Psych Ch 34 EAQ

The nurse administrator is observing the work of the nurse in a family counseling center. The nurse gets upset after talking to a couple who are planning to get divorced. The nurse feels very sorry for the wife and starts fighting with the husband in favor of the wife. What can the nurse administrator interpret from this?

he nurse has become triangulated in the family

When asked what a genogram is, what is the nurse's best response?

"A genogram will help me see your family structure, history, and current functioning."

The nurse is providing family therapy to a parent and an adolescent within the family. The parent states, "My child is always upset and bitter to me. I don't know how to deal with this." What is the most appropriate suggestion given by the nurse in this situation?

"Ask your child the reason why she is so upset."

Which assessment question demonstrates an understanding of the indicators of family stress? Select all that apply.

"Can you tell me more about these problems you are having with muscle pain and insomnia?" "Do you understand the importance of being actively involved in your treatment plan?" "Are you able to identify what events trigger your anxiety?" "Are you experiencing any suicidal thoughts?"

A nurse is asking about the patient's family during an interview. Which statement made by the patient would indicate that the family has diffused boundaries?

"I am sure everybody in my family likes the food that I prefer to be cooked."

The nurse is counseling a couple who are planning to get divorced. The wife states "This man never listens to what I say and treats me unfairly." The husband tells the nurse "Can you please tell me how long we need to stay?" What should be the nurse's response?

"I would like to listen to your wife."

The nurse is assessing a single-parent family consisting of a parent and a 12-year-old child. The parent tells the nurse about the steps taken to make the child responsible. Which statement by the parent indicates an impaired family functioning?

"My child buys the groceries for the house every weekend."

Which statement made by a family member of an individual recently diagnosed with schizophrenia supports the nurse's assessment that the family will respond well to care strategies that support the competence model of care?

"Our brother is family and we will be there to support him in every way we can."

A patient is admitted to the hospital with hypoglycemia. While speaking to the patient's family members, the nurse finds that the cause for hypoglycemia was not adhering to the medication regimen. Which is the most appropriate question to assess the reason for noncompliance in the patient?

"Please tell me about your drug regimen."

Which family situation should the nurse assess as warranting a referral for family therapy?

A couple are havingDifficulty dealing with the erratic behavior of their bipolar son. They say, "We're at the end of our rope."

The nurse is assessing a group of families within a community to find if they need family therapy. Which families would require family therapy?

A family where the younger children are looked after by the elder children

Which situation is the best example of a double-bind?

A wife sighs while telling her husband, "You can go out with the boys tonight if it's what you really want to do."

Which statement is true regarding boundaries and their importance to the family? Select all that apply.

Clear boundaries allow members to function without unnecessary interference from other members. Flexible and appropriate boundaries are essential to healthy family functioning. Diffused boundaries make it possible for parents to lose control of their family. Clear boundaries allow for flexibility and change to rules when needed.

The nurse demonstrates an understanding of effective data collection when interviewing a patient regarding a family history when planning which intervention?

Constructing a genogram as a basis for documenting the information gathered.

A function of the entry-level staff nurse in caring for families is to

Assess the amount of stress on the system

A 26-year-old male patient diagnosed with schizophrenia is having difficulty adjusting to his return to the community after hospitalization. His family is dismayed by his poor hygiene and avolition. A useful strategy for the nurse to suggest would be for family members to

Attend a psychoeducational group

At the first family therapy session the family tells the therapist that "We wouldn't have to be here if our younger son wasn't such a brat. He seems so different from our other son. We never had difficulty with him misbehaving." The other sibling offers, "He gets upset pretty easily." The nurse should suspect that the younger son is

Being scapegoated

The nurse is completing an admission assessment. The patient tells the nurse that "I have a younger sister. My mother passed away seven years back. My father got remarried last year. All four of us live together." Which type of family is this indicative of?

Blended family

A family consists of two parents and three school age children. In this family, the parents seek input from the children but make decisions regarding the children's activities. Each child receives an allowance and has a household chore weekly. How should the nurse interpret boundaries within this family?

Clear

An eight-year-old child tells the nurse, "I learned to mow the grass when I was six years old. My father drinks so much that he never mows it and I want our home to look as nice as the other homes in our neighborhood." Which nursing diagnosis is most applicable to this scenario?

Dysfunctional family processes

The nurse is working with a family whose boundaries are not clear and whose members are over-involved with each other. What term is used to describe this type of family dynamic?

Enmeshment

The nurse is providing family therapy to a family consisting of a grandparent, the parents, and the child. In the process of identifying the problems within the family, the nurse finds that all members are blaming each other for the problems within the family. The nurse asks the family members to analyze and solve the problems themselves. What type of family therapy is the nurse employing here?

Experimental-existential therapy

Which paradigm therapy will the therapist use to develop a goal to encourage family growth?

Experimental-existential therapy

A child lives with a parent and a grandparent. Which type of family is this referred to as?

Extended family

A family consists of a husband, a wife, their three children, and the wife's mother. This family form is called a(n)

Extended family

Which conditions in the family are supportive of family therapy? Select all that apply.

Family members are willing to resolve the conflict Family members want to bring peace to their family. Confidentiality is being maintained

Which technique would be least helpful in putting family members at ease as family therapy begins?

Focusing on the identified patient's views about the family problems

A tool to effectively uncover multigenerational issues in a family is the

Genogram

The members of a family openly tell each other what they are thinking and feeling. A nurse listening to their interchanges would assess them as using

Healthy communication

What nursing interventions related to a drug regimen should the nurse provide to a patient being treated with psychotropic medications? Select all that apply.

Inform about the desired medical effects of the drug. Inform about the side effects of the drugs prescribed. Explain the purpose of the prescribed drugs.

A girl is overheard saying to her brother, "If you stick up for me with Mom and Dad, I will forget I heard you planning to sneak out after they are asleep." This can be assessed as a type of communication called

Manipulation

An adult says to the nurse, "My grandfather was an alcoholic and womanizer so my mother ended their relationship when she was a teenager. My own relationship with my mother ended three years ago when she gave my sister more money than she gave me." Which term applies to these family dynamics?

Multigenerational issues

What term is used to identify a family that consists of a married mother and father and three biological children all living together?

Nuclear family

A nurse is speaking to a couple in a plastic surgeon's office. One spouse wants to get a facelift procedure. The husband seems to be disapproving and has fears regarding complications related to the surgery. The husband tells the wife, "Do whatever you like." Which type of dysfunctional communication does this statement indicate?

Placating

What type of dysfunctional communication is it when a family member is passive and yielding as a way of maintaining peace in the family?

Placating

Which approaches to family therapy are classified as insight-oriented? Select all that apply.

Psychodynamic Family of origin Experimental-existential

The nurse is assessing a couple who are getting a divorce. The nurse finds that the husband and the wife are giving fake reasons for the divorce. What should the nurse do in this situation?

Refrain from giving any family therapy to the couple.

A family's home and possessions are lost when a massive forest fire burns out of control. Afterward, the family unites to apply for emergency assistance and rebuilds in the same location. Which concept best applies to this scenario?

Resilience

A patient tells the nurse, "My family always blamed me for everything that went wrong even though my father could not keep a job because of his drinking." Which concept applies to this scenario?

Scapegoating

In which condition is the least powerful person in the family blamed for another family member's distress?

Scapegoating

A child lives with an adult who is not related. What type of family is this?

Single-parent family

A nurse is interviewing a family consisting of a couple and two children (a son and a daughter). The father tells the nurse that their son is extremely aggressive and beats up his sister without any reason. The mother says that their daughter is very calm and that she never says a word against her brother. According to the nurse, who is the "identified patient" in this family?

Son

The nurse is assessing a single-parent family consisting of a parent and an adolescent. The parent recently lost a job and the adolescent is in high school. The adolescent tells the nurse that he wants to help the parent. Which nursing intervention would be helpful in preventing the family from having diffused boundaries?

Suggest resources that help the parent to get a job

The nurse is assessing a family consisting of an adolescent, a younger sibling, and a parent. The adolescent states that the parent forces the adolescent to do a lot of household chores. Which activity performed by the adolescent would suggest that this family's management needs improvement?

The adolescent earns money for the family.

The communication technique that helps define the roles of family members and allows for differences between members is

The communication technique that helps define the roles of family members and allows for differences between members is

Following an assessment of a couple who is unmarried and is cohabitating, the nurse concludes that the family is well-differentiated. What would have led the nurse to believe this?

The couple discusses their problems and makes joint decisions.

Which statement is true regarding the influences of a healthy family on its members? Select all that apply.

The family dynamics influence the beliefs and value systems of each member. Effective communication is a hallmark of a healthy, functional family. Healthy families tend to produce healthy members of society. It is the powerful functional system to which a person belongs.

Which findings would be indicative of a healthy family? Select all that apply.

The family members communicate well with each other. The family members are maintaining their roles properly. The family members are able to deal with stress together.

The family consists of the husband and his wife, their four children, the wife's 21-year-old sister, and patient's elderly aunt. Which members are considered the patient's nuclear family?

The parents and their four children

A middle-aged father tells the nurse "I live with my wife and three children. Two children always listen to me and do whatever I say. The third child never listens to us and does whatever he wants. I am fed up. I don't know what to do with this kid." What makes the nurse feel that the family needs intervention?

The parents expect the child to behave their way.

Which evaluation data supports that the patient diagnosed with schizophrenia has benefited from his or her family's involvement in psychoeducational programming?

The patient has not relapsed in three years

The nurse completes an admission assessment and finds that the patient belongs to a nuclear family. The patient tells the nurse that both the parents are out of the home at their respective jobs most of the time. The parents have no time for the patient. Which complication associated with such a family situation is the patient likely to have in the future?

The patient will have difficulty in having a successful marriage.

A nurse plans to give psychoeducational family therapy to the parents of a child with autism. The mother tells the nurse that she had to leave her job to look after the child. The father tells the nurse that he feels extremely guilty for not being able to look after his child. What should the nurse teach the parents as a part of psychoeducational family therapy?

The signs, symptoms, and pathophysiology associated with autism

What statement is true regarding rigid boundaries? Select all that apply.

There are no accepted reasons that allow deviation from the rules. Compromise is not encouraged when boundaries are rigid. Rigid boundaries result in consistent adherence to rules and roles.

A nurse is assessing the caregivers of a patient who has recently been diagnosed with a serious psychiatric illness. The nurse believes that the family should be referred for family therapy. How would family therapy be beneficial for the family of the patient? Select all that apply.

They will be able to accept the illness of the patient. They will be able to deal with the symptoms of the patient effectively. They will know about the community resources that are useful for the patient.

A female patient confides that she and her husband have not been getting along well. She states that their daughter provides much support to her, and that the daughter "doesn't really like her dad much anymore and doesn't talk to him." What term describes this family dynamic?

Triangulation

In which condition does a conflict between two people require a third person to resolve it?

Triangulation