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A nurse is working with an adolescent girl who describes herself as a compulsive overeater and presents with a history of using food to cope with stress. The nurse decides to use journaling as an intervention for this patient based on the rationale that journaling will help the patient identify which of the following?
- A. How often she eats compulsively in response to stress she encounters on a daily basis
- B. Patterns in her daily schedule that may be contributing to her compulsive eating
- C. Behaviors in others that trigger her compulsion to eat in when she experiences stress
- D. Changes in her self-perception and responses to stress that she might otherwise not notice
Correct Answer: D
Rationale: Journaling helps patients reflect on thoughts, emotions, and patterns, promoting insight into self-perception and stress responses, as in option D. It?s less about quantifying eating frequency (A), scheduling patterns (B), or others? behaviors (C), but rather fostering deeper self-awareness.
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When engaged in rational emotive behavior therapy, which of the following would be addressed during the activating event sequence?
- A. Teaching the connection between beliefs and consequences
- B. Assessing the consequences of the problem
- C. Facilitating the working-through process
- D. Preparing patient to deepen conviction in rational beliefs
Correct Answer: A
Rationale: In rational emotive behavior therapy (REBT), the activating event sequence (A-B-C model) involves teaching how an activating event (A) triggers beliefs (B) that lead to consequences (C). This connection is addressed first to help patients understand and challenge irrational beliefs.
A nursing instructor is preparing a class presentation for a group of nursing students about cognitive behavioral therapy. Which of the following would the instructor be least likely to include?
- A. An event is the underlying issue causing the disturbance.
- B. An individual has a belief regardless of how it developed.
- C. Practice can help to alter the belief causing the problem.
- D. Negative inaccurate thoughts can be replaced.
Correct Answer: A
Rationale: CBT focuses on how thoughts and beliefs about events, not the events themselves, cause disturbances. Option A incorrectly suggests the event is the underlying issue, making it least likely to be included. Options B, C, and D align with CBT?s focus on beliefs, practice, and thought replacement.
A group of nursing students is preparing a class presentation comparing the different types of cognitive therapies. When describing solution-focused brief therapy, which of the following would the students identify as being different from the other therapies?
- A. Focus on functional aspects of the patient
- B. Challenge about the existence of problems
- C. Assumption that change is not constant
- D. View of the past rather than the present
Correct Answer: A
Rationale: Solution-focused brief therapy (SFBT) differs from other cognitive therapies by focusing on the patient?s strengths and functional aspects to build solutions, rather than analyzing problems or past events. Other therapies may challenge beliefs or focus on the past, and SFBT assumes change is possible, not static.
During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks, 'How would your life be different?' Which type of question is the therapist using?
- A. Exception question
- B. Miracle question
- C. Relationship question
- D. Scaling question
Correct Answer: B
Rationale: The miracle question in SFBT asks patients to imagine a scenario where their problems are gone, as in 'How would your life be different?' to envision solutions. Exception questions focus on times without the problem, relationship questions explore others? perspectives, and scaling questions rate issue intensity.
During a therapy session, a patient is asked to rate the intensity of his current issue from 1 to 10 with 1 being complete absence of the issue and 10 being the most intense. The patient is being asked which type of question?
- A. Relationship
- B. Miracle
- C. Scaling
- D. Exception
Correct Answer: C
Rationale: A scaling question in SFBT asks patients to rate the intensity of an issue on a numerical scale, as described, to assess progress and guide interventions. Relationship questions explore others? perspectives, miracle questions envision problem-free scenarios, and exception questions identify problem-free times.