Exam (elaborations)
NR 605 Final Exam Review With Complete Solution Graded To A+
- Course
- Institution
NR 605 Final Exam Review With Complete Solution Graded To A
[Show more]
Seller
Follow
Content preview
NR 605 Final Exam Review WithComplete Solution Graded To A+
cognitive-behavioral therapy - correct answer--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 - correct answer--Orem's self-care deficit nursing
theory
• 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 - correct answer--treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
Principles of CBT include: - correct answer--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
-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 - correct answer--using a structured, collaborative
approach to help clients recognize and reevaluate 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) - correct answer--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
-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 - correct answer--reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
MI Guiding Principles - correct answer--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 - correct answer-represented by the mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
Listen to the patient
Empower the patient
OARS - correct answer-Communication skills for MI:
-Open questions
• cannot be answered with a yes or no, require elaboration
-Affirming
• provide encouragement, are (+) comments on a client's strengths or efforts
,-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the client
• convey empathy, demonstrate listening, highlight emotions & beliefs, • provide
opportunities for the client to elaborate on their concerns
• empower clients to take control of the conversation
• recommended to use at least two reflections for every question
-Summarizing
• links together what has been stated to help the client organize their experiences
MI Phases of the Change Process - correct answer--engagement
• establishment of trust & a helping relationship between the therapist & client
• uses reflections that communicate understanding
-focusing
• identification of the direction or target of the change
• uses open-ended questions
-evoking
• identifying the client's motivation for change and evoking hope
• uses reflections and summaries
-planning
• creating a plan for change
acceptance and commitment therapy (ACT) - correct answer--helps individuals accept
life's challenges while focusing on their values and goals
• learning how to relate to thoughts & feelings which impact life rather than changing
those thoughts & feelings
-referred to as a "third wave" CBT therapy
-Accepting reactions and being present
-Choosing a valued direction
-Taking action
-Used for:
• depression, anxiety, substance use, chronic pain, transdiagnostic combinations of
conditions
solution-focused therapy (SFT) - correct answer--future-oriented approach
-helps client ID problems & construct solutions that will result in change
-postmodern thinking
• reality is shaped by multiple and conflicting "truths" & constructed through human
interaction
• there are as many stories of meaning as there are people involved
-fourth force of psychotherapy
• transpersonal, going beyond the ideas of humanness, identity, and self-actualization
, -client is considered to be the expert of their lives
-focus from the problem to the solution
-grew out of the work at the Brief Family Therapy Center in Milwaukee in the 1970s
• influenced by many psychotherapists, work at the Mental Research Institute in
California, and the philosophies of Buddhism and Taoism
solution-focused therapy Key Concepts and the Role of the Psychotherapist - correct
answer--Solutions talk
• Shift talk from problems to solutions
-Positive orientation
• Shift focus from problems to new possibilities
-Looking for what is working
• Focus on the exceptions within problem patterns
Indications for SFT - correct answer--used for individual or group therapy across
settings
• marriage, family, and child therapies
• trauma
• postpartum depression
• depression
• eating disorders
• severe mental illness
how SFT is used to alleviate anxiety - correct answer-4-Step Approach for Overcoming
Anxiety
-Identify the meaningful parts of life that the anxiety is blocking.
-Shift the focus away from the anxiety itself toward the meaningful goal.
-Create a list of positive messages that would motivate you toward that goal.
-Be gentle with yourself - you're not alone. Many of the people you meet may be
working through something similar.
Behavioral theory - correct answer--Personality is a result of the interaction between an
ind. and their environment.
-focus on observable and measurable behavior
-Skinner
• associated with the concept of operant conditioning, using rewards and punishments
to increase or decrease a behavior
-Pavlov
• Russian Physiologist, father of behaviorism, associated with classical conditioning,
Pavlov dog,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXCELLMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
