ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 12 : Cognitive Interventions in Psychiatric Nursing Questions
Question 1 of 5
A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient?s brief psychiatric hospitalization. The nurse decides to use an exception question. Which question would the nurse most likely use?
Correct Answer: B
Rationale: In SFBT, an exception question asks about times when the problem (depression) is absent or less severe, as in 'When do you not feel depressed?' This helps identify strengths and solutions. Other options focus on the problem?s onset or causes, which are less aligned with SFBT?s solution-oriented approach.
Question 2 of 5
A group of nursing students is reviewing the history of the development of cognitive therapies over the years. The students demonstrate understanding of the information when they identify which individual as being responsible for first developing cognitive therapy interventions?
Correct Answer: A
Rationale: Aaron Beck is credited with developing cognitive therapy, focusing on altering distorted thoughts to improve mental health. Freud developed psychoanalysis, Ellis pioneered rational emotive behavior therapy, and de Shazer and Berg created solution-focused brief therapy, not cognitive therapy.
Question 3 of 5
During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks, 'How would your life be different?' Which type of question is the therapist using?
Correct Answer: B
Rationale: The miracle question in SFBT asks patients to imagine a scenario where their problems are gone, as in 'How would your life be different?' to envision solutions. Exception questions focus on times without the problem, relationship questions explore others? perspectives, and scaling questions rate issue intensity.
Question 4 of 5
A nursing instructor is preparing a class presentation for a group of nursing students about cognitive behavioral therapy. Which of the following would the instructor be least likely to include?
Correct Answer: A
Rationale: CBT focuses on how thoughts and beliefs about events, not the events themselves, cause disturbances. Option A incorrectly suggests the event is the underlying issue, making it least likely to be included. Options B, C, and D align with CBT?s focus on beliefs, practice, and thought replacement.
Question 5 of 5
A nurse is preparing to reinforce the use of cognitive behavior therapy with a patient. When interacting with the patient, which of the following would be appropriate?
Correct Answer: C
Rationale: CBT emphasizes a collaborative, future-oriented approach to set goals for changing thoughts and behaviors, as in option C. The nurse does not unilaterally set the agenda (
A), focus only on behavior (
B), or define the problem from their perspective (
D), as these are non-collaborative.