A client states "I'm going to be engaging in cognitive therapy. What can I expect from the
sessions?"
Which responses by the nurse would be appropriate? (More than one answer may be
correct.)
A. "The therapist will be active and questioning.".
B. "You may be given homework assignments.".
C. "The therapist will help you look at ideas and beliefs you have about yourself.".
D. "The goal is to increase your subjectivity about the thoughts that govern your behavior.".
ANS: A, B, C
Rationale: Option A: Cognitive therapists are active rather than passive during therapy sessions
because they help clients reality test their thinking. Option B: Homework assignments are given and
are completed outside the therapy sessions. Homework is usually discussed at the next therapy
session. Option C: The goal of cognitive therapy is to assist the client in identifying inaccurate
cognitions and in reality testing and formulating new, accurate cognitions. Option D: The desired
outcome of cognitive therapy is to assist the client in increasing his or her objectivity, not
subjectivity, about the cognitions that influence behavior.
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