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Psych Family AssessmentsPsychiatric Nursing: Contemporary Practice

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How can a nurse assess the problem solving skills of a family?
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Focus on a recent problem the family has experienced and determine how they solved it.
What are the four stages of the Calgary Family Assessment Model developed by Wright and Leahey?
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Engagement (greeting the family/making them comfortable), assessment (ID problems, develop relationship), intervention and termination.
In Bowen's Family Systems Therapy Model, what is the difference between intrapsychic and interpersonal differentiation?
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Intrapsychic differentiation is the ability to separate thinking from feeling and thinking througha behavior before acting on it. Interpersonal differentiation is the process of freeing oneself from emotional family chaos.
________ differentiation means separating thinking from feeling.
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Intrapsychic
________ differentiation means separating oneself from emotional chaos of family.
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Interpersonal
_________ are the smallest stable unit in human relations.
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Triangles (Bowen)
What does it mean when someone triangulates something/someone in a relationship?
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Bringing someone or something into a relationship to reduce tension and anxiety. For example, a woman confiding in her friend when she and her husband have argued.
In families, triangulating occurs when a husband and wife diffuse tension by focusing on __________.
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The children-this causes an overly intense relationship and symptomatology in the child like bedwetting.
What does Bowen describe as the family projection process?
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Projection of anxious, enmeshed concern onto a child as a result of triangulation resulting in dysfunctional family dynamics.
A patterned reaction in daily interactions between spouses is referred to as ___________.
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Nuclear family emotional process
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The transferring of emotional processes from one generation to the next is referred to as __________.
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Multigenerational transmission process
What is emotional cutoff?
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Moving away from family or avoiding personal subjects of conversation to cope with an inability to differentiate self from family.
_______ is a theorist who believed that there is a balance between the family system and the individual members. A person needs family connection but also needs to be differentiated as an individual.
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Bowen
________ is a theorist who emphasized the importance of family structure, including the subsystems and boundaries, on the patterns of family interaction.
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Minuchin
Family _______ is the organized pattern in which family members interact including quantity and quality (Minuchin).
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Family structure
Family _______ are an important influence on family interaction patterns.
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Family rules
What is a family subsystem?
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The joining of certain family members for various activities, i.e. the boys fishing, the girls shopping
What are the functions of barriers in a family structure (Minuchin)?
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Regulate the amount of contact a person has with others and protect the autonomy of family and its subsystems
What type of family subsystem develops in families with boundaries that are too relaxed?
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An enmeshed susbsystem where children view their parents as friends and peers and treat them as such
According to family structure theory, what is a normal family?
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One that has a functional structure capable of handling problems
  
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