NURS 661 Test 4 All Answers Correct

NURS 661 Test 4 All Answers Correct cognitive behavioral therapy termination start termination at first session gradual termination (increase time between sessions) interpersonal therapy termination usually 16 sessions total for clients with relationship issues EMDR termination termination begins in the middle phase start discussing in 8th phase ready to terminate when subjective units of disturbance is 0 and validity of cognitions 7 (means trauma is processed) reasons for termination goals are reached number of sessions is reached therapist moves patient moves patient can't pay patient doesn't feel helped therapist refers for different care setting ends treatment child reasoning age child assumptions family inclusion egocentric to reasoning happens at age 6 developmental considerations considerations of interacting systems techniques for teaching self reflection thinking child function + attempts by child/family neuroscience informs process of developing adaptive what is self regulation managing behavior what happens if child is not self regulated issues, conflict strengths based approach in peds aggressive, trouble integrating with peers, conduct praise teen for his/her effort at maintaining control of some aspects of their life don't assess to label patient when to use TF-CBT for post trauma aims: practice emotion expression, build emotion cognition connection, process trauma relationship between child and parents is the focus acronym for TF-CBT PRACTICE 3 characteristics of ADHD inattention, hyperactivity, impulsivity brain structures involved in ADHD visual spacial working memory ADHD therapy prefrontal cortex (goes to temporal and parietal areas) cognitive training for enhancing memory differentiation family patterns individual separates themself intellectually and decreases risk of dysfunctional individuated from family clear own values and beliefs fusion can be between anyone blurring of self with another person single emotional system of 2 people can over or under function *dysfunctional transmission process multi generational transmission process "you're just like your aunt because..." transmitted behavior patterns influence sense self triangle family 3 person system; 2 people with conflict get 3rd person involved ex: child triagulated in parents tension undifferentiated people and families and those with fusion are likely to triangulate family projection process emotional cutoff parent projects onto a child limiting or cutting off content especially if there's abuse going on undifferentiated ego mass symbiotic relationship families that are stuck together one can't function without the other members hard for members to find independence Bowens' theory birth order children's role within the family structure determines the personality more than Bowen's sibling position concept older kids more responsible oldest marrying youngest works best oldest + oldest= competitive and both in charge youngest + youngest = over burdened with responsibility how to promote self statements use first person pronouns " I statements" used to help identify their own beliefs boundaries in structural family therapy should be clear and flexible, members can have personal identity enmeshed family extreme family organization, loss of personal autonomy (helicopter parent) parents are overly involved and protective enmeshed therapy boundaries disengaged family diffuse, permeable heightened personal autonomy and independence