UPDATED Maryville NUR 661 Exam 4 Verified 2023/2024

How does termination happen in CBT - CORRECT ANSWER Begins in first session How does termination happen in Interpersonal Therapy - CORRECT ANSWER Begins as early as the middle phase of therapy When does termination happen in EMDR - CORRECT ANSWER When the trauma/target is reprocessed Possible reasons to terminate therapy - CORRECT ANSWER Not beneficial; noncompliance; refuses to pay; moving; safety Know the stages of development for a childs thinking process and that ages that reasoning starts to happen - CORRECT ANSWER Age 6 is when reasoning starts with children Techniques for teaching self-regulation to children - CORRECT ANSWER Managing behavior How to take a strengths-based approach with pediatric patients - CORRECT ANSWER give praise to the parent or child for making good decisions and maintaining control When to use TF-CBT with pediatric patients - CORRECT ANSWER History of extensive trauma, severe abuse, neglect Three main characteristics of ADHD - CORRECT ANSWER Inattention, hyperactivity, impulsivity Brain structures involved in ADHD in children - CORRECT ANSWER Prefrontal cortex Treatment for ADHD - CORRECT ANSWER Behavioral and psychosocial treatment in adjunct to medication (moderate to severe). How does Cognitive Behavioral Training help with ADHD - CORRECT ANSWER CB Training helps the child increase the amount of information they can hold in their mind, enhancing working memory. What is differentiation - CORRECT ANSWER Ability to separate self from family What is fusion - CORRECT ANSWER Blurring between self and others, when 2 people form a dysfunctional pattern trying to function as 1 Multigenerational Transmission Process - CORRECT ANSWER Transfer of dysfunction from one generation to the next. "You're just like your father" Triangle family - CORRECT ANSWER 3 person system, stabilize conflict with pulling in another person Undifferentiated ego mass-symbiosis - CORRECT ANSWER difficulty functioning independently (on their own), "stuck together". Low levels of differentiation Bowens theory and sibling position concept - CORRECT ANSWER Involves a persons functional position in the family What is family projection (Bowen's Theory) - CORRECT ANSWER Child is emotional extension of parents (fused and triangulated in family), family projects onto child Emotional cutoff - CORRECT ANSWER Move away, cut ties from family or parent Sibling placement and roles (Bowens) - CORRECT ANSWER Eldest - leadership, responsibility Youngest - dependent Middle - Flexible with dependence and responsibility Only - responsible, more adult like Eldest child matched with youngest child have most success in marriage Want to identify and change dysfunctional multigenerational patterns How to promote self-statements during family therapy sessions - CORRECT ANSWER Assist members to differentiate by helping them identify their own beliefs by using first person pronouns "I feel" What is the theory behind the Structural Family Therapy Approach - CORRECT ANSWER Believes that symptoms and family problems are embedded in a dysfunctional family organization Family Structure (Structural Family Therapy Approach) - CORRECT ANSWER Recurrent patterns that organize the way family members relate to one another Subsystems (Structural Family Therapy Approach) - CORRECT ANSWER smaller units (parents) Boundaries (Structural Family Therapy Approach) - CORRECT ANSWER emotional barriers Enmeshed family (Structural Family Therapy Approach) - CORRECT ANSWER overly intrusive and protective parents, parents include children in their relationships