A nurse practitioner uses cognitive therapy with depressed clients. The nurse asks clients to keep a daily record of dysfunctional thoughts. Which of the following are appropriate nursing replies to a client questioning the purpose of this exercise?
Select all that apply.
A. "The purpose of this exercise is to identify automatic thoughts."
B. "The purpose of this exercise is to identify rational alternatives."
C. "The purpose of this exercise is to modify cognitive errors."
D. "The purpose of this exercise is to eliminate irrational beliefs."
E. "The purpose of this exercise is to monitor thoughts related to self-esteem."
ANS: A, B, C
In a daily record of dysfunctional thoughts, clients (1) identify automatic thoughts and (2) generate a more rational response. In this way, the tool serves to help them (3) modify or make changes in their thinking. A daily record of dysfunctional thoughts does not eliminate the occurrence of irrational beliefs or monitor thoughts solely related to self-esteem.
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