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NURS 661 EXAM 4 WITH QUESTIONS AND ACCURATE ANSWERS RATE A+
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NURS 661 EXAM 4 WITH QUESTIONS AND ACCURATE ANSWERS RATE A+
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NURS 661 EXAM 4 WITH QUESTIONS ANDACCURATE ANSWERS RATE A+
Enmeshed family Correct Answer 1) extreme pattern of family
organization in which boundaries are diffuse and permeable,
resulting in a denial of differences and loss of personal autonomy
2) family members are overly dependent on one another
3) Parents can be overly intrusive and protective, hindering the
competency development of their children
Disengaged family Correct Answer 1) an extreme pattern of
family organization in which boundaries are rigid and
impermeable, resulting in a heightened sense of personal
autonomy and independence.
2) family members are so disconnected that they seem unaware
of their impact on each other
3) communication is scarce, there is limited support and
interpersonal isolation
Coalition Correct Answer a dysfunctional alliance between two
family members against a third
Parentification Correct Answer A form of role reversal where a
child is given the power and authority that appropriately belong to
parents
boundary making Correct Answer therapist tries to change the
distance between enmeshed or disengaged subsystems
unbalancing Correct Answer therapist tries to change the
hierarchical relationships of a subsystem
(ex. 15 year old wants later curfew, when he talks mom interrupts,
father does no talking. therapist sets timers for boy to talk, he
, leaves room, parents make a decision and father tells son the
decision)
Tracking Correct Answer therapist follows a them identified from
communication and use it deliberately in conversation with the
family
reframing Correct Answer therapists recasts the problem in a
new light in order to modify interactions and provide a different
perspective
shaping competence Correct Answer therapist reinforces new,
desirable patterns by praising the family members for their
success
First order changes Correct Answer superficial behavioral
changes within a system that do not change the family structure
system itself
example: family makes a decision to stop shouting at one
another, underlying issues have not changed, so attempt to stop
shouting will be violated sooner or late
Second order changes Correct Answer in depth behavioral
changes that require a fundamental revision of the systems
structure and function.
example: changing the rules of the family system and
reorganizing the system so it reaches a different level
Secure attachment Correct Answer 1)People who are secure
perceive themselves as lovable
2) they are able to trust self and others in relationships
3) They are able to be vulnerable and express their needs and
feelings
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