Download NSG 526 Exam 2: Questions and Answers on Cognitive Behavioral Therapy and Group Therapy and more Exams Nursing in PDF only on Docsity!
NSG 526 exam 2 Questions and Answers.
Which one of the following is the focus of interpersonal therapy? A) Anxiety management B) Belief systems C) Faulty cognitions D) Social interaction - Correct Answer D. social interaction A patient tells the psychiatric advanced practice nurse she is going to try supplementing her selective serotonin reuptake inhibitor with St. John's wort. Which action should the psychiatric advanced practice nurse take first? a) Assess the patient for depression and risk for suicide. b) Suggest that aromatherapy may produce even better results. c) Advise her of the danger of serotonin syndrome. d) Suggest she consider decreasing the dosage of her antidepressan - Correct Answer C. advise her of the danger of serotonin syndrome Which of the following is not a technique used in cognitive therapy? A) Reattribution B) Role-playing C) Abreaction D) Developing alternatives - Correct Answer C. Abreaction
The psychiatric advanced practice nurse is developing the care plan for an 8-year-old child with intermittent explosive disorder. Based on Piaget, which of the following goals would be appropriate? The child will: a) connect consequences of his behavior with the behavior itself. b) generalize the consequences of his anger and aggression to different situations c) identify situations in which he is likely to feel abandoned. d) experience an increase in autonomous behavior. - Correct Answer A. connect consequences of his behavior with the behavior itself. In Cognitive Behavioral Therapy, it is often helpful to view people as separate from their problems and behaviors. This empowers them to make changes in their thought patterns and behaviors. Which type of therapy would utilize this approach? A) Psychoanalysis B) Narrative Therapy C) Strategic Therapy D) Psychodynamic therapy - Correct Answer B. Narrative Therapy Characteristics of cognitive-behavioral therapy include: (Select all that apply.) a) Not time limited b) Active c) Directive d)
member's self esteem and help develop more adaptive coping styles and interpersonal skills. - Correct Answer Altruism one of the 12 therapeutic factors (Yalom): In a mixed group that has members at various stages of development or recovery, a member can be inspired and encouraged by another member who has overcome the problems with which they are still struggling. - Correct Answer Instillation of hope one of the 12 therapeutic factors (Yalom): While this is not strictly speaking a psychotherapeutic process, members often report that it has been very helpful to learn factual information from other members in the group, for example, about their treatment or about access to services. - Correct Answer Imparting information One of the 12 therapeutic factors (Yalom): Members often unconsciously identify the group therapist and other group members with their own parents and siblings in a process that is a form of transference specific to group psychotherapy. The therapist's interpretations can help group members gain understanding of the impact of childhood experiences on their personality, and they may learn to avoid unconsciously repeating unhelpful past interactive patterns in present-day relationships - Correct Answer corrective recapitulation of primary family experience one of the 12 therapeutic factors (yalom): The group setting provides a safe and supportive environment for members to take risks by extending their repertoire of interpersonal behavior and improving their social skills. - Correct Answer development of socializing techniques one of the 12 therapeutic techniques (Yalom): One way in which group members can develop social skills is through a modeling process, observing and imitating the therapist and other group
members. For example, sharing personal feelings, showing concern, and supporting others. - Correct Answer Imitative behavior one of the 12 therapeutic techniques (Yalom): Is the primary therapeutic factor from which all others flow. Humans are herd animals with an instinctive need to belong to groups, and personal development can only take place in an interpersonal context. A cohesive group is one in which all members feel a sense of belonging, acceptance, and validation. - Correct Answer Cohesiveness one of the 12 therapeutic techniques (Yalom) Learning that one has to take responsibility for one's own life and the consequences of one's decisions. - Correct Answer existential factors one of the 12 therapeutic factors (Yalom) The experience of relief from emotional distress through the free and uninhibited expression of emotion. When members tell their story to a supportive audience, they can obtain relief from chronic feelings of shame and guilt. We refer to catharsis as "getting things off our chest." - Correct Answer catharsis one of the 12 therapeutic factors (Yalom): Group members achieve a greater level of self-awareness through the process of interacting with others in the group, who give feedback on the member's behavior and impact on others. - Correct Answer interpersonal learning one of the 12 therapuetic factors (Yalom) This factor overlaps with interpersonal learning but refers to the achievement of greater levels of insight into the genesis of one's problems and the unconscious motivations that underlie one's behavior. - Correct Answer Self-understanding what is the primary therapeutic factor of group therapy? - Correct Answer cohesiveness
According to Beck's theory, depression can develop, persist, and recur as a result of cognitive structures called ___________ - Correct Answer Shemas Schemas may develop in part due to childhood experiences, but may also continue to form or develop later in life. They can be adaptive or maladaptive for the individual. For example, schemas may steer an individual to attend to negative events more so than positive events and to the selective recall of negativity. According to Beck et al. (1979), depression can be understood via schemas, cognitive errors, and the __________ ___________(i.e., negative views of self, tendency toward interpreting experiences in a negative manner, and holding negative views of the future). - Correct Answer cognitive triad what 3 things make up beck's cognitive triad? - Correct Answer 1. View of self
- View of world/experiences
- View of future ____________ theories have roots in greek stoic philosophers - Correct Answer cognitive theories ________________asserts that it is the way we think about a situation, rather than the situation itself, that leads us to feel a particular emotion and behave in a particular way. - Correct Answer Cognitive theory ____________ developed by Aaron T. Beck, is based on the philosophy that people can learn to be their own therapist. Emphasis is on the rearrangement of a person's maladaptive processes of thinking, perception, and attitudes utilizing an active, time-limited approach. - Correct Answer Cognitive therapy
- Which of the following is a goal of cognitive rehabilitation therapy? A. To change the way the patient perceives psychotic symptoms B. To improve the patient's compliance with the medication schedule C. To improve the patient's memory and thinking
D. To facilitate the patient's activities of daily living - Correct Answer C. improve the patient's memory and thinking
- Which measure consistent with the use of cognitive therapy could the nurse incorporate into the treatment plan of a chronically depressed patient? a. Approach the patient with cheerful affect and optimistic remarks. b. Ignore the patients pessimistic statements; give attention for positive thinking. c. Identify negative evaluations and challenge pessimistic beliefs. d. Seek to uncover unconscious conflicts about significant relationships. - Correct Answer C. identify negative evaluations and challenge pessimistic beliefs a tool that can be used to measure maladaptive emotions and beliefs initially and at frequent intervals (developed by Beck) *measures symptoms of depression with a series of questions, gives you a score - Correct Answer Beck's Depression Inventory [BDI] based on both cognitive psychology and behavioral theory and emphasizes the important role of thinking in how we feel and what we do. - Correct Answer cognitive-behavioral therapy (CBT) ****Cognitive-behavioral therapists teach that when our brains are healthy, it is our thinking that causes us to feel and act the way we do. ****if we are experiencing unwanted feelings and behaviors, it is important to identify the thinking that is causing the feelings/behaviors and to learn how to replace this thinking with thoughts that lead to more desirable reactions Cognitive-behavioral therapy is based on the scientific fact that our ________ cause our feelings and behaviors, not external things, like people, situations, and events. - Correct Answer thoughts The benefit of this fact is that we can change the way we think to feel/act better even if the situation does not change. true or false
adaptive alternate behaviors and thinking. Which theory is evident by this approach? a. Behavioral b. Interpersonal c. Psychodynamic d. Cognitive-behavioral - Correct Answer d. cognitive behavioral A type of CBT that views people as separate from their problems and destructive behaviors
allows clients to get some distance from the difficulty they face; this helps them to see how it might actually be helping or protecting them, more than it is hurting them. - Correct Answer Narrative Therapy _____________ psychotherapy is a type of therapy that primarily focuses on providing emotional support, encouragement, and validation during difficult life circumstances or psychological challenges. - Correct Answer Supportive psychotherapy __________________ is a comprehensive cognitive behavioral treatment. It aims to treat people who see little or no improvement with other therapy models. This treatment focuses on problem-solving and acceptance-based strategies. It operates within a framework of dialectical methods - Correct Answer Dialectical Behavioral Therapy (DBT)
- The family of a child diagnosed with an impulse control disorder needs help to function more adaptively. Which aspect of the child's plan of care will be provided by an advanced practice nurse rather than a staff nurse? a. Leading an activity group b. Providing positive feedback c. Formulating nursing diagnoses d. Dialectical behavioral therapy (DBT) - Correct Answer D. Dialectical behavioral therapy (DBT)
*** Currently, DBT is used to treat people with chronic or severe mental health issues. Issues DBT treats include self-harm, eating and food issues, addiction, and posttraumatic stress, as well as borderline personality. DBT was originally designed to treat people who had chronic suicidal thoughts as a symptom of borderline personality. __________ is a cognitive behavioral therapy that is aimed at treating individuals who have been diagnosed with borderline personality disorder or individuals who deliberately partake in self-destructive behavior or have suicidal thoughts ****helps individuals regulate their emotions and take responsibility for their own behavior and problems. teaches an individual how to cope with conflict,, negative feelings, and impulsivity - Correct Answer dialectical behavioral therapy (DBT) _________ therapy is based on the assumption that changes in maladaptive behavior can occur without insight into the underlying cause. This approach works best when it is directed at specific problems and the goals are well defined. - Correct Answer behavioral therapy Behavioral therapy is effective in treating people with phobias, alcoholism, schizophrenia, and many other conditions What are the four types of behavioral therapy? (MOSA) - Correct Answer
- Modeling
- Operant Conditioning
- Systemic Desensitization
- Aversion Therapy in this type of behavioral therapy, the nurse/therapist provides a role model for specific identified behaviors, and the client learns through imitation. - Correct Answer Modeling a form of behavioral therapy - ________________ is the basis for behavior modification and uses positive reinforcement to increase desired behaviors
- Correct Answer operant conditioning a form of behavioral therapy ---- ____________ is a behavior modification therapy that involves the development of behavioral tasks customized to
who created flooding therapy - Correct Answer Thomas Stampfi flooding therapy - Correct Answer A behavioral treatment for phobias that involves prolonged exposure to a feared stimulus, thereby providing maximal opportunity for the conditioned fear response to be extinguished. the primary purpose of ______________ is to facilitate changes by the patient to address identified problems. ****method where individuals with a common purpose come together and benefit by both giving and recieving feedback within the dynamic and unique context of the group - Correct Answer group therapy in group therapy:
- all that is said in the group - Correct Answer group content in group therapy:
- the dynamics of interaction among the members (ex. who talks to whom, facial expressions, and body language) - Correct Answer group process in group therapy: -members experssed ideas or feelings that recur and have a common thread -the leader can clarify a ________ to help members recognize i more fully - Correct Answer group theme in group therapy: -letting group members know how they affect each other - Correct Answer group feedback in group therapy - -open disagreement among members (positive conflict resolution within a group is key to successful outcomes) - Correct Answer group conflict type of group- a group in which a range of differences exist among members - Correct Answer heterogenous group
type of group - a group in which all members share central traits e.g. mens group, bipolar disorder group - Correct Answer homogenous group type of group - a group in which membership is restricted, NO new members are added when members leave - Correct Answer closed group type of group - a group in which new members are added as others leave - Correct Answer open group a type of group in which individuals come together to address a common issue or condition **NOT considered group therapy - group therapy is led by a licensed professional, this is not. this is led by a peer or fellow group member - Correct Answer self-help group type of group in which it is structured for the purpose of providing clients with the opportunity to maintain or enhance personal/shared understanding
- Correct Answer support group person in the group therapy session that has the responsibilities of: initiating, maintaining, and terminating the group session - Correct Answer group leader type of group leadership style: exerts control over the group and does NOT encourage much interaction among memebers - Correct Answer autocratic type of group leadership: supports extensive group interaction in the process of problem-solving ***Most common with group therapy - Correct Answer democratic leader type of group leader:
- allows group members to behave in any way they choose, does not attempt to control the group discussion - Correct Answer Laissez-Faire leader
a form of integrative care. Integrative care places the client at the center of care, focuses on prevention and wellness, and attends to the client's physical, mental, and spiritual needs - Correct Answer Complimentary and. alternative medicine (CAM) ***Integrative care is directed at healing and considers the whole person (mind, body, and spirit), along with the lifestyle of the person. The ___________ is an organization that supports fair and scientific evaluation of integrative therapies and dissemination of information that allows health care providers to make good choices regarding the safety and appropriateness of CAM - Correct Answer National Center for Complementary and Alternative Medicine (NCCAM) Difference between Western medicine and CAM: _________ focuses on what is done to the patient ________ focuses on mind-body interactions - Correct Answer Western medicine focuses on what is done to the patient CAM focuses on mind-body interactions ___________ is the use of some form of external equipment or method of feedback (some as simple as a handheld thermometer) that informs a person about his or her psychophysiological processes and state of arousal
- Correct Answer Biofeedback use of electrodes or monitoring equipment are used in biofeedback - *** Several different relaxation exercises are used in biofeedback therapy, including: Deep breathing Progressive muscle relaxation -- alternately tightening and then relaxing different muscle groups Guided imagery -- concentrating on a specific image (such as the color and texture of an orange) to focus your mind and make you feel more relaxed Mindfulness meditation -- focusing your thoughts and letting go of negative emotions
- A patient reports little change in her blood pressure even though she has been doing the
biofeedback exercises stating that, The machine has not been successful. The nurse will observe the next session being aware that: a. There are several different components that need to be mastered in order to achieve successful biofeedback results. b. The machine is a critical component of biofeedback during all phases and its response needs to be monitored by a professional. c. A patients relaxation skills need to be excellent because muscle responses play a large role in determining the success of biofeedback. d. The patients mood and emotional stability affects ones ability to alter physiological results and thus affect positive results from biofeedback. - Correct Answer A. there are several different components that need to be mastered in order to achieve successful biofeedback results unique holistic practice and way of life that incorporates meditation, poses (asanas), and breathing. ***the practice includes standing, sitting, balancing, and breathing poses, as well as twists and inversion movements, each designed to offer particular health and spiritual benefits. - Correct Answer Yoga family of procedures involving the stimulation of anatomical points on the body using a variety of techniques. **involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation. - Correct Answer Acupuncture The premise for ______________ is that healing is promoted by balancing the body's energies. **** a modality developed in the 1970s by Dolores Krieger, a nursing professor at New York University, and Dora Kunz, a Canadian healer. Practitioners then assess the energy field, clear and balance it through hand movements, and/or direct energy in a specific region of the body. - Correct Answer Therapeutic touch
(1) human beings are social animals, and (2) that we heal in community. This is why group therapy is so efficacious. This correlated to Maslow's third level in his hierarchy of needs; the need for love and belonging. People benefit by both giving and receiving feedback - Correct Answer Group therapy role of ______ in group therapy: Shares facts or own experience as an authority figure - Correct Answer information giver Characteristics of a good ___________
- must be thoughtful about communication techniques, since these have a tremendous impact on group content and process. - Correct Answer group leader who invented theory of cognitive development - Correct Answer Piaget Refers to one's ability to understand the world, including interaction with stimuli and objects in the environment, social interactions related to thinking patterns, and how one receives and stores information - Correct Answer cognitive development Piaget identified how many major developmental stages that children progress through when moving from infancy and continuing into early adolescence? - Correct Answer four stages what are the four stages of cognitive devleopment according to piaget? - Correct Answer 1. sensorimotor - birth to 2 years
- preoperational - 2-7 years
- Concrete operation - 7-12 years
- formal operational - 12 years- adulthood what is the first stage of cognitive development (Piaget) - Correct Answer sensorimotor - birth to 2 years key components - circular reactions, object permanence what is the second stage of cognitive development (piaget) - Correct Answer preoperational - 2-7 years key components - symbolic play, magical thinking
what is the third stage of cognitive development (piaget) - Correct Answer concrete operational - 7-12 years. key components - reversibility, conservation what is the last (fourth) stage of cognitive development (piaget)> - Correct Answer formal operational - ages 12-adulthood key components - abstract thinking, logical thinking benefits of ____________, developed by Keiger useful in relieving premenstrual syndrome, depression, complications in premature babies, and secondary infections associated with human immunodeficiency virus (HN) infection; lowering blood pressure; decreasing edema; easing abdominal cramps and nausea; resolving fevers; and accelerating the healing of fractures, wounds, and infections. - Correct Answer therapeutic touch Maslow's Heirarchy of Needs (bottom to top) - Correct Answer 1. physiological
- safety
- love/belonging
- esteem
- self-actualization A technique used in Behavioral therapy: __________ is used widely today to treat behaviors such as alcoholism, sexual deviation, shoplifting, hallucinations, violent and aggressive behavior, and self mutilation Pairing of a maladaptive behavior with a noxious stimulus (e.g., pairing the sight and smell of alcohol with electric shock), so that anxiety or fear becomes associated with the once-pleasurable stimulus Punishment (e.g., punishment applied after the client has had an alcohol drink) Avoidance training (e.g., client avoids punishment by pushing a glass of alcohol away within a certain lime limit) - Correct Answer Aversion Therapy used when less drastic measures have failed
