dysfunctional thinking develops. When describing this cycle, which step would the nurse identify as occurring immediately after the event? SATA 1. Thoughts 2. Perception 3. Feelings 4. Beliefs 5. Mood state

2

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? 1. Threats from her past 2. Threats about her future 3. Threats from the world 4. Threats to her self

2

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? 1. "I'm an adult; I can overcome this fear." 2. "I've read that flying is safer than traveling in a car." 3. "No one else seems to be so afraid of flying." 4. "I've never actually been in a airplane accident."

2

A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what? 1. Help the person maintain all thoughts and behaviors 2. Restructure how a person perceives events 3. Change events in a person's life 4. Redirect all events in a person's life

2

A psychiatric-mental health nurse is describing solution-focused therapy to a client. Which statement would be most appropriate for the nurse to make about the order of the focus of this type of therapy? 1. "You need not dwell on what happened but we need to focus on what can be." 2. "First we need to work on stress management techniques and then we'll discuss what is at the root of your stress." 3. "Dispute the irrational thought and then you can work on dealing with the dysfunctional consequences it creates." 4. "Identifying the irrational belief behind your anxiety will then allow us to substitute a more rational one."

2

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? 1. "What is your diagnosis?" 2. "What brought you here today?" 3. "What are your major symptoms?" 4. "What kind of problem are you having?"

2

Which type of cognitive intervention identifies the possible solutions before addressing the problem? 1. Psychotherapy 2. Solution-focused behavior therapy 3. Cognitive behavioral therapy 4. Rational emotive behavior therapy

2

While interviewing a client, the client says, "I never will get promoted, no matter how hard I work or what great ideas I have. I'm just not as talented as my colleagues are." Which is the correct interpretation by the nurse about the client's statement? 1. Schema 2. Cognitive distortion 3. Compliment 4. Cognitive triad

2

A client with depression goes through three processes. The first is the cognitive triad, which includes thoughts about which of the following? SATA 1. Health and wellness 2. Self 3. Spirituality 4. The future 5. The world

2, 4, 5

A client with depression is receiving cognitive behavioral therapy (CBT). When focusing on the cause of a client's depression, the nurse helps the client identify triggers involving cognitive proceses. Which area would most likely be involved? SATA 1. Sociability 2. Cognitive triad 3. Cognitive limitations 4. Schema 5. Cognitive distortions

2, 4, 5

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? 1. The client will continue to have sessions with the therapist once a week for life 2. The client will relinquish all control 3. The client will engage in self-care independent of professional assistance 4. The client will no longer have to take medication

3

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: 1. Is absolute 2. Reflects infallibility 3. Reflects flexibility 4. Is self-defeating

3

Which response by a client involved in solution focused brief therapy demonstrates an understanding of the fundamental principles of this form of therapy? 1. "My anger results in consequences that have a negative impact on my life." 2. "The basis for my beliefs were for formed during my middle childhood years." 3. "Finding ways to manage my anger will allow my relationships to be so much more fulfilling." 4. "I have both strengths and weaknesses that are important to my health and happiness."

3

Which statement demonstrates a client's cognitive distortion about success in a course the client is enrolled in? 1. "I wish the test wasn't on Tuesday; I do better on tests scheduled on Mondays." 2. "Everyone says the course is hard but I really like the subject so I'll do well." 3. "I didn't make an A on that test; I'm never going to pass this course." 4. "Tests just aren't the best way to evaluate my knowledge of the subject."

3

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? 1. Humanistic therapy 2. Group therapy 3. Psychoanalytic therapy 4. Cognitive therapy

4

A psychiatric-mental health nurse is interviewing a client who has come to the community mental health center for an evaluation of anger issues. Which client statement would the nurse interpret as an irrational belief? 1. "Of course, I don't like it, but I can live with trying to learn about what to do." 2. "I really need to work on controlling my temper so I don't get into trouble." 3. "I think I need to get help with my anger issues." 4. "Nobody understands the enormous stress I'm under, so what's the use."

4

A psychiatric-mental health nurse is providing care to a male client at the clinic who is receiving rational emotive behavior therapy. The client's history reveals problems interacting with others in interpersonal situations leading to social isolation and feelings of loneliness. When reviewing the client's medical record, which information would the nurse most likely identify as the activating event? 1. Client beginning to dispute the beliefs of being a failure 2. Client deciding not to go to the seminar 3. Client feeling like a failure from perceived embarrassment of socially interacting with others 4. Client wanting to attend a seminar that will be talking about retirement investment options

4

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? 1. View of "can" instead of "must" 2. High frustration tolerance 3. Minimizing the event 4. Absolute thinking

4

Cognitive interventions are based on the concept of cognition. Who developed cognitive behavioral therapy? 1. Insoo Kim Berg 2. Albert Ellis 3. Steven DeShazer 4. Aaron Beck

4

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? 1. The client diagnosed with post-traumatic stress disorder after being sexually assaulted 2. The client expressing an intense fear of closed-in spaces 3. The client grieving the death of an infant child 4. The client diagnosed with schizophrenia 2 years ago

4

Which statement made by the client identifies a misconception of the goal of cognitive behavioral therapy (CBT) that the nurse should address initially? 1. "I want to change the way I perceive my experiences as usually being negative and hopeless." 2. "My future isn't dictated by my past." 3. "I've got to stop thinking of myself as a loser." 4. "Concentrating on past mistakes will help me make better decisions in the future."

4

Which type of question is useful in making the client's problem or issue more specific? 1. Miracle questions 2. Relationship questions 3. Exception questions 4. Scaling questions

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