NURS 661 EXAM 3 WITH ACTUAL EXAM
QUESTIONS AND ACCURATE ANSWERS
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Systemic Family Therapy
Key Concepts Correct Answer - Differentiation of self
- Undifferentiation
- Fusion
- Triangles
- Multigenerational transmission process
- Nuclear family emotional system
- Family projection
- Emotional cutoff
- Sibling position
Systemic Family Therapy
Goals Correct Answer Help family members increase level of
self-differentiation, esp. the adult couple.
Differentiation
(Systemic) Correct Answer The ability to maintain one's feelings
and thoughts in the presence and pressure of close, intimate
relationships.
,Systemic Family Therapy Correct Answer Founder: Murray
Bowen
Family = described as a complex, self-regulating, emotional unit
that strives to maintain homeostasis. A change in the functioning
of one family member, is followed by a change in the functioning
of other members.
The greater the degree of ________________ the less a person
will be drawn into dysfunctional patterns with other family
members.
Fusion
(Systemic) Correct Answer Indicates a blurring between self and
other that occurs when two undifferentiated people form a
dysfunctional interaction pattern and function as a single
emotional system, such as an over-functioning/under-functioning
pattern.
Thought-Action Fusion
(Systemic) Correct Answer When you believe that simply
thinking about an action is equivalent to actually carrying out that
action.
For example: if a thought randomly pops into your mind about
something unacceptable (such as murdering your partner) you
would believe this to be just as bad as actually harming them.
Multigenerational Transmission Process
(Systemic) Correct Answer In this process the transfer of
dysfunctional family patterns occurs from one generation to the
next. Genograms are used to elucidate these patterns.
Example: the repeated message to a young girl, "You're just like
your grandmother, irresponsible and unable to care for yourself,"
, will transmit this behavioral pattern to the girl and shape her
developing sense of self.
Triangle Family
(Systemic) Correct Answer 3-person systems that manage
tension between 2 people by bringing in a 3rd person.
Undifferentiated people and families with high levels of fusion are
likely to triangulate others and be triangulated as well.
Example: a couple who has a highly emotional, unresolved
argument. Afterward, one person calls his or her best friend to talk
about the fight, blaming the partner. Tension is reduced through
diversion, yet the problem between the couple goes unresolved.
Or a child is triangulated by a parent.
Undifferentiated Ego Mass
(Systemic) Correct Answer A family system with members
possessing low levels of differentiation who are "stuck together" in
symbiotic relationships. Members have great difficulty
individuating, for they are unable to function independently.
Nuclear Family Emotional System
(Systemic) Correct Answer Ineffective patterns used in fused
families to cope with family problems and stress.
Family Projection
(Systemic) Correct Answer The way in which parental
undifferentiation is transmitted to the children. The child fused and
triangulated to the parents has difficulty separating from the
parents.
Example: you are seeing a family and think that the only child is
serving as an emotional extension of the parents. You suspect
that the child is fused and triangulated to the parents.
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