Chapter 35: Family Interventions |Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

MULTIPLE CHOICE 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? a. Homogeneous b. Extended c. Blended d. Nuclear ANS: C A blended family is made up of members from two or more unrelated families. It is not a nuclear family because a stepchild is present. It is not an extended family, because there are only two generations present. Homogeneous is not a family type. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 35-5 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. A married couple has two children living in the home. Recently, the wife‘s mother moved in. This family should be assessed as a. nuclear. b. blended. c. extended. d. alternative. ANS: C An extended family has members from three or more generations living together. Nuclear family refers to a couple and their children. A blended family is one made up of members from two or more unrelated families. An alternative family can consist of a same-sex couple or an unmarried couple and children. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 35-5 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. When a nurse assesses a family, which family task has the highest priority for 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 have greater importance in Maslow‘s hierarchy than other needs. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Page 35-3 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 4. 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 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 or incorrect. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 35-3, 4, 9 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 5. A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine a. how the family expresses and manages emotion. b. names and relationships of the family‘s members. c. the communication patterns between the patient and parents. d. the meaning that the patient‘s suicide attempt has for family members.