Exam 36: Family Interventions

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?

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

When a nurse assesses a family, which family function is the highest priority?

Parents of a mentally ill teenager say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Select the nurse's most helpful intervention.

Parents of a teenager recently diagnosed with a 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 of the following?

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

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?

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 situations are most likely to place severe, disabling stress on a family? Select all that apply.

Which scenario best illustrates scapegoating within a family?

A parent was recently hospitalized with severe depression. Family members say, "We're falling apart. Nobody knows what to expect, who should make decisions, or how to keep the family together." Which interventions should the nurse use when working with this family? Select all that apply.

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 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." Family therapy should focus on which of the following? (select all that apply)

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?

Two divorced people plan to marry. The man has a teenager, and the woman has a toddler. This family will benefit most from which of the following?

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

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

A parent is admitted to a chemical dependency treatment unit. The patient's spouse and adolescent children participate in a family session. What is the most important aspect of this family's assessment?

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?