CBT-I Cognitive Behavioral Techniques & Sleep Interventions 5

Question 1

Which statement best explains why CBT-I is recommended as first-line treatment over sleep medications for chronic insomnia?

Accepted Answer

CBT-I produces durable gains after treatment ends, whereas medication effects cease when discontinued

Answer

Long-term follow-up studies show CBT-I improvements are maintained after treatment, while pharmacotherapy typically requires ongoing use to sustain benefits.

Question 2

A therapist introduces 'cognitive de-arousal' techniques at bedtime. Which of the following is an example of this approach?

Accepted Answer

Writing a to-do list for tomorrow before getting into bed

Answer

A pre-sleep to-do or 'offload' list externalizes unfinished cognitive tasks, reducing pre-sleep cognitive arousal and rumination.

Question 3

Which aspect of circadian rhythm regulation is MOST relevant to setting a fixed wake time in CBT-I?

Accepted Answer

A consistent wake time anchors the circadian clock and stabilizes sleep timing

Answer

The circadian pacemaker (Process C) is entrained primarily by the wake time, so keeping it fixed creates a stable phase anchor that regularizes sleep onset.

Question 4

A patient states: 'I've had insomnia my whole life — nothing will fix it.' Which CBT-I intervention BEST addresses this hopelessness?

Accepted Answer

Cognitive restructuring targeting hopeless beliefs using evidence review

Answer

Cognitive restructuring examines the accuracy and utility of hopeless beliefs, helping patients generate evidence-based, more adaptive expectations about treatment.

Question 5

Which of the following behaviors is explicitly targeted as a 'safety behavior' that perpetuates insomnia in the cognitive model?

Accepted Answer

Canceling social plans the day after a poor night's sleep to rest

Answer

Safety behaviors like canceling activities reinforce the belief that poor sleep causes catastrophic dysfunction and prevent disconfirmation of that belief.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I Cognitive Behavioral Techniques & Sleep Interventions 5