https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\ncognitive behavioral therapy termination
start termination at first session
gradual termination (increase time between sessions)<\/p>\n\n\n\n
interpersonal therapy termination
termination begins in the middle phase
usually 16 sessions total
for clients with relationship issues<\/p>\n\n\n\n
EMDR termination
start discussing in 8th phase
ready to terminate when subjective units of disturbance is 0 and validity of cognitions 7 (means trauma is processed)<\/p>\n\n\n\n
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<\/p>\n\n\n\n
child reasoning age
egocentric to reasoning happens at age 6<\/p>\n\n\n\n
child assumptions
developmental considerations
family inclusion
considerations of interacting systems<\/p>\n\n\n\n
techniques for teaching self reflection
neuroscience informs process of developing adaptive thinking
child function + attempts by child\/family<\/p>\n\n\n\n
what is self regulation
managing behavior<\/p>\n\n\n\n
what happens if child is not self regulated
aggressive, trouble integrating with peers, conduct issues, conflict<\/p>\n\n\n\n
strengths based approach in peds
praise teen for his\/her effort at maintaining control of some aspects of their life
don’t assess to label patient<\/p>\n\n\n\n
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<\/p>\n\n\n\n
acronym for TF-CBT
PRACTICE<\/p>\n\n\n\n
3 characteristics of ADHD
inattention, hyperactivity, impulsivity<\/p>\n\n\n\n
brain structures involved in ADHD
prefrontal cortex (goes to temporal and parietal areas)
visual spacial working memory<\/p>\n\n\n\n
ADHD therapy
cognitive training for enhancing memory<\/p>\n\n\n\n
differentiation
individual separates themself intellectually and decreases risk of dysfunctional family patterns
individuated from family
clear own values and beliefs<\/p>\n\n\n\n
fusion
can be between anyone
blurring of self with another person
single emotional system of 2 people
can over or under function
*dysfunctional<\/p>\n\n\n\n
transmission process
multi generational transmission process
“you’re just like your aunt because\u2026” transmitted behavior patterns influence sense self<\/p>\n\n\n\n
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<\/p>\n\n\n\n
family projection process
parent projects onto a child<\/p>\n\n\n\n
emotional cutoff
limiting or cutting off content especially if there’s abuse going on<\/p>\n\n\n\n
undifferentiated ego mass
families that are stuck together
symbiotic relationship
one can’t function without the other members
hard for members to find independence<\/p>\n\n\n\n
Bowens’ theory
children’s role within the family structure determines the personality more than birth order<\/p>\n\n\n\n
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<\/p>\n\n\n\n
how to promote self statements
use first person pronouns ” I statements”
used to help identify their own beliefs<\/p>\n\n\n\n
boundaries in structural family therapy should be
clear and flexible, members can have personal identity<\/p>\n\n\n\n
enmeshed family
extreme family organization, loss of personal autonomy (helicopter parent)
parents are overly involved and protective<\/p>\n\n\n\n
enmeshed therapy boundaries
diffuse, permeable<\/p>\n\n\n\n
disengaged family
heightened personal autonomy and independence
weak parental authority
parents do not care when child has a big issue<\/p>\n\n\n\n
disengaged family boundaries
rigid and impermeable<\/p>\n\n\n\n
coalition
dysfunctional alliance between 2 family members and a 3rd<\/p>\n\n\n\n
crossgenerational coalition
a parent and child side against a third family member<\/p>\n\n\n\n
schism coalition
child joins one parent and that parent devalues the other<\/p>\n\n\n\n
skewed coalition
one spouse overfuncitons for underfunctioning spouse to preserve the marriage and family<\/p>\n\n\n\n
parentification
child takes on parent role<\/p>\n\n\n\n
therapy focus in structural family therapy
focus is on assessing structural dysfunction<\/p>\n\n\n\n
therapist joining
uniting empathetically, temporary part of family system<\/p>\n\n\n\n
therapist accomodating
adjusting and adapting to family’s affective style<\/p>\n\n\n\n
therapist affiliating
positive statements to increase self esteem
negative statements to absolve person of responsibility for behavior<\/p>\n\n\n\n
boundary making
therapist changes the distance between enmeshed or disengaged systems<\/p>\n\n\n\n
unbalancing by therapist
change in heirchy within family
use this when kids are in charge to get parents to be in charge\/collaborate<\/p>\n\n\n\n
tracking
following the common ways a family communicates
using a theme for communication
ex: family that humiliates each other-> therapist comments when this occurs<\/p>\n\n\n\n
shaping competence
reinforce desirable patterns
give praise<\/p>\n\n\n\n
reframing
reframe a conflict as a systems issue rather than one person’s problem<\/p>\n\n\n\n
first order change
superficial; don’t change the family structure; does not last
“we will stop yelling at each other”<\/p>\n\n\n\n
second order change
in depth revision of the structure and function
family system rules are changed to not yell at each other<\/p>\n\n\n\n
secure attachement
receive themselves as lovable; able to trust self and others in relationship; can be vulnerable and express heir needs and feelings in relationships<\/p>\n\n\n\n
insecure attachement
diminished ability to express their needs and feelings and discount their need for attachment; solve problems by themselves without understanding the effect on their partner<\/p>\n\n\n\n
anxious attachement
psychologically reactive; demand reassurance in an aggressive, controlling way
blame and manipulate their parnter<\/p>\n\n\n\n
vacillating attachment
traumatized people;
fluctuate between attachment and hostility
reactive<\/p>\n","protected":false},"excerpt":{"rendered":"
NURS 661 Maryville EXAM 4 Latest Questions and Answers (2024 \/ 2025) (Verified by Expert) 1 \/NURS 661 Maryville EXAM 4 Questions and Answers(Verified Answers)1.cognitive behavioral therapy termination: start termination at first session gradual termination (increase timebetween sessions)2.interpersonal therapy termination: termination begins in the middle phase usually 16 sessions totalfor clients with relationship issues3.EMDR termination: […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131061","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131061"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131061\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}