NURS 661 EXAM 4 STUDY GUIDE 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS <RECENT
VERSION>
Goals for life review ......ANSWER........Increase integrity and self
esteem, decrease depression. Goal is to deconstruct and make a
positive narrative. Life review is structured.
Best types of patients for Life Reviews ......ANSWER........older
adults that are cognitively intact. Can talk about past and recent
events.
What is a genogram ......ANSWER........graphic sketch of the
patient and several generations of their family
,age 2 of 40
What is included in genogram ......ANSWER........Occupational
and social roles, major life events, significant illness and
important dates
Purpose of genogram ......ANSWER........tool for assessing
individuals, couples and families, should be part of patient or
family assessment, having patient draw genogram is intervention
strategy and can lead to important understanding and insight in
multigenerational patterns.
How to take a strengths-based approach with pediatric patients
......ANSWER........give praise to the parent or child for making
good decisions and maintaining control
When to use TF-CBT with pediatric patients
......ANSWER........History of extensive trauma, severe abuse,
neglect
,age 3 of 40
Three main characteristics of ADHD ......ANSWER........Inattention,
hyperactivity, impulsivity
Brain structures involved in ADHD in children
......ANSWER........Prefrontal cortex
Treatment for ADHD ......ANSWER........Behavioral and
psychosocial treatment in adjunct to medication (moderate to
severe).
How does Cognitive Behavioral Training help with ADHD
......ANSWER........CB Training helps the child increase the amount
of information they can hold in their mind, enhancing working
memory.
What is differentiation ......ANSWER........Ability to separate self
from family
, age 4 of 40
What is fusion ......ANSWER........Blurring between self and others,
when 2 people form a dysfunctional pattern trying to function as
1
Multigenerational Transmission Process ......ANSWER........Transfer
of dysfunction from one generation to the next. "You're just like
your father"
Triangle family ......ANSWER........3 person system, stabilize
conflict with pulling in another person
Undifferentiated ego mass-symbiosis ......ANSWER........difficulty
functioning independently (on their own), "stuck together". Low
levels of differentiation
Bowens theory and sibling position concept
......ANSWER........Involves a persons functional position in the
family