question

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

answer

• Future • World • Oneself

question

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

answer

Compliments

question

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?

answer

Threats about her future

question

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?

answer

Establishing rapport

question

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

answer

Absolute thinking

question

Dysfunctional consequences follow which type of belief?

answer

Rigid

question

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

answer

How clients think about themselves and their world

question

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

answer

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

question

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)?

answer

The client diagnosed with schizophrenia two years ago

question

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

answer

• 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.

question

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

answer

Solution-focused behavior therapy

question

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

answer

Schema

question

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

answer

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

question

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

answer

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

question

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 ...

answer

Solution-focused brief therapy

question

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?

answer

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

question

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?

answer

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

question

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'?

answer

What actually happened compared to what the client feared would happen

question

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

answer

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

question

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?

answer

cognitive distortion

question

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

answer

automatic

question

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

answer

Restructure how a person perceives events.

question

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

answer

Summarizing issues identified

question

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

answer

relationship

question

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

answer

engagement

question

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"?

answer

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

question

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

answer

Schizophrenia

question

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

answer

How severe would you rate your sense of hopelessness?"

question

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?

answer

drug abuse

question

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.

answer

• 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

question

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

answer

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

question

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?

answer

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

question

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?

answer

cognitive therapy

question

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

answer

• Community • Private homes • Primary care settings

question

What step in cycle of cognition immediately follows the event?

answer

Perception

question

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

answer

Miracle

question

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?

answer

Encouraging the client to identify destructive thoughts and practice mindfulness

question

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

answer

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

question

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.

answer

• "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."

question

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

answer

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

question

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

answer

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

question

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

answer

A profound philosophic change

question

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.

answer

• Ethnicity • Culture • Gender • Religious affiliation

question

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

answer

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

question

Who developed cognitive therapy for persons with depression?

answer

Aaron Beck

question

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

answer

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

question

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.

answer

• 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

question

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

answer

• "Never" • "Always"

question

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?

answer

Specific and achievable

question

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?

answer

Bibliotherapy

question

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.

answer

• "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?"

question

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

answer

• "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."

question

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?

answer

Scaling

question

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.

answer

• The cognitive triad • Cognitive distortions • Schema

question

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

answer

• "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."

Week 2 – Chap 12 Cognitive Interventions – Flashcards

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