Registered Practical Nurse (RPN) Practice Test

What aspect of cognitive behavioural therapy assists in monitoring patient progress?

1. Therapist observation

2. Documentation review

3. Self-reflective exercises

4. Family feedback

The correct answer is: Self-reflective exercises

Cognitive behavioural therapy (CBT) emphasizes the individual's active role in their treatment and includes various tools and techniques aimed at fostering self-awareness and personal insight. Self-reflective exercises are integral to this approach as they empower patients to consider their thoughts, feelings, and behaviors critically. Through these exercises, patients can track their progress over time by identifying patterns in their responses, recognizing triggers for maladaptive behaviors, and assessing changes in their cognitive distortions. This self-monitoring aspect not only highlights the significant advancements made during therapy but also reinforces the skills learned, making it a powerful method for progress assessment. The reflective process encourages accountability and encourages patients to take ownership of their therapeutic journey, leading to more meaningful insights and fostering motivation for ongoing change. While therapist observation, documentation review, and family feedback can contribute valuable insights into a patient's progress, the unique strength of self-reflective exercises lies in their ability to provide patients with direct agency in assessing their own development within the context of CBT.