Registered Practical Nurse (RPN) Practice Test

After cognitive therapy, what is an appropriate outcome for a client with low self-esteem?

1. Seeks out social interaction more frequently

2. Writes examples of positive thoughts about self every day

3. Demonstrates confidence in decision-making

4. Reports fewer feelings of sadness

The correct answer is: Writes examples of positive thoughts about self every day

For a client undergoing cognitive therapy aimed at improving low self-esteem, writing examples of positive thoughts about oneself every day can be considered an important and appropriate outcome. This practice aligns well with the cognitive therapy goal of changing negative thought patterns into more positive and constructive ones. By consciously identifying and articulating positive attributes or accomplishments, the client is actively working to reshape their self-perception and reinforce a healthier self-image. This outcome not only reflects an immediate cognitive change but also serves as a practical mechanism to combat the automatic negative thoughts that often accompany low self-esteem. Establishing a routine of positive self-affirmation can contribute significantly to long-term improvements in self-esteem and overall mental health, reinforcing the client's belief in their value and capabilities. Other options may reflect positive changes that could occur as a result of therapy, such as increased social interactions or improved confidence in decision-making, but writing positive self-statements is a direct and proactive strategy that specifically targets cognitive distortions associated with low self-esteem.