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A nursing instructor is preparing a class lecture about cognitive behavioral therapy (CBT). Which of the following would the instructor use to best describe this process?
- A. Solving patients? problems for them by determining how they need to change their thoughts and actions and developing a plan that will help them do so.
- B. Using techniques to modify a patient?s behavior shaping it into behavior that is appropriate in order to help the patient experience a more positive future.
- C. Reinforcing distorted beliefs so they can play a major part in changing a patient?s behavior for the better and improving his or her quality of life.
- D. Working in a trusting and collaborative relationship to help patients focus on solving their own problems by changing the way they think and behave.
Correct Answer: D
Rationale: CBT involves a collaborative, patient-centered approach where the therapist and patient work together to identify and modify negative thoughts and behaviors to solve problems. Option D captures this essence. Option A is directive, not collaborative; option B focuses only on behavior; and option C incorrectly suggests reinforcing distorted beliefs.
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A patient is being treated in an interdisciplinary clinic. During interactions with a patient who is receiving cognitive behavior therapy, which of the following would the nurse concentrate on first?
- A. Identifying alternative explanations of an event
- B. Exploring evidence to support or refute the beliefs
- C. Identifying the underlying beliefs
- D. Examining the real implications if the beliefs are true
Correct Answer: C
Rationale: In CBT, the first step is identifying the patient?s underlying beliefs that drive negative thoughts and behaviors. This precedes exploring evidence (B), alternative explanations (A), or implications (D), as understanding the core beliefs guides subsequent interventions.
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.
A nurse is assessing a patient with a psychiatric illness. The nurse interprets which patient statement as reflecting the concept of cognitive triad?
- A. I always mess things up. No matter what I do, my whole world is a mess, and my future will be a big mess, too.
- B. My sister is always the pretty one, her world is free of problems, and she?ll have a perfect future.
- C. My bosses think they know it all, that they can control the world?s future, and that the entire planet is dependent on them.
- D. My mother used to always tell me bad things happen in threes?like when someone you know dies, you just know two other people you know will die.
Correct Answer: A
Rationale: The cognitive triad, a concept in Beck?s cognitive theory, involves negative views of oneself, the world, and the future. The statement in option A reflects this triad: self ('I always mess things up'), world ('my whole world is a mess'), and future ('my future will be a big mess, too'). Options B and C focus on others, and option D reflects a superstitious belief, not the cognitive triad.
A group of nursing students is reviewing information about cognitive processes and the development of mental disorders. The students demonstrate a need for additional review when they identify which of the following as being involved?
- A. Cognitive triad
- B. Cognitive distortions
- C. Schema
- D. Compliments
Correct Answer: D
Rationale: Cognitive processes in mental disorders include the cognitive triad, cognitive distortions, and schemas, which shape negative thought patterns. Compliments (D) are unrelated to cognitive processes in this context, indicating a misunderstanding by the students.
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.