ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 12 : Cognitive Interventions in Psychiatric Nursing Questions
Question 1 of 5
During a therapy session, a patient is asked to rate the intensity of his current issue from 1 to 10 with 1 being complete absence of the issue and 10 being the most intense. The patient is being asked which type of question?
Correct Answer: C
Rationale: A scaling question in SFBT asks patients to rate the intensity of an issue on a numerical scale, as described, to assess progress and guide interventions. Relationship questions explore others? perspectives, miracle questions envision problem-free scenarios, and exception questions identify problem-free times.
Question 2 of 5
A nurse is reading a journal article about cognitive behavior therapy techniques used in various settings. In which setting would the nurse expect to find solution-focused therapy being used?
Correct Answer: B
Rationale: Solution-focused brief therapy (SFBT) is commonly used in community settings due to its brief, goal-oriented nature, which suits outpatient and community-based care. While possible in clinics or home care, it?s less typical in acute inpatient settings, where crisis stabilization is prioritized.
Question 3 of 5
A nurse is assessing a patient with a psychiatric illness. The nurse interprets which patient statement as reflecting the concept of cognitive triad?
Correct Answer: A
Rationale: The cognitive triad, a concept in Beck?s cognitive theory, involves negative views of oneself, the world, and the future. The statement in option A reflects this triad: self ('I always mess things up'), world ('my whole world is a mess'), and future ('my future will be a big mess, too'). Options B and C focus on others, and option D reflects a superstitious belief, not the cognitive triad.
Question 4 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 5 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.