Question 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?

Accepted Answer

A)  Homogeneous 
B)  Extended 
C)  Blended 
D)  Nuclear 
A)  Homogeneous 
B)  Extended 
C)  Blended 
D)  Nuclear

Question 2

A family expresses helplessness related to dealing with a mentally ill member's odd behaviors,mood swings,and argumentativeness.An effective nursing intervention for this family would be to:

Accepted Answer

A)  express sympathy for their situation. 
B)  involve local social service agencies. 
C)  explain symptoms of relapse. 
D)  role-play difficult situations. 
A)  express sympathy for their situation. 
B)  involve local social service agencies. 
C)  explain symptoms of relapse. 
D)  role-play difficult situations.

Question 3

Parents of a teenager recently diagnosed with serious mental illness express dismay.One parent says,"Our hopes for our child's future are ruined.We probably won't ever have grandchildren." The nurse will use interventions to assist with:

Accepted Answer

A)  denial. 
B)  grieving. 
C)  acting out. 
D)  manipulation. 
A)  denial. 
B)  grieving. 
C)  acting out. 
D)  manipulation.

Question 4

A wife believes her husband is having an affair.Lately,he has been disinterested in romance and 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?

Accepted Answer

A)  Multigenerational dysfunction 
B)  Triangulation 
C)  Enmeshment 
D)  Blaming 
A)  Multigenerational dysfunction 
B)  Triangulation 
C)  Enmeshment 
D)  Blaming

Question 5

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

Accepted Answer

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. 
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.

Question 6

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

Accepted Answer

A)  A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you." 
B)  A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 PM on a school night." 
C)  A son tells his mother, "You worry too much about what might happen. Nothing has happened yet, so why worry?" 
D)  A wife tells her husband, "You go ahead with your bowling trip. Try not to worry about me falling on my crutches while I'm alone at home." 
A)  A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you." 
B)  A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 PM on a school night." 
C)  A son tells his mother, "You worry too much about what might happen. Nothing has happened yet, so why worry?" 
D)  A wife tells her husband, "You go ahead with your bowling trip. Try not to worry about me falling on my crutches while I'm alone at home."

Question 7

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 first most appropriate action?

Accepted Answer

A)  Educate the parent about stages of family development. 
B)  Report the son to law enforcement authorities. 
C)  Refer the son for substance abuse treatment. 
D)  Make a referral for family therapy. 
A)  Educate the parent about stages of family development. 
B)  Report the son to law enforcement authorities. 
C)  Refer the son for substance abuse treatment. 
D)  Make a referral for family therapy.

Question 8

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.

Accepted Answer

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." 
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."

Question 9

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?

Accepted Answer

A)  "What changes are most important to you?" 
B)  "How are feelings expressed in your family?" 
C)  "What types of family education would benefit your family?" 
D)  "Can you identify a long-term goal for improved functioning?" 
A)  "What changes are most important to you?" 
B)  "How are feelings expressed in your family?" 
C)  "What types of family education would benefit your family?" 
D)  "Can you identify a long-term goal for improved functioning?"

Exam 34: Family Interventions

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 family expresses helplessness related to dealing with a mentally ill member's odd behaviors,mood swings,and argumentativeness.An effective nursing intervention for this family would be to:

Parents of a teenager recently diagnosed with serious mental illness express dismay.One parent says,"Our hopes for our child's future are ruined.We probably won't ever have grandchildren." The nurse will use interventions to assist with:

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

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

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 first most appropriate action?

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 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?

Mental Health and Mental Illness

Relevant Theories and Therapies for Nursing Practice

Biological Basis for Understanding Psychiatric Disorders and Treatments

Settings for Psychiatric Care

Cultural Implications for Psychiatric Mental Health Nursing

Legal and Ethical Guidelines for Safe Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding and Managing Responses to Stress

Childhood and Neurodevelopmental Disorders

Schizophrenia and Schizophrenia Spectrum Disorders

Bipolar and Related Disorders

Depressive Disorders

Anxiety and Obsessive Compulsive Related Disorders

Trauma, Stressor-Related, and Dissociative Disorders

Somatic Symptom Disorders

Feeding, Eating, and Elimination Disorders

Sleep-Wake Disorders

Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

Impulse Control Disorders

Substance Related and Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Suicide and Non-Suicidal Self-Injury

Crisis and Disaster

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Violence

Sexual Assault

Psychosocial Needs of the Older Adult

Serious Mental Illness

Forensic Psychiatric Nursing

Therapeutic Groups

Integrative Care

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