ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 12 : Cognitive Interventions in Psychiatric Nursing Questions
Question 1 of 5
A nursing instructor is preparing a class lecture about cognitive behavioral therapy (CBT). Which of the following would the instructor use to best describe this process?
Correct Answer: D
Rationale: CBT involves a collaborative, patient-centered approach where the therapist and patient work together to identify and modify negative thoughts and behaviors to solve problems. Option D captures this essence. Option A is directive, not collaborative; option B focuses only on behavior; and option C incorrectly suggests reinforcing distorted beliefs.
Question 2 of 5
A nurse is working as part of an interdisciplinary treatment team caring for patients with psychiatric disorders. Based on the nurse?s understanding of cognitive behavioral therapy (CBT) and its limitations cited by critics, the nurse would identify which patient as an inappropriate candidate for CBT?
Correct Answer: C
Rationale: CBT is effective for depression, eating disorders, and substance abuse, as it targets cognitive distortions and behaviors. Schizophrenia, with prominent psychotic symptoms like delusions and hallucinations, is less responsive to CBT alone due to impaired reality testing, making it an inappropriate primary candidate, though CBT can be adjunctive.
Question 3 of 5
A student does poorly on the first class exam of the semester. Although there are three more tests plus a final exam that will be given during the rest of the semester, the student believes that he will fail the course because of doing so poorly on the one exam. The student?s belief reflects which type of irrational belief?
Correct Answer: C
Rationale: Catastrophizing involves exaggerating the negative impact of an event, assuming the worst outcome (failing the course based on one exam). Low frustration tolerance reflects difficulty coping with discomfort, absolute thinking involves all-or-nothing beliefs, and a demand involves rigid expectations, none of which fit as well.
Question 4 of 5
A person was supposed to meet a friend at a local theatre to see a movie. The friend never showed up. The person?s initial thought was, 'My friend didn?t come because she doesn?t like me.' This automatic thought was most likely inferred from which irrational belief?
Correct Answer: A
Rationale: The automatic thought 'My friend didn?t come because she doesn?t like me' stems from an irrational belief of personal worthlessness, as in option A. Options B, C, and D reflect rationalization, external attribution, or self-blame for confusion, not the core belief driving the negative interpretation.
Question 5 of 5
During a staff meeting, a therapist mentions planning to use bibliotherapy with a patient. Later that morning, the patient approaches the nurse and says his therapist just talked to him but that he is having trouble understanding what his therapist wants him to do. When the nurse asks him to clarify his concern, he asks what bibliotherapy really means. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Bibliotherapy involves reading materials to gain insight, cope with challenges, or change perspectives on life events, as in option D. Option A misrepresents it as a reference task, option B is incorrect and trivializes it, and option C focuses on the therapist?s role, not the patient?s engagement.