Exam 34: Family Interventions

Which example of behaviour in a family system demonstrates double-bind communication?

A parent is admitted to a chemical dependency treatment unit. The patient's spouse and adolescent children attend a family session. Which initial assessment question should the nurse ask of family members?

A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with her mother, stepfather, and several siblings. When performing a family assessment, which of the following must the nurse first determine?

A nurse interviews a homeless parent with two teenage children. To best assess the family's use of resources, which of the following should the nurse ask?

A wife believes her husband is having an affair. Lately, he has been disinterested in romance and has been working late. The husband has an important, demanding project at work. The mother asks her teen, "What have you noticed about your father?" The teen later mentions this to the father, who says, "Tell your mother that I can't deal with her insecurities right now." Which family dynamic is evident?

Which situations are most likely to place severe, disabling stress on a family?

A family expresses helplessness related to dealing with a mentally ill member's odd behaviours, mood swings, and argumentativeness. Which of the following would be an effective nursing intervention for this family?

Parents of a teenager recently diagnosed with a serious mental illness express dismay. One parent says, "Our child acts so strangely that we don't invite friends to our home. We quit taking vacations. Sometimes we don't get any sleep." Which nursing diagnosis best applies?

Select the best question for the nurse to ask to assess a family's ability to cope.

Which scenario best demonstrates a healthy family?

A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?

A parent says, "My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business." What is the nurse's most appropriate first action?

Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?

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 married couple has two biological children who live with them, as well as a child from the wife's first marriage. What type of family is evident?

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.

An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family are very anxious. Select the best outcome to add to the plan of care for this family.

Which comment by a mother during a family therapy session shows evidence of scapegoating?

A married couple has two children living in the home. Recently, the wife's mother moved in. They should be assessed as which type of family?

Which finding of family assessment indicates a healthy and functional family?