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During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what bibliotherapy really means. Which response by the nurse would be most appropriate?
- A. It entails listing books about your diagnosis alphabetically in a reference list in case you ever want to read about your diagnosis.
- B. It is a new form of coping technique associated with shopping in a bookstore that works to help lift your depression.
- C. It is a form of therapy based on your therapist teaching you knowledge that is crucial to your recovery that he has collected from a variety of books.
- D. It is a form of therapy that entails you reading books about ways of perceiving and responding to life events in a different way.
Correct Answer: D
Rationale: Bibliotherapy involves reading materials to gain insight, cope with challenges, or change perspectives on life events, as in option D. Option A misrepresents it as a reference task, option B is incorrect and trivializes it, and option C focuses on the therapist?s role, not the patient?s engagement.
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A group of nursing students is reviewing the history of the development of cognitive therapies over the years. The students demonstrate understanding of the information when they identify which individual as being responsible for first developing cognitive therapy interventions?
- A. Aaron Beck
- B. Sigmund Freud
- C. Albert Ellis
- D. de Shazer and Berg
Correct Answer: A
Rationale: Aaron Beck is credited with developing cognitive therapy, focusing on altering distorted thoughts to improve mental health. Freud developed psychoanalysis, Ellis pioneered rational emotive behavior therapy, and de Shazer and Berg created solution-focused brief therapy, not cognitive therapy.
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 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.
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.
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.