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Exam (elaborations)

NR605 Final Exam Questions with Correct Verified Answers 2024/2025

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NR605 Final Exam Questions with Correct Verified Answers 2024/2025NR605 Final Exam Questions with Correct Verified Answers 2024/2025NR605 Final Exam Questions with Correct Verified Answers 2024/2025NR605 Final Exam Questions with Correct Verified Answers 2024/2025NR605 Final Exam Questions with Cor...

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  • August 4, 2024
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NR605 Final Exam




NR605 Final Exam Questions
with Correct Verified Answers
2024/2025
Cognitive-behavioral therapy - ANS ✔-focus on how well individuals can
adapt cognitively and functionally to their environments

-short-term, structured, goal-oriented form of psychotherapy

-stresses necessity of challenging maladaptive thoughts that lead to
behavioral problems

-first emerged in 1955

-most widely practiced psychotherapy

-help clients recognize and address cognitive distortions

• by Albert Ellis, widely known as the grandfather of cognitive
behavior therapy

-Beck

• originally trained in psychoanalysis, pioneered cognitive therapy in
the 1960s, through his research on depression

• also developed the popular Depression Inventory instrument



CBT Relationship to Nursing Theory - ANS ✔-Orem's self-care deficit
nursing theory
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,NR605 Final Exam


• provides a framework to view CBT as a supportive intervention

• fosters effective self-care behaviors



-Roy's Adaptation Theory

• premise that individuals use coping mechanisms to adapt to stimuli,
both internal and external

• share underpinnings with CBT.



Indications for CBT - ANS ✔-treatment of a wide range of diagnoses

• depression

• anxiety disorders

• substance use disorders

• eating disorders

• severe mental illness

• PTSD



Principles of CBT include: - ANS ✔-way an ind cognitively structures
thoughts about self & the world determines how the ind feels & behaves

-Dysfunctional thoughts are rooted in irrational assumptions

-Dysfunctional thinking and learned patterns of maladaptive behavior
contribute to psychological problems




2

,NR605 Final Exam


-Ind's can learn more adaptive behaviors which can relieve symptoms
& improve quality of life

-CBT is (+) & stresses collaboration & active participation

-CBT includes action plans in the form of therapy homework



Role of the Psychotherapist in CBT - ANS ✔-using a structured,
collaborative approach to help clients recognize and re-evaluate cognitive
distortions

-help clients:

• better understand the behaviors of others

• develop improved coping skills

-Psychoeducation

-Homework

• to help clients reinforce & build on what was learned during the
therapy session



Motivational interviewing (MI) - ANS ✔-helps individuals prepare for
change

-person-centered, evidence-based approach to behavior change

-using a collaborative, goal-oriented communication style

-empowers clients to draw on their meanings & capacities to facilitate
change

• addressing issues with ambivalence and resistance

3

, NR605 Final Exam


-grew out of William R. Miller's clinical practice working with clients
with substance use disorders in the 1980s

• collaborated with Stephen Rollnick to write book: Motivational
interviewing



Indications for MI - ANS ✔-reduction of substance use and health
promotion

-improving medication adherence in clients with schizophrenia



MI Guiding Principles - ANS ✔-acceptance

-empathy

-compassion

-respect of client autonomy

-acknowledgment of the client's strengths & efforts

-Spirit of MI

• Partnership, compassion, acceptance, evocation



MI Role of the Psychotherapist - ANS ✔represented by the mnemonic
RULE:



Resist the righting reflex

Understand the patient's motivation


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