Maryville NUR 661 Exam 4 Questions And Answers Verified 100% Correct

Maryville NUR 661 Exam 4 Questions And Answers Verified 100% Correct What is family projection (Bowen's Theory) - ANSWER Child is emotional extension of parents (fused and triangulated in family), family projects onto child Emotional cutoff - ANSWER Move away, cut ties from family or parent Sibling placement and roles (Bowens) - 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 - 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) - ANSWER Recurrent patterns that organize the way family members relate to one another Subsystems (Structural Family Therapy Approach) - ANSWER smaller units (parents) Boundaries (Structural Family Therapy Approach) - ANSWER emotional barriers Enmeshed family (Structural Family Therapy Approach) - ANSWER overly intrusive and protective parents, parents include children in their relationships Disengaged Family (Structural Family Therapy Approach) - ANSWER Don't interact with each other, disconnected Coalition (Structural Family Therapy Approach) - ANSWER 2 against 1 (2 siblings against 1 sibling) Parentification (Structural Family Therapy Approach) - ANSWER Child has a parent role Boundary making - ANSWER Setting up professional relationship and changing the subsystem, change is in order to fix the problem Unbalancing - ANSWER Therapist changes the hierarchical relationship "children stop being the leaders of their parents" Tracking - ANSWER Identifying a communication theme Shaping Competence - ANSWER praising family members/parents for their success "they work together and make a decision, you give them praise" Reframing - ANSWER Seeing the problem in a new light, restating the problem in new words What is first order changes - ANSWER Superficial "stop yelling at each other", no rules changed What is second order changes - ANSWER More in depth, revision of system structure and function "rules and roles set", rules changed What is secure attachment - ANSWER Secure in themselves, lovable, trust self and others in relationships; able to express needs and feelings What is insecure attachment - ANSWER avoid other, don't interact/communicate well with their partners, guarded, unable to express needs and feelings, don't trust others Anxious attachment - ANSWER Sensitive, struggles communicating, "acting out", make partner jealous, "manipulates", aggressive, demands reassurance Vacillating attachment - ANSWER Have been traumatized, fluctuate frequently between attachment and hostility, "flip flop" What is Life Review techniques - ANSWER Recall of past events or experiences one has had, retrospective, review of one's life, usually 4-6 weeks Reminiscence - 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? - ANSWER Exacerbation of symptoms, increased anxiety What happens if children can not self-regulate - ANSWER High risk for conduct disorder, social isolation What is transforming dysfunctional generational patterns - ANSWER identify and change dysfunctional multi-generational patterns What are the best patients for reminiscence therapy - ANSWER Mildly cognitively impaired Goals for life review - ANSWER Increase integrity and self esteem, decrease depression. Goal is to deconstruct and make a positive narrative. Life review is structured. Best types of patients for Life Reviews - ANSWER older adults that are cognitively intact. Can talk about past and recent events. What is a genogram - ANSWER graphic sketch of the patient and several generations of their family What is included in genogram - ANSWER Occupational and social roles, major life events, significant illness and important dates Purpose of genogram - ANSWER tool for assessing individuals, couples and families, should be part of patient or family assessment, having patient draw genogram is intervention strategy and can lead to important understanding and insight in multigenerational patterns. How does termination happen in CBT - ANSWER Begins in first session How does termination happen in Interpersonal Therapy - ANSWER Begins as early as the middle phase of therapy When does termination happen in EMDR - ANSWER When the trauma/target is reprocessed Possible reasons to terminate therapy - 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 - ANSWER Age 6 is when reasoning starts with children