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CYAF 380 MIDTERM QUESTIONS & ANSWERS(RATED A+), Exams of Nursing

University of Mississippi Medical CenterNursing

What are the 5 components of a useful theory for working with families? - ANSWERoPhilosophy of Individuals oPhilosophy of family oPhilosophy of how families function oPhilosophy of family dysfunction oPhilosophy of process of family change Describe: "Our Theoretical Orientation" (Module 2) - ANSWERoDevelop and modify

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CYAF 380 MIDTERM QUESTIONS &
ANSWERS(RATED A+)
What are the 5 components of a useful theory for working with families? -
ANSWERoPhilosophy of Individuals
oPhilosophy of family
oPhilosophy of how families function
oPhilosophy of family dysfunction
oPhilosophy of process of family change
Describe: "Our Theoretical Orientation" (Module 2) - ANSWERoDevelop and modify
theory as we go; taking bits and pieces
oEmphasize clients identifying/expressing their feelings
oListening/understanding are crucial in terms of working with client/them being
invested in the process
oRole of commitment on client's part to practice new behaviors/commitment to get
better and make lifelong change
oWe adapt the techniques we use
Describe: Cognitive Behavior Approaches - ANSWERCollaborative relationships,
psychological distress is part of problem, emphasis on changing cognitions, time-
limited/educational treatment focusing on target problems
Content - ANSWERDomain of the interaction- "WHAT discussion is centered
around"
Process - ANSWERHOW interaction takes place
What is more important: content or process? - ANSWERoProcess because it tells
how someone feels about the situation
oProcess is stable across content areas
Define the Cognitive-Behavior Approach of Behavior Therapy - ANSWEREmphasis
on current behavior/change in behavior
-Goal is to increase personal choice/create new conditions
-Therapist is to teach skills through instruction, modeling, feedback
Define the Cognitive-Behavior Approach of Rational Emotive Behavior Therapy
(REBT) - ANSWERReorganization of one's self-statements will result in a
corresponding reorganization of one's behavior
-Emotional problems are part of beliefs, not events, and they need to be challenged
-Goal is to eliminate self-defeating outlook, reducing unhealthy emotional response
-Designed to induce clients to critically examine present beliefs/behaviors
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CYAF 380 MIDTERM QUESTIONS &

ANSWERS(RATED A+)

What are the 5 components of a useful theory for working with families? - ANSWERoPhilosophy of Individuals oPhilosophy of family oPhilosophy of how families function oPhilosophy of family dysfunction oPhilosophy of process of family change Describe: "Our Theoretical Orientation" (Module 2) - ANSWERoDevelop and modify theory as we go; taking bits and pieces oEmphasize clients identifying/expressing their feelings oListening/understanding are crucial in terms of working with client/them being invested in the process oRole of commitment on client's part to practice new behaviors/commitment to get better and make lifelong change oWe adapt the techniques we use Describe: Cognitive Behavior Approaches - ANSWERCollaborative relationships, psychological distress is part of problem, emphasis on changing cognitions, time- limited/educational treatment focusing on target problems Content - ANSWERDomain of the interaction- "WHAT discussion is centered around" Process - ANSWERHOW interaction takes place What is more important: content or process? - ANSWERoProcess because it tells how someone feels about the situation oProcess is stable across content areas Define the Cognitive-Behavior Approach of Behavior Therapy - ANSWEREmphasis on current behavior/change in behavior -Goal is to increase personal choice/create new conditions -Therapist is to teach skills through instruction, modeling, feedback Define the Cognitive-Behavior Approach of Rational Emotive Behavior Therapy (REBT) - ANSWERReorganization of one's self-statements will result in a corresponding reorganization of one's behavior -Emotional problems are part of beliefs, not events, and they need to be challenged -Goal is to eliminate self-defeating outlook, reducing unhealthy emotional response -Designed to induce clients to critically examine present beliefs/behaviors

Define the Cognitive-Behavior Approach of Cognitive Therapy - ANSWERInternal dialogue of clients play major role in behavior -Change dysfunctional emotions/behaviors by modifying inaccurate and dysfunctional thinking -Goal is to change way think by using automatic thoughts to reach core schema and start to introduce restructure of schema -Collaborative effort between client and therapist Describe: Postmodern Approaches - ANSWERBased on optimistic assumption that people are healthy, competent, resourceful, and posses ability to construct solutions to enhance lives Define the Postmodern Approach of Solution-Focused Brief Therapy - ANSWERClient is expert on own lives -Talk about problems and find solutions -Therapist strives to carry out therapy WITH individual -Focus on future and how to best solve problems -Exception Questions, Miracle Questions (life without problem), Scaling Questions Define the Postmodern Approach of Narrative Therapy - ANSWERExamine stories that people tell and understand meaning -Invited to view stories from different perspectives/co-create an alternative story -Identify how societal standards/expectations are internalized by people that narrow kind of life they want to live -Externalize conversations that are aimed at separating problem from person's identity Describe: Family Systems Perspective - ANSWER-Views family as functioning unit and as entity that adds up to more than sum of its members -Connection between development of individual and family Describe: "Visibly Turning In" - ANSWER-An expression of empathy that tells clients that you are with them -Attention can be manifested in both physical/psychological ways -Nonverbal Communication: ---Bodily behavior, eye contact, facial expressions, voice-related behavior, observable autonomic physiological responses, physical characteristic, space, general appearance -Effective communicators are aware, but not preoccupied with nonverbal messages they send What are the guidelines for Visibly Turning to Clients? - ANSWERS: Face client SQUARELY O: Adopt an OPEN position L: Remember that it is possible at times to LEAN E: Maintain good EYE contact R: Try to be RELAXED Define the Family Systems Perspective of Family Systems Theory - ANSWERIndividuals are best understood by assessing interactions of entire family

---Tape-Recorder Listing: repeating everything, but not understanding ---Rehearsing: respond in expected way/way they have in the past Describe Bowen Family Systems Theory - ANSWER-Look at balance between togetherness and individuality -Anxiety: high emotion=low reasons -Intergenerational transmission (passed on traits) -Patterns of interactions -Differentiation of self: balance of togetherness and individuality How does the Bowen Family Systems Theory relate to the 5 principles of a good theory? - ANSWER-Individuals: is their enough time for self -Family: is their a healthy amount of together time -Family Function: breaks down when balance is broken -Family Dysfunction: family embedded with individual -Process of family Change: stuck in development (homeostasis) What are the 8 Concepts of Bowen? Describe each. - ANSWER1. Triangles: creates tension-"2 on 1" scenario

  1. Differentiation of Self: ---Poor: easily influence, focused on acceptance ---Good: realistic dependence, but can be calm
  2. Nuclear Family Emotional Process: marital conflict, dysfunction in 1 spouse, child impairment, emotional distance
  3. Family Projection Process: ---Parent focuses on child out of fear something is wrong ---Parent interprets behavior as confirming fear ---Parent treats child as if something is really wrong
  4. Multigenerational Transmission Process: small differences in levels of differentiation between parent/child passed on
  5. Emotional Cutoff
  6. Sibling Position
  7. Societal Emotional Process: emotional system governs behavior on a societal level, promoting progressive/regressive periods in a society What is engagement? - ANSWER-Getting the client to talk about the problem at hand -Realize the problem is there How do you know if engagement is achieved? - ANSWER-Involves attachment and opening up -Accepting there is a problem and realizing actions need to be taken to change it ---"What can I do to help?" ---"How can we help at home/looking forward to helping at home?" ---"I see the problem and I am ready to do something" Describe: 1st order Change vs 2nd order Change - ANSWER-1st Order Change: changing for sake of change; motivated by external forces -2nd order change: changing because you want to and know it will help in the long run; motivated by internal forces

Describe Solution-Focused Theory - ANSWER-Not important to know where problem came from, but how to fix it-look at what real problem is What does JOINING look like for Solution-Focused Theory? - ANSWER-Focus on the strengths of child/family -Ask exception, miracle, and scaling questions... ---"When is a time your child doesn't do this?" ---"What are the strengths of your family?" ---"What are the child's strengths?" ---Family vacation, bonding time, connections, family dinner -Ask positive questions... ---"Where does he get his strengths from?" What does engagement look like? - ANSWER-Acknowledging there is a problem -Realizing strengths and building a plan off of those strengths Describe the 5 Principles as it relates to Solution Focused. - ANSWER-Individual: how they are successful alone -Family: how they are successful as family -Family Function: are they most successful as a family? -Family Dysfunction: how do strengths affect family dysfunction -Process of family change: wiling to fix problem by addressing strengths Describe some Gurland Article Principles. - ANSWER-Prior expectations and new information play a role, both independently and interactively, in child's interpersonal perceptions/expectations -Children revise expectations in keeping with new information they encounter -Disappointment effect: adult's behavior disappointed children whose expectations had been raised unrealistically high -children's impressions/experiences of adults are influence by age, preconceived expectations, new info, and content of new info What does JOINING look like in Cognitive-Behavioral Theory? - ANSWERFocus on schemas (teachers, education, child, role as parents) -Teachers ---"What are your experiences with past teachers?" ---"Who was your child's favorite/least favorite teacher?" -Education ---"What do you look for in a school?" ---"What was your experience like in school?" -Child ---"How do you feel your child is doing?" ---"What does he like to do?" -Parent ---"What are some things you do at home when problems arise?" ---"What is your role when child does..." ---Parents are experts... "You know your kid best and I want to know your strategies."

-Cognitive distortions (no one can be trusted because abuse) -Automatic thoughts and automatic behaviors What does engagement look like in Cognitive-Behavioral Theory? - ANSWER- Identify cognitive distortion, extinguish unhealthy automatic thoughts/behaviors What are the 5 principles as it relates to CBT? - ANSWER-Individual: how do they view themselves/automatic thoughts/behaviors -Family: schemas on role as family their function -Family Function: family either successful based on schemas -Family Dysfunction: comes from cognitive distortions -Process of family change: changing of schemas/automatic thoughts Name the three stages of TAPP. - ANSWER-Stage 1: Building on Strengths -Stage 2: Planning for Success -Stage 3: Checking and Reconnecting Describe Stage One of TAPP-Building on Strengths - ANSWER-Goals/Aspirations -Lots of restating--> recognize comparison -Recognizing problems/obstacles Describe Stage Two of TAPP-Planning for Success - ANSWER-Collect data/information both in school and at home -Compare/Synthesize and Clarify Describe Stage Three of TAPP-Checking and Reconnecting - ANSWER-Compare how plan in working both in school and at home -Acknowledge if any adjustments need to be made What are the traits of Self-Inventory? - ANSWERThoughts and feelings on: boundaries, professional relationships, sexual attraction, bartering, gifts, cultural content Describe: Multiple Relationships Controversy - ANSWER-Some believe that multiple relationships are not appropriate, while others believe they may be necessary for the betterment of the client -Roles that do not constitute: making a home visit, accepting small gifts, attending wedding/graduation, accompanying to medical appointment -Refusing to engage in boundary crossings may be both a lost opportunity and harmful to clients Describe: Establishing Personal and Professional Boundaries - ANSWER-When wanting to cross a boundary, important to look at each client individually -Certain boundaries are essential, but calls for negotiation in areas of nonsexual multiple relationships -Clear rationale for crossing a boundary is necessary, roles/expectations should be quite clear, and possible power differentials must be kept in mind What are the 3 models of ethical decision-making? - ANSWER-Real World Ethics

-Corey and Corey -Feminist What are the similarities between the ethical decision-making models? - ANSWERIdentify problem, brainstorm solutions, impact of solutions, justification What makes each model unique? - ANSWER-Real World Ethic ---Situation morally relevant to me ---Emphasis/connection to code of ethics -Corey and Corey: ---Emphasis/connection to code of ethics -Feminist: ---Emotion/Intuition Describe: Combining Professional and Personal Relationships - ANSWER- Questions to ask yourself when put in situation: ---Does this relationship get in way of working effectively with my client? ---Does the friendship get in way of client working with me? ---Am I retaining enough objectivity to determine any possible negative effects? -Be aware of cultures, some believe that interaction must happen outside the formal setting -**Read case examples (pg. 380-382) Describe: Social Media Boundaries - ANSWER-Create two different media accounts -Recommendations to manage Facebook presence ---Limit what is shared online ---Include clear/thorough social networking policies as part of informed consent process ---Regularly update privacy settings Describe: Giving/Accepting Gifts - ANSWER-Questions to ask when deciding whether to accept gift ---"What is the monetary value?" ---"At what phase in the helping process am I receiving this?" ---"What are clinical implications of accepting? ---"What are cultural implications of offering a gift?" -Be aware of what and when you are getting a gift. A small gift towards the end of helping process may be acceptable -If you do not accept a gift, give clear reasons as to why you are not. Be honest and open as to why this is your policy Describe: Dealing with Sexual Attractions - ANSWER-It is normal to have these feelings, however do not act on them -Acknowledge your feelings, BUT NOT TO CLIENT -Avoid developing inappropriate sexual intimacies with a client -Discuss feelings about a client with another therapist/professional -It is my responsibility to manage my feelings towards client/maintain professional boundaries and roles