Exam 11: Intervention With Families

A fatherless,11-year-old African American girl lives with her grandmother after the death of her mother.Her older stepbrother is very involved in her life.How should the community health nurse view this family constellation,and why?

A couple is in counseling related to their dysfunctional relationship.Their daughter has recently made a suicide gesture.The nurse should recognize that this might be an example of which family system concept?

During family counseling,a husband tells his wife to spend more time with the family,and she responds by stating,"Okay,I'll turn in my resignation tomorrow." The husband replies,"I knew it! You've always been a quitter!" How should the nurse interpret the husband's statement?

A 30-year-old client seeking therapy states,"My mom cries when she is not included in all my social activities and thinks of my friends as her own." How would the nurse describe the boundaries between this family's parent and child subsystems?

A clinic nurse is caring for a 40-year-old client who lives with his parents.The client's mother continues to do the client's laundry and provides spending money.Based on this situation,which family dynamic does the nurse recognize?

A nurse enters an inpatient room and finds the family disagreeing about the client's living arrangements after discharge.Which information should the nurse provide when teaching techniques to resolve family conflicts?

A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago.After the client received a college acceptance,the mother repeatedly states,"That's wonderful.I'll be fine all alone." How would the nurse interpret the mother's statements?

A client is angry because her husband has forgotten their anniversary.The following week,the client is still unwilling to discuss this with her husband because she is afraid she will lose control.How should the nurse interpret this client's means of coping with anger?

An instructor is teaching about differentiated parent and adult child relationships.Students are instructed to give an example of a well-differentiated parent and adult child relationship.Which student example meets the instructor requirement?

A couple has been married for 20 years.They argue constantly,belittle feelings,and continuously contradict each other.During a therapy session,the nurse documents "Marital schism." What does the nurse mean by this documentation?

In defiance of parental wishes,a Japanese teenager succumbs to peer pressure and gets a tattoo.According to Bowen's family systems theory,how should the community health nurse interpret the teenager's action?

A home health nurse is visiting an Asian family.A married couple,their three children,and the maternal grandparents all live in the home.How should the nurse interpret the presence of the grandparents in the home?

During family counseling a child states,"I just want to surf like other kids.Mom says it's okay,but Dad says I'm too young." The mother allows surfing when the father is absent.In the structural model of family therapy,what family interactional pattern should the nurse recognize?

During family counseling a husband states,"Every time my wife and I discuss child discipline,we get into shouting matches." The nurse instructs the couple to shout at each other for 2 weeks on Tuesdays and Thursdays for 30 minutes.What intervention is the nurse using?

An adolescent,his mother,and his soon-to-be stepfather have been in counseling with the nurse.Which statement by the nurse fosters positive relationships within this new family structure?

In a family that is in the life cycle stage called "The Family with Adolescents," which changes must occur for the family to proceed developmentally?

A nursing instructor is teaching about the importance of healthy family-member expectations for newly blended families.Which student statement indicates a need for further instruction?

After hearing parents discuss divorce,a 5-year-old develops behavioral problems.Upon dealing with the child's behavioral issues,the marital relationship conflict decreases.The pediatric clinic nurse should recognize that this is an example of which family system concept?