An APRN-PMH is participating in cognitive therapy with a client ...

[Yolanda]

An APRN-PMH is participating in cognitive therapy with a client who has a diagnosis of obsessive-compulsive disorder. The nurse is aware of Beck's cognitive triad when working with this client.
 
  Beck's cognitive triad consists of which of
  A) Self, the world, and the future
  B) Others, the past, and the future
  C) Self, others, and the present
  D) Self, the world, and the present

Question 2

A 37-year-old woman who is counseling characterizes her life as an abject failure, despite the fact that she has a healthy, stable family and has built a successful business with her husband. What does this woman's thinking represent?
 
  A) Rationalization
  B) Cognitive distortion
  C) Delusional thinking
  D) Self-aggrandizement

[qytan]

Answer to Question 1

Ans: A
Feedback:
Beck developed the cognitive triad to help understand the interaction of the client's negative view of self, the world, and the future. All issues and problems can be subsumed under one or a combination of these three areas.

Answer to Question 2

Ans: B
Feedback:
The client may cognitively distort either positively or negatively. The client exhibiting positive distortion may take chances that most would avoid (eg, risky stock deals) or be unrealistically positive about health-threatening conditions (eg, ignoring chest pains or an unusual lump). Negative distortions include: I always do it wrong, Nobody likes me, or It's all his fault Usually, negative distortions are maladaptive and become the focus of treatment, which involves identification of the effects of the distortion on the client's life.