MH Chapter 14 PrepU
encourage emotional development
When discussing boundaries with a family, the nurse determines that the family has permeable boundaries. The nurse interprets this as serving which purpose?
interrupted family processes
A nurse assesses a family of a 19-year-old client diagnosed with first-episode psychosis. The family is experiencing stressful events that challenge its previously effective functioning. The appropriate nursing diagnosis is ...
coping skills
A nurse assessing a family evaluates how the family members deal with stressful events to determine they're available
a circle with an x through it
A nurse is constructing a genogram of a family. Assessment reveals that the maternal grandmother died at age 69. The nurse would depict this person on the genogram using which symbol?
improved quality of life
A nurse is planning an educational program for families with a mentally ill relative. Which goal is consistent with the current objectives of family education?
identifying strengths and problem areas within the family structure
A nurse is preparing to assess a family. The nurse best adopts the view of the family unit as a system by using which approach?
assessment
A psychiatric-mental health nurse is integrating the Calgary family model to provide care to a family. During which stage would the nurse open space for the family to tell its story?
credibility
A psychiatric-mental health nurse is preparing to work with a family. To develop a positive relationship with a family, which aspect would be most important for the nurse to establish first?
triangles
Parents of a child with a psychiatric illness are devastated by the problems. The husband has a difficult time with the diagnosis and isolates himself from the situation by beginning an intimate affair with another woman. What type of a relational pattern is this family exhibiting?
cohabitated
A client states that she has just moved in with her boyfriend. They are going to try living together prior to getting married. The nurse would document this as what type of family?
disabling ineffective family coping related to overt destructive behavior
A family has been seen at the community mental health clinic for several weeks and continues to demonstrate abusive, violent behavior. The husband persists in physically and verbally abusing his wife and two children. The family's 10-year-old son has been suspended from school for fighting and destroying school property. An appropriate nursing diagnosis for this family is what?
models coping actively with life's problems
A family's structure is considered "energized," or healthy, if it serves which function for each family member?
permeable
A nurse analyzes the results of the family assessment. Which characteristics of family boundaries should the nurse recognize as promoting the emotional health of the family?
a family boundary
A teenage son is missing the remainder of the school year because he is in a program receiving treatment for his abuse of marijuana. His parents tell his friends that he is attending an alternative school for the remainder of the semester. All family members agree to adhere to this false explanation. What is this agreement an example of?
the dynamics of the entire family have and will continue to shift to accommodate a change
A teenage son is missing the remainder of the school year because he is in a program receiving treatment for his abuse of marijuana. His parents tell his friends that he is attending an alternative school for the remainder of the semester. All family members agree to adhere to this false explanation. What is this agreement an example of?
intervention
According to the Calgary family intervention model, in which stage does the core of the clinical work occur?
father-son
As a part of the family assessment, a nurse assesses the internal structures of the family. Which relationship is an example of a subsystem?
extended family
Assessment of an adult client reveals that he lives with his wife and three children. The client's father-in-law lives in an in-law suite attached to the client's home. The client's parents live about a block away and visit the family often. The nurse interprets this as which type of family?
single parent
Because of high divorce rates and separations in recent years, there has been a significant increase in the family structure termed
stigma associated with mental illness
Family members are often reluctant to discuss the mental disorders of other family members because of...
accepting the shifting of generational roles
In viewing the stages of the family life cycle, those families in later life undergo which emotional transition?
expanding family
Matthew and Janice have been married for 5 years and plan on having children. In what stage of the family life cycle are Matthew and Janice?
birth order
Siblings can fulfill many roles for each other and although siblings share many experiences, each one has a different perspective on those experiences. The nurse is completing a family assessment and integrates knowledge of Bowen's Family Systems therapy model. Which area would the nurse identify as playing the most important role in shaping the experiences of the three siblings in the family?
functional
The Calgary family assessment model and the Calgary family intervention model are dimensional frameworks that conceptualize the family into categories of structural, developmental, and...
second-order change
The adjustments a family will have to make to adapt when an oldest child leaves home for college is an example of which type of adapting, according to the Calgary Family Assessment Model?
ages of the members
The nurse is analyzing a genogram of a large family. Included in most family genograms are the...
sibling position
The nurse is caring for a 16-year-old boy who says to the nurse, "I am the youngest. I get treated like a baby. My older brothers can do anything that they want and they treat me like I am 6 years old, not 16!" What does the nurse understand determines this behavior?
it helps to view the whole family as a unit
The nurse is obtaining a history from a client. What does the nurse understand about the importance of doing a genogram?
addressing the chid and family as a single inseparable unit
The nurse is planning care for a family with a child having peer difficulties due to the child's conduct. The nurse demonstrates understanding of the principles of family system theories by which action?
conflicts are resolved in a rational manner
The nurse therapist is setting goals for a family in therapy. One goal is for the family to adopt a healthy family structure. Which would be an appropriate outcome criterion for this goal?
assess how a family has functioned both in the past and currently
The nurse-therapist's priority when implementing a genogram is to...
genogram
The psychiatric nurse practitioner is working with a 21-year-old woman who suspects she is experiencing mild signs of psychosis. She has not experienced any previous cognitive or perceptual impairment. Knowing the relationship between mental illness and family history, the nurse uses which tool to assess for a possible genetic relationship with this client?
assess the effects of existing cultural beliefs and practices on the family's dynamics
To best avoid mislabeling a new immigrant family as dysfunctional, the psychiatric nurse should engage in what?
nuclear family
Two or more people living together and related by blood, marriage, or adoption refers to ...
resiliency
When the Sorenson family realized that their daughter, Emily, was severely depressed, they accompanied her to the therapist. There, they learned about major depression, the medications that are used, and symptom management. Emily's depression resulted in the family's rallying around her and created a climate in the family of support and strength. This phenomenon is best described as...
nuclear family emotional process
Which concept of Bowen's family systems therapy model describes patterns of emotional functioning in a family in a single generation?
construct a family genogram
Which of the following would be most appropriate for a nurse to do when attempting to view a whole family's composition as a unit?
a family is a system of interrelated dependent relationships
Which should be considered the fundamental principle of family therapy?
marriages
horizontal lines in a genogram represent
