Family Dynamics Mastery Assessment

A 16-year-old boy with a diagnosis of adolescent adjustment disorder and his family are beginning family therapy. What is the best initial nursing approach?

Encouraging each family member to share how the problem is perceived

The parents of a young adult client visit regularly. After one visit the client becomes very agitated. What should the nurse do to relieve the client's distress?

Explore the client's response to the parents' behavior.

A nurse may best assist abusive parents in altering behavior toward their abused 2-year-old child by helping them do what?

Identify the specific ways in which the toddler's behavior provokes frustration.

A nurse is interviewing a mother accused of physical child abuse. When speaking with this mother, what does the nurse expect her to do?

Reveal the belief that her child needed to be disciplined.

During a well-baby visit, the parents complain that their 2-year-old daughter soils herself because she is lazy. The parents plan to make her wear her soiled clothing to teach her a lesson. The nurse is concerned about the potential for child neglect and abuse. Which nursing intervention will be most therapeutic at this time?

Teaching the parents developmental milestones in relation to acceptable discipline methods

A public health nurse makes a home visit to a family after the birth of a third child. The other children are 1 and 3 years old, and both have developmental delays. What must the nurse initially identify to work effectively with this family?

Who makes the decisions that affect the family

While caring for a family on a postpartum unit, a nurse must consider that parenting includes all of the tasks, responsibilities, and attitudes that make up child care and that either parent can exhibit these qualities. Which factor is the most important influence on parenting ability?

Childhood roles and concepts

A 40-year-old client with a terminal illness wishes to die at home in the presence of his or her spouse and child. Who will be the primary concern of the nurse viewing this family as context?

Client

While caring for a family, the nurse finds that the family has accepted the shifts of generational roles. Which change in the family status for proceeding developmentally would the nurse observe?

Dealing with retirement

A nurse is counselling a parent about the changes a toddler may exhibit after the death of a family member. What should the nurse include in the counselling? Select all that apply.

"The toddler may have bowel or bladder disturbances." "The toddler may express changes in sleeping patterns."

How do adolescents establish family identity during psychosocial development? Select all that apply.

By acting independently to make his or her own decisions By fostering his or her own development within a balanced family structure