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...
Ch 18 Cognitive Behavior Therapy
Correct Questions & Answers(GRADED
A+)
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 contingency contract can
help a client develop adaptive behaviors.
4. Cognitive behavior therapy is based on a reward system of positive reinforcement of
positive self-statements. - ANSWER 1. This is correct. Cognitive behavior therapy is
based on the theory that distorted perceptions, or cognition, are the foundation of many
emotional, mental, and behavioral disorders
2. A psychiatric-mental health nurse is counseling a client who has thought patterns
consisting of rapid responses to a situation without rational analysis. Which assessment
data will the nurse document?
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 thoughts." - ANSWER 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.
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 - ANSWER 1. This is correct. Minimization is the cognitive error that
undervalues positive events and experiences. The client cannot give credit for personal
strengths.
4. A nursing student states, "The instructor gave me a failing grade on my research
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 - ANSWER 3. This is correct. Magnification is exaggerating the
negative significance of an event
5. An advanced practice nurse recommends that a client participate in cognitive
behavior therapy. The client asks, "What's cognitive behavior therapy, and how can it
help me?" Which is the nurse's best reply?
1. "It is a system of techniques in which you use positive thinking to improve your
mood."
2. "It is a long-term interpersonal approach that emphasizes the role of early childhood
experiences."
3. "It is an interpersonal treatment approach that specifically targets magical thinking."
4. "It is a focused treatment for the modification of distorted thinking and maladaptive
behaviors. - ANSWER 4. This is correct. Cognitive behavior therapy is a time-limited
intervention in which the therapist works in collaboration with the client to modify
thinking to eliminate cognitive errors that reinforce emotional disturbances.
6. A welder has been selected as employee of the year. The welder wants to ask for a
promotion but is hampered by poor self-esteem. Which is the best technique for the
employee health nurse to use to help the employee request the promotion?
1. Socratic questioning
2. Activity scheduling
3. Distraction
4. Cognitive rehearsal - ANSWER 4. This is correct. The employee health nurse can
utilize cognitive rehearsal before the employee requests the promotion. Cognitive
rehearsal helps an individual identify and modify any dysfunctional thoughts.
7. An advanced practice nurse is counseling a client diagnosed with generalized anxiety
disorder. The nurse plans to use activity scheduling to address this client's concerns.
What is the purpose of this nursing intervention?
1. To identify important areas needing concentration during therapy
2. To increase self-esteem and decrease feelings of helplessness
3. To modify maladaptive behaviors using role-play
4. To divert away from intrusive thoughts and depressive ruminations - ANSWER 1.
This is correct. In activity scheduling, the client is asked to keep a daily log of activities
and rate them for mastery and pleasure to identify recurring daily patterns that can be
addressed in therapy.
8. The student comes in to the instructor's office and reports that they wish to drop out
of nursing school due to the overwhelming work. The instructor advises the student to
write assignments and due dates on a calendar to help break down what needs to be
done and when. What technique is the instructor using?
1. Activity scheduling
2. Distraction
3. Graded task assignments
4. Behavioral rehearsal - ANSWER 3. This is correct. Graded task assignments are
used to break down the task into subtasks that the client can complete one step at a
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