Chapter 11: Working With the Family Keltner: Psychiatric Nursing, 8th Edition

hapter 11: Working With the Family Keltner: Psychiatric Nursing, 8th Edition MULTIPLE CHOICE 1. When a nurse assesses a family, which family task has the highest priority to facilitate healthy family functioning? a. Allocation of family resources b. Physical maintenance and safety c. Maintenance of order and authority d. Reproduction of new family members ANS: B Physical and safety needs are given greater importance in Maslow hierarchy of needs than other needs since it addresses the basic safety needs. DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. Which documentation of family assessment indicates a healthy and functional family? a. Members provide mutual support. b. Power is distributed equally among all members. c. Members believe that there are specific causes for events. d. Under stress, members turn inward and become enmeshed. ANS: A Healthy families nurture and support their members, buffer against stress, and provide stability and cohesion. The distracters are unrelated to healthy family function or suggest incorrect dynamics. DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. A 15-year-old patient is hospitalized after a suicide attempt. The adolescent lives with his mother, stepfather, and several siblings. When performing a family assessment, the nurse must first focus on securing what information? a. How the family expresses and manages emotion. b. The names and relationships of the patient’s family members. c. The communication patterns between the patient and parents. d. The meaning the patient’s suicide attempt has for family members. ANS: B The names and relationships of the patient’s family members constitute the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses. DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC: Client Needs: Health Promotion and Maintenance