Nurses are instrumental in helping clients during cognitive therapy. The nurse helps clients:
1. Correct the id and the superego in relation to self-awareness.
2. Examine connections of the mind, body, and spirit.
3. Determine the best course of treatment.
4. Identify unrealistic and negative thoughts.
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Rationale: The purpose of cognitive therapy is first to identify thoughts that are unrealistic, negative, or otherwise problematic. Once these thoughts are identified, they are examined for their impact on the individual. Nurses are instrumental in helping a client see how a particular set of thoughts can create a problem. When this connection is made, substituting neutral or positive thoughts for the problematic thinking schema takes place over time. Correcting automatic problematic thinking is a retraining experience. The individual must unlearn the maladaptive cognitive style, and then learn adaptive cognitions. The other choices are not relevant for cognitive therapy.
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