A nurse is counseling a client with an anxiety disorder by using cognitive therapy strategies
She
gives the client a homework assignment to keep a diary in which he records the symptoms of anxiety
he experiences and the events that transpired just before the onset of symptoms. The rationale for
this strategy is
a. to keep the client intellectually occupied to prevent dwelling on physiologic
phenomena.
b. to link symptoms with precipitating events, which provides a basis for discussion
and reframing.
c. that anxiety gives rise to automatic, negative cognitions that must be analyzed.
d. that antecedent events have less to do with the anxiety onset than internal events.
ANS: B
Reframing is necessary for change. It permits the client to see situations in a new way and move
away from the use of automatic, negative thinking. The other options are not reasonable
explanations of the use of a diary to support cognitive reframing.
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