NUR 661 Exam 4 | Psychiatric Mental
Health Diagnosis and Management Exam 4
| 100% Correct | 2025/2026 Guide |
Maryville
Reframing - Correct Answer - Seeing the problem in a new light,
restating the problem in new words
What is first order changes - Correct Answer - Superficial "stop yelling at
each other", no rules changed
What is second order changes - Correct Answer - More in depth, revision
of system structure and function "rules and roles set", rules changed
What is secure attachment - Correct Answer - Secure in themselves,
lovable, trust self and others in relationships; able to express needs and
feelings
What is insecure attachment - Correct Answer - avoid other, don't
interact/communicate well with their partners, guarded, unable to
express needs and feelings, don't trust others
, Anxious attachment - Correct Answer - Sensitive, struggles
communicating, "acting out", make partner jealous, "manipulates",
aggressive, demands reassurance
Vacillating attachment - Correct Answer - Have been traumatized,
fluctuate frequently between attachment and hostility, "flip flop"
What is Life Review techniques - Correct Answer - Recall of past events
or experiences one has had, retrospective, review of one's life, usually 4-
6 weeks
Reminiscence - Correct Answer - Story told about a past event
remembered, recollection of past events, memories. happy and sad
memory sharing, recalling long forgotten experiences, more
spontaneous and not time limited.
What is a normal response to therapy? - Correct Answer - Exacerbation
of symptoms, increased anxiety
What happens if children can not self-regulate - Correct Answer - High
risk for conduct disorder, social isolation
What is transforming dysfunctional generational patterns - Correct
Answer - identify and change dysfunctional multi-generational patterns
Health Diagnosis and Management Exam 4
| 100% Correct | 2025/2026 Guide |
Maryville
Reframing - Correct Answer - Seeing the problem in a new light,
restating the problem in new words
What is first order changes - Correct Answer - Superficial "stop yelling at
each other", no rules changed
What is second order changes - Correct Answer - More in depth, revision
of system structure and function "rules and roles set", rules changed
What is secure attachment - Correct Answer - Secure in themselves,
lovable, trust self and others in relationships; able to express needs and
feelings
What is insecure attachment - Correct Answer - avoid other, don't
interact/communicate well with their partners, guarded, unable to
express needs and feelings, don't trust others
, Anxious attachment - Correct Answer - Sensitive, struggles
communicating, "acting out", make partner jealous, "manipulates",
aggressive, demands reassurance
Vacillating attachment - Correct Answer - Have been traumatized,
fluctuate frequently between attachment and hostility, "flip flop"
What is Life Review techniques - Correct Answer - Recall of past events
or experiences one has had, retrospective, review of one's life, usually 4-
6 weeks
Reminiscence - Correct Answer - Story told about a past event
remembered, recollection of past events, memories. happy and sad
memory sharing, recalling long forgotten experiences, more
spontaneous and not time limited.
What is a normal response to therapy? - Correct Answer - Exacerbation
of symptoms, increased anxiety
What happens if children can not self-regulate - Correct Answer - High
risk for conduct disorder, social isolation
What is transforming dysfunctional generational patterns - Correct
Answer - identify and change dysfunctional multi-generational patterns
