GMCH Chandigarh - 2019
Mental Health Nursing
Easy
Which of the following describes the cognitive triad of depression?
Appeared in: GMCH Chandigarh - 2019
Explanation
- Beck's cognitive triad is a cornerstone concept in understanding the psychological aspects of depression.
- It comprises three distinct but related negative thought patterns: a negative view of the self, the world, and the future.
- The negative view of the self manifests as feelings of worthlessness.
- The negative view of the world or one's experiences manifests as feelings of helplessness.
- The negative view of the future manifests as feelings of hopelessness.
Why Other Options Were Wrong
- Option A: This option incorrectly includes 'sleeplessness'.
- Option B: This option includes two incorrect terms: 'thoughtlessness' and 'sleeplessness'.
- Option C: This option incorrectly includes 'thoughtlessness'.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Beck's Cognitive Triad of Depression as background academic context rather than a clinical decision trigger.
- Recognizing the cognitive triad is crucial for nurses as it provides a framework for understanding a patient's subjective experience of depression.
- The presence of hopelessness is a significant red flag for suicide risk. A nursing assessment must always include direct questions about suicidal ideation, intent, and plan when a patient expresses hopelessness.
- This model is the foundation of Cognitive Behavioral Therapy (CBT), a primary evidence-based psychotherapy for depression. Nurses can reinforce CBT principles by helping patients identify and challenge these automatic negative thoughts.
How to Approach the Question
- First, identify the core concept of the question, which is 'the cognitive triad of depression'.
- This is a factual recall question. Access your knowledge about this specific psychological model developed by Aaron Beck.
- Recall the three components of the triad: negative thoughts about the self, the world, and the future.
- Translate these three components into their common terms: Worthlessness (self), Helplessness (world), and Hopelessness (future).
- Evaluate each option to find the one that contains these three correct terms.
- Eliminate options that include somatic symptoms (like 'sleeplessness') or incorrect concepts (like 'thoughtlessness').
Concept Tested & Keywords
- Concept Tested: Beck's Cognitive Triad of Depression
- Stem keywords: cognitive triad, depression
- Lead-in keywords: describes
Question ID
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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. 5386-5388, 5333-5335
E6 Psychology Baron Misra 5e Part 2 p. 172-174
Practise the full GMCH Chandigarh - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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