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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.
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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.
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 student does poorly on the first class exam of the semester. Although there are three more tests plus a final exam that will be given during the rest of the semester, the student believes that he will fail the course because of doing so poorly on the one exam. The student?s belief reflects which type of irrational belief?
- A. Low frustration tolerance
- B. Absolute thinking
- C. Catastrophizing
- D. A demand
Correct Answer: C
Rationale: Catastrophizing involves exaggerating the negative impact of an event, assuming the worst outcome (failing the course based on one exam). Low frustration tolerance reflects difficulty coping with discomfort, absolute thinking involves all-or-nothing beliefs, and a demand involves rigid expectations, none of which fit as well.
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.
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.