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NURS 603 Final Exam Study Guide questions with correct answers.

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NURS 603 Final Exam Study Guide questions with
correct answers
Communication Patterns Questionnaire (CPQ): Know what this measure
primarily assesses- Correct Answer-This measure evaluates the demand
withdrawal pattern.
It's one in which there is one person-- we'll label that person the
demander-- who criticizes, nags, or makes demands, while the other
partner-- who we'll refer to as the withdrawer-- avoids confrontation,
withdraws, and becomes defensive.


This pattern has sometimes been referred to as the nag-withdraw pattern,
the pursuer-distancer pattern, or also the rejection-intrusion pattern.


Be familiar with interview strategies for intimate partner violence (IPV)
- Correct Answer-Interview separately


Start with a general question about what conflict tends to look like in the
couple's relationship
Use very clear, direct, and specific language, such as using the term
"physical violence" and that your questions focus on concrete examples
about specific behaviors


If an individual indicates that yes they have either been the victim of
physical aggression or they have been the aggressor, get specific
descriptions of behaviors that have occurred.

,Understand the frequency and last episode of abuse
You want to ask specific questions about the use of weapons and injuries
that might have been sustained in episodes of violence.


What is the worst episode of violence that's ever happened between your
partner and you?


Who is responsible for this aggressive behavior?


Do they take responsibility for that or do they somehow try to blame
their partner for their violent behavior?
Similarly, you would want to find out if someone has been the victim of
intimate partner violence, do they in some ways mistakenly blame
themselves for this behavior or indicate that they feel that they deserve it
somehow?


Interview the victim first so if the client indicates he or she does not feel
safe, you want to refrain from asking those questions of the partner until
you can address safety issues


Conflict Tactics Scale-2: Know what this measure assesses, how content
changes in the revision improved over the original CTS, and limitations
of this measure. Correct Answer-The measures the extent to which
members of a couple use specific tactics, including physical violence,
during times of conflict.

, Improved both the content validity of the measure and also improved
reliability by making the measure longer or certain subscales longer
Improved distinction between identifying minor and severe forms of
violence for various scales.
Limitations: The instructions on it are to consider acts that occur in the
context of conflict. And some have raised questions about whether this
would exclude unprovoked acts of violence and aggression that are done
purely out of hostility or malevolence.
There is only a limited set of violent acts that are asked about. And by
limiting these specific acts, are we, therefore, leaving out important
experiences of potential test-takers?


The final criticism is that the context in which these Conflict Tactics are
occurring is not necessarily taken into consideration, including the
relative size and strength of the individuals involved. And the
circumstances under which these different acts happen, the sequence of
events, and so on.


Marital Instability Index - know what this measure assesses and the
score Gottman uses as an indicator of concern Correct Answer-So it is
often helpful for a therapist to know the couple's commitment to their
relationship when they are conducting couples therapy. And so including
a measure of commitment to the relationship or marital instability can be
a helpful part of a couple's assessment. It asks about steps that a member
of the couple has taken towards separation and divorce.


John Gottman, the marital researcher, uses a score even lower than this.
He says a score of four or more indicates a respondent is emotionally out
the door and seriously in danger of leaving the marriage.

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