Chapter 35: Family Interventions Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

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1. A married couple has two biologic children who live with them as well as a child from the wife‘s first marriage. What type of family is evident? a. Homogeneous b. Extended c. Blended d. Nucle... ar ANS: C A blended family is made up of members from two or more unrelated families. It is not a nuclear family because a stepchild is present. It is not an extended family, because there are only two generations present. Homogeneous is not a family type. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 35-5 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. A married couple has two children living in the home. Recently, the wife‘s mother moved in. This family should be assessed as a. nuclear. b. blended. c. extended. d. alternative. ANS: C An extended family has members from three or more generations living together. Nuclear family refers to a couple and their children. A blended family is one made up of members from two or more unrelated families. An alternative family can consist of a same-sex couple or an unmarried couple and children. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 35-5 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. When a nurse assesses a family, which family task has the highest priority for healthy family functioning? a. Allocation of family resources b. Physical maintenance and safety c. Maintenance of order and authority d. Reproduction of new family members testbanks_and_xanax ANS: B Physical and safety needs have greater importance in Maslow‘s hierarchy than other needs. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 35-3 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 4. Which documentation of family assessment indicates a healthy and functional family? a. Members provide mutual support. b. Power is distributed equally among all members. c. Members believe there are specific causes for events. d. Under stress, members turn inward and become enmeshed. ANS: A Healthy families nurture and support their members, buffer against stress, and provide stability and cohesion. The distracters are unrelated or incorrect. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 35-3, 4, 9 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 5. A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine a. how the family expresses and manages emotion. b. names and relationships of the family‘s members. c. the communication patterns between the patient and parents. d. the meaning that the patient‘s suicide attempt has for family members. ANS: B The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 35-17 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 6. Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness? a. The family exhibits many characteristics of dysfunctional families. b. Several family members have serious problems with their physical health. c. Power in the family is maintained in the parental dyad and rarely delegated. d. Stress from living with a mentally ill member has challenged the family‘s function. ANS: D testbanks_and_xanax The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the family‘s level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 35-3, 12, 13 (Vignette) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 7. The parent of an adolescent diagnosed with mental illness asks the nurse, ―Why do you want to do a family assessment? My teenager is the patient, not the rest of us.‖ Select the nurse‘s best response. a. ―Family dysfunction might have caused the mental illness.‖ b. ―Family members provide more accurate information than the patient.‖ c. ―Family assessment is part of the protocol for care of all patients with mental illness.‖ d. ―Every family member‘s perception of events is different and adds to the total picture.‖ ANS: D The identified patient usually bears most of the family system‘s anxiety and may have come to the attention of parents, teachers, or law enforcement because of poor coping skills. The correct response helps the family understand that the opinions of each will be valued. It allows the nurse to assess individual coping and prepares the family for the experience of working together to set goals and solve problems. The other responses are either incorrect or evasive. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 35-14 to 16 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 8. An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the stress. Which nursing diagnosis is most applicable to this scenario? a. Ineffective family coping related to parental role conflict b. Caregiver role strain related to the stress of chronic illness c. Impaired parenting related to patient‘s repeated hospitalizations d. Interrupted family processes related to relapse of acute psychosis ANS: B Caregiver role strain refers to a caregiver‘s felt or exhibited difficulty in performing a family caregiver role. In this case, one parent exhibits stress-related illness and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted (one nursing diagnosis should not be the etiology for another). PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 35-21, 35 (Box 35-3) TOP: Nursing Process: Diagnosis/Analysis MSC: Client Needs: Psychosocial Integrity [Show More]

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