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NR605 Final Exam All Answers Correct

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NR605 Final Exam All Answers Correct ### Cognitive-Behavioral Therapy (CBT) - Focus: Helps individuals adapt cognitively and functionally to their environments. - Characteristics: Short-term, structured, goal-oriented form of psychotherapy. - Core Concept: Necessity of challenging maladaptive tho...

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  • July 7, 2024
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NR605 Final Exam All Answers Correct
### Cognitive-Behavioral Therapy (CBT)


- Focus: Helps individuals adapt cognitively and functionally to their environments.


- Characteristics: Short-term, structured, goal-oriented form of psychotherapy.


- Core Concept: Necessity of challenging maladaptive thoughts that lead to behavioral issues.


- History: First emerged in 1955; most widely practiced psychotherapy.


- Key Figures:


- Albert Ellis: Widely known as the grandfather of CBT.


- Aaron Beck: Originally trained in psychoanalysis, he pioneered cognitive therapy in the 1960s through

his research on depression and developed the popular Depression Inventory instrument.




### Relationship to Nursing Theory


- Orem's Self-Care Deficit Nursing Theory:


- Provides a framework to view CBT as a supportive intervention.


- Aims to foster effective self-care behaviors.


- Roy's Adaptation Theory:


- Based on the premise that individuals use coping mechanisms to adapt to internal and external

stimuli.


- Shares foundational principles with CBT.

,### Indications for CBT


- Effective in treating a wide range of diagnoses, including:


- Depression


- Anxiety disorders


- Substance use disorders


- Eating disorders


- Severe mental illness


- PTSD




### Principles of CBT


- An individual's cognitive structure of thoughts about themselves and the world determines their

feelings and behaviors.


- Dysfunctional thoughts are rooted in irrational assumptions.


- Dysfunctional thinking and learned maladaptive behaviors contribute to psychological problems.


- Individuals can learn more adaptive behaviors, which can relieve symptoms and improve quality of life.


- CBT is positive, collaborative, and involves active participation.


- CBT includes therapy homework in the form of action plans.

,Role of the Psychotherapist in CBT ✔️-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) ✔️-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 ✔️-reduction of substance use and health promotion

, -improving medication adherence in clients with schizophrenia




MI Guiding Principles ✔️-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 ✔️represented by the mnemonic RULE:




Resist the righting reflex


Understand the patient's motivation


Listen to the patient


Empower the patient




OARS ✔️Communication skills for MI:

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