A patient states, "I'm starting cognitive-behavioral therapy. What can I expect from the sessions?" Which responses by the nurse would be appropriate? Select all that apply
a. "The therapist will be active and questioning."
b. "You will be given some homework assignments."
c. "The therapist will ask you to describe your dreams."
d. "The therapist will help you look at your ideas and beliefs about yourself."
e. "The goal is to increase subjectivity about thoughts that govern your behavior."
ANS: A, B, D
Cognitive therapists are active rather than passive during therapy sessions because they help patients reality-test their thinking. Homework assignments are given and completed outside the therapy sessions. Homework is usually discussed at the next therapy session. The goal of cognitive therapy is to assist the patient in identifying inaccurate cognitions and in reality- testing and formulating new, accurate cognitions. One distracter applies to psychoanalysis. Increasing subjectivity is not desirable.
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