Chapter 13: Cognitive Interventions in Psychiatric Nursing

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?

"Now that I understand what triggers my fear of flying, it feels more like a 7 than a 5."

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."

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?

"We will work on changing my irrational beliefs into reasonable thoughts."

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 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? Select all that apply.

schema cognitive triad cognitive distortions

The nurse provides care for a client who is hospitalized in an acute inpatient psychiatric setting. The client experiences hallucinations. Which is the best approach to include in this client's plan of care?

the use of solution-focused therapy

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

Absolute thinking

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."

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."

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 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

Which is an assumption of solution-focused behavior therapy?

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

A 47-year-old client who is in marital counseling states that the client works obsessively because otherwise the client will lose the client's job and the couple will go bankrupt. What is this an example of?

Cognitive distortion

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

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.

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

Restructure how a person perceives events.

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

always, never

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

automatic

Which technique reinforces the client's successes and the strengths needed to achieve those successes?

giving compliments

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

oneself, world, future

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.

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