1. Which of the following best defines the basis of cognitive behavior therapy?
1. Cognitive behavior therapy is based on the concept that distorted thoughts are the
foundation of many emotional, mental, and behavioral disorders.
2. Cognitive behavior therapy is based on the concept that higher education can prevent
emotional, mental, and behavioral disorders.
3. Cognitive behavior therapy is based on the concept that a
containbigrbe.cnocmy/tecsot ntract can help a client develop adaptive behaviors.
4. Cognitive behavior therapy is based on a reward system of positive reinforcement of
positive self-statements.
Feedback
1. This is correct. Cognitive behavior therapy is based on theatbhirebo.croym/ttehsat
t distorted perceptions, or cognition, are the foundation of many emotional,
mental, and
2. behavioral
This disorders.
is incorrect. There is no correlation with education level and mental health.
3. This is incorrect. A contract for improved behavior is a comabpirbo.cnoemn/teostf
behavioral
4. therapy,
This not cognitive
is incorrect. This behavior therapy.
type of positive reward as a form of positive reinforcement is
a component of behavioral therapy, not cognitive behavioratbhirbe.rcaopmy/te. st
CON: Patient-Centered Care
2. A psychiatric-mental health nurse is counseling a client who has thought patterns
consisting of rapid responses to a situation without rational assessment
analyasbiisrb..cWomh/tiecsht
data will the nurse document?
,Townsend
PMHN, 10e
Chapter 18 - ETB
abirb.com/test
1. “Thought patterns are triggered by specific stressful stimuli.”
2. “Thought patterns contain the client’s fundamental beliefs and assumptions.”
3. “Thought patterns are flexible and based on personal experience.”
4. “Thought patterns include a predominance of automatic thougahbtisrb.”.com/test
ANS: 4
Chapter: Chapter 18, Cognitive Behavior Therapy Objective: Apply
techniques of cognitive behavior therapy within the context of the nursing process.
Page: 301
Heading: Goals and Principles of Cognitive Behavior Therapy
> aBbiarbs.cicomC/teosnt cepts > Automatic Thoughts
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1. This is incorrect. This is not a specific documentation but rather a definition of the
term automatic thoughts.
2. This is incorrect. This is not a specific documentation of the client’s issues and is an
example of the client’s schema. Schema can be adaptive or maladaptive.
3. This is incorrect. This is not an example of negative automatic thoughts but rather a
statement of the client’s schema, or core beliefs, which seeambirbt.cobme/teasdt aptive.
4. This is correct. Automatic thoughts consist of rapid responses to a situation without
rational analysis. These thoughts are often negative and based on erroneous logic.
CON: Patient-Centered Care
3. A successful business executive continually thinks her job accomplishments are not
adequate. The nurse recognizes the client’s thinking reflects which cognitive error?
1. Minimization
2. Dichotomous thinking
3. Arbitrary inference
4. Personalization
ANS: 1
Chapter: Chapter 18, Cognitive Behavior Therapy
Objective: Describe goals, principles, and basic concepts of
cognaibtiirvb.ecobme/thesatvior therapy. Page: 301
Heading: Goals and Principles of Cognitive Behavior Therapy > Basic Concepts >
Minimization
Integrated Processes: Nursing Process: Assessment
Feedback
1. This is correct. Minimization is the cognitive error that und e v a lu e s p
ab irb . co m /te s t
ositive events and experiences. The client cannot give credit for personal
2. strengths.
This is incorrect. Dichotomous thinking is viewing situations in terms of all or
nothing, black or white, or good or bad.
3. This is incorrect. Arbitrary inference occurs when the indivabidirbu.caolma/utetsot
matically
comes
4. This is to a conclusion
incorrect. without facts
Personalization to support
occurs when aitperson
and despite
takes contradictory evidence.
complete responsibility
for situations without considering other circumstances thatambirba.ycohma/tveset
contributed to the outcome.
CON: Patient-Centered Care
4. A nursing student states, “The instructor gave me a failing graadbeirbo.cno
m/tyestresearch paper. I know it’s because the instructor doesn’t like me.” Which
cognitive error does the nurse recognize in this student’s statement?
1. Dichotomous thinking
2. Catastrophic thinking
3. Magnification
4. Overgeneralization
ANS: 3
Chapter: Chapter 18, Cognitive Behavior Therapy
Objective: Describe goals, principles, and basic concepts of cognitive behavior therapy.
Page: 301
Heading: Goals and Principles of Cognitive Behavior Therapy > Basic Concepts >
Magnification
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1. This is incorrect. Dichotomous thinking is viewing situatioanbsirbi.ncomte/rtemsts of all
or
2. nothing,
This black or Catastrophic
is incorrect. white, or good or bad.is always thinking the worst will occur
thinking
without considering the possibility of positive outcomes.
3. This is correct. Magnification is exaggerating the negative significance of an event.
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