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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.
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A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient?s brief psychiatric hospitalization. The nurse decides to use an exception question. Which question would the nurse most likely use?
- A. When did you first feel depressed?
- B. When do you not feel depressed?
- C. What feelings contribute to your depression?
- D. What has to happen for you to feel depressed?
Correct Answer: B
Rationale: In SFBT, an exception question asks about times when the problem (depression) is absent or less severe, as in 'When do you not feel depressed?' This helps identify strengths and solutions. Other options focus on the problem?s onset or causes, which are less aligned with SFBT?s solution-oriented approach.
A nurse is preparing to reinforce the use of cognitive behavior therapy with a patient. When interacting with the patient, which of the following would be appropriate?
- A. Having the nurse establish the agenda
- B. Focusing primarily on behavior
- C. Using a future-oriented goal focus
- D. Identifying the problem from the nurse?s perspective
Correct Answer: C
Rationale: CBT emphasizes a collaborative, future-oriented approach to set goals for changing thoughts and behaviors, as in option C. The nurse does not unilaterally set the agenda (A), focus only on behavior (B), or define the problem from their perspective (D), as these are non-collaborative.
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
- A. Acute inpatient setting
- B. Community setting
- C. Clinic setting
- D. Home care setting
Correct Answer: B
Rationale: Solution-focused brief therapy (SFBT) is commonly used in community settings due to its brief, goal-oriented nature, which suits outpatient and community-based care. While possible in clinics or home care, it?s less typical in acute inpatient settings, where crisis stabilization is prioritized.
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.
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.