RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Mental Health Nursing
Easy
Cognitive therapy is used for?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Explanation
- Cognitive Therapy (CT) is a first-line psychotherapeutic treatment for depression, with an efficacy comparable to antidepressant medications.
- It was developed by Aaron Beck and is based on the theory that distorted thinking patterns (cognitive distortions) are central to the development and maintenance of depression.
- The therapy specifically targets the 'cognitive triad' of depression: pervasive negative thoughts about oneself, the world, and the future.
- The goal is to help patients identify these automatic negative thoughts, evaluate their validity, and replace them with more realistic and adaptive thinking.
Why Other Options Were Wrong
- Option A: The primary treatment for mania, an episode of bipolar disorder, is pharmacological, using mood stabilizers like lithium or valproate.
- Option B: Paranoia involves intense, irrational suspicion and is often a symptom of psychotic disorders like schizophrenia or delusional disorder. The first-line treatment is antipsychotic medication.
- Option D: Schizophrenia is a psychotic disorder characterized by symptoms like hallucinations, delusions, and negative symptoms. The cornerstone of treatment is antipsychotic medication.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Primary indication for Cognitive Therapy helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses can utilize basic principles of cognitive therapy in patient interactions by encouraging them to identify and reframe negative self-talk, which can improve mood and coping.
- Understanding that depression is maintained by thought patterns highlights the importance of psychoeducation. Nurses can explain to patients how therapy works alongside medication to treat the condition comprehensively.
- Assessing for the cognitive triad (hopelessness, helplessness, worthlessness) is a crucial nursing function in identifying suicide risk in depressed patients.
How to Approach the Question
- First, identify the core concept of the question, which is 'Cognitive therapy'.
- Recall the primary psychiatric condition for which this specific therapy was developed and is most widely recognized as a first-line treatment.
- Evaluate each option based on this knowledge. Consider whether CT is a primary or an adjunctive therapy for each condition.
- While CT/CBT has applications in many disorders, it is most strongly and primarily associated with depression.
- Select the option that represents the main and most established indication for cognitive therapy.
Concept Tested & Keywords
- Concept Tested: Primary indication for Cognitive Therapy
- Stem keywords: Cognitive therapy, used for
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Q93Q9MQMiDXHDL8LJrPgK3
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 9763-9765, 14832-14834
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2418-2420
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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