Chapter 13 Prep U
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."
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 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."
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?"
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
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
Which technique reinforces the client's successes and the strengths needed to achieve those successes?
Giving compliments
From the standpoint of cognitive therapy, the term cognition refers to what?
How clients think about themselves and their world
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 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
Evaluating one's automatic thoughts invokes identifying cognitive distortions that are defined as ...
Twisted thinking
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.
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
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?
Cognitive distortion
Which is an assumption of solution-focused behavior therapy?
Change is most likely to occur when the focus is on what is changeable.
In which of the following environments did cognitive interventions have their beginning?
Long-term inpatient settings.
An individual's life rules that act as a filter for cognitive distortions are known as what?
Schema
A psychiatric-mental health nurse manager is conducting an in-service program for a group of nurses working at a community mental health center about rational emotive behavior therapy. As part of the program, the nurse manager is describing belief systems and identifies common themes in irrational beliefs. The nurse manager determines that the teaching was successful when the group identifies which statement as reflecting a theme associated with irrational beliefs? Select all that apply.
-"This must happen." -"It's all or nothing." -"The event is an absolute catastrophe." -"Everything should be easy as can be." -"Some people are better than others."
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 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 in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what?
Restructure how a person perceives events
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
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
The nurse compliments a client on the way the client managed a stressful situation. Which response by the client demonstrates the expected outcome from such a compliment?
"I have hope that I can get control over my anxieties."
Which type of cognitive intervention identifies the possible solutions before addressing the problem?
Solution-focused behavior therapy
A client who is to receive cognitive behavior therapy asks the nurse, "What will we be focusing on with this type of therapy?" Which information would the nurse intergrade into the response?
Dysfunctional thinking through the examination of the cognitive triad
A nurse is applying principles of cognitive behavioral therapy (CBT) in the treatment of a client with depression. Which intervention is an example of CBT?
Encouraging the client to identify destructive thoughts and practice mindfulness
All of the following are interventions included in cognitive therapy techniques, except which?
Listing primary defenses used in life
Dysfunctional consequences follow which type of belief?
Rigid
Which statement guides the work of the cognitive behavior therapist especially when evaluating the client's progress towards treatment goals?
Setbacks in treatment are both normal and expected.
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