Question 1

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?

Accepted Answer

A)  "Can you describe a problem your family has successfully resolved?" 
B)  "What community agencies have you found helpful in the past?" 
C)  "What aspect of being homeless is most frightening for you?" 
D)  "Do you feel you have adequate resources to survive?" 
A)  "Can you describe a problem your family has successfully resolved?" 
B)  "What community agencies have you found helpful in the past?" 
C)  "What aspect of being homeless is most frightening for you?" 
D)  "Do you feel you have adequate resources to survive?"

Question 2

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?"

Question 3

A 16-year-old wants to drive, but the parents will not allow it. The 14-year-old sibling was invited to several sleepovers, but the parents found reasons to deny permission. Both teens are annoyed because the parents buy clothes for them that are more suitable for younger children. The parents say, "We don't want our kids to grow up too fast." Which term best describes this family's boundaries?

Accepted Answer

A)  Rigid 
B)  Clear 
C)  Enmeshed 
D)  Differentiated 
A)  Rigid 
B)  Clear 
C)  Enmeshed 
D)  Differentiated

Question 4

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?

Accepted Answer

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 
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

Question 5

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

Accepted Answer

A)  "Our youngest child always starts arguments and upsets everyone else." 
B)  "We all express our feelings openly except when we think it might upset my husband." 
C)  "Our oldest child knows that my husband and I are doing all we can for the others." 
D)  "After my husband has been drinking, I have to get everyone up and ready for school." 
A)  "Our youngest child always starts arguments and upsets everyone else." 
B)  "We all express our feelings openly except when we think it might upset my husband." 
C)  "Our oldest child knows that my husband and I are doing all we can for the others." 
D)  "After my husband has been drinking, I have to get everyone up and ready for school."

Question 6

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?

Accepted Answer

A)  Impaired parenting 
B)  Dysfunctional grieving 
C)  Impaired social interaction 
D)  Interrupted family processes 
A)  Impaired parenting 
B)  Dysfunctional grieving 
C)  Impaired social interaction 
D)  Interrupted family processes

Question 7

Which scenario best demonstrates a healthy family?

Accepted Answer

A)  One parent takes care of the children. The other parent earns income and maintains the home. 
B)  A family has strict boundaries that require members to address problems within the family. 
C)  A couple requires their adolescent children to attend church services three times a week. 
D)  A couple renews their marital relationship after their children become adults. 
A)  One parent takes care of the children. The other parent earns income and maintains the home. 
B)  A family has strict boundaries that require members to address problems within the family. 
C)  A couple requires their adolescent children to attend church services three times a week. 
D)  A couple renews their marital relationship after their children become adults.

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 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?

Accepted Answer

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

Exam 36: Family Interventions

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 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?

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?

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

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?

Which scenario best demonstrates a healthy family?

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 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?

Mental Health and Mental Illness

Historical Overview of Psychiatric Mental Health Nursing

Relevant Theories and Therapies for Nursing Practice

Psychotropic Drugs

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

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

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety, Obsessive-Compulsive, and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating Disorders

Cognitive Disorders

Substance Use and Addictive Disorders

Personality Disorders

Sleep–Wake Disorders

Sexual Dysfunction, Gender Dysphoria, and Paraphilias

Somatic Symptom Disorders and Dissociative Disorders

Crisis and Disaster

Suicide

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Integrative Care

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