Registered Practical Nurse (RPN) Practice Test

What does a cognitive-behaviour formulation outline?

1. Developmental issues that contribute to and reinforce the problem

2. Patient’s symptoms and medication needs

3. Past trauma and its impact

4. Family dynamics and relationships

The correct answer is: Developmental issues that contribute to and reinforce the problem

A cognitive-behaviour formulation is a specific approach used in cognitive-behavioural therapy (CBT) that outlines how an individual's thoughts, feelings, and behaviours interact to contribute to and reinforce psychological problems. This formulation typically identifies various factors, including developmental issues that may have played a role in shaping the individual's cognitive patterns and responses. By understanding these developmental aspects, practitioners can better address the root causes of the problem and develop targeted intervention strategies. This formulation process emphasizes that psychological issues are often not just a consequence of current symptoms or behaviors but are also shaped by past experiences and development. Identifying these developmental issues can provide critical insights into how and why certain maladaptive patterns persist, allowing for a more comprehensive treatment plan. While some of the other choices may relate to aspects of an individual's history or context, they do not encompass the focus of a cognitive-behaviour formulation specifically. For instance, while medication needs are important, they don’t directly pertain to the cognitive-behaviour framework's emphasis on thought patterns and behaviour reinforcement. Similarly, recognizing past trauma or family dynamics may be components of a broader assessment but do not directly outline the cognitive-behaviour formulation's purpose, which is to clarify the interplay between cognitive processes and behavioral outcomes.