Nokea
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
- A. Enjoying his mother?s increasing attention and growing even closer to her
- B. Growing distant from his father and blaming him for all of the family?s problems
- C. Developing problematic symptoms in response to his mother?s increasing attention
- D. Resenting mother for her suffocating attention and his father?s growing distance
Correct Answer: C
Rationale: In triangulation, a family member (the child) is drawn into parental conflict, often leading to problematic symptoms (e.g., behavioral or emotional issues) due to the stress of being the focus of redirected tension. Options A, B, and D may occur but are not the primary expected outcome in triangulation.
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A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
- A. Engagement
- B. Assessment
- C. Intervention
- D. Termination
Correct Answer: C
Rationale: In the Calgary Family Model, identifying problems marks the transition from assessment to the intervention stage, where the nurse collaborates with the family to address issues. Engagement initiates contact, assessment gathers data, and termination concludes the process.
The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?
- A. Acceptance of the family rules
- B. Adjustment to the family boundaries
- C. Degree of enmeshment in the system
- D. Interpersonal differentiation
Correct Answer: C
Rationale: The family systems framework, such as Bowen?s theory, emphasizes assessing the degree of enmeshment (overly close emotional boundaries) to understand family dynamics. Acceptance of rules, boundary adjustment, and differentiation are relevant but secondary to enmeshment, which directly impacts family functioning.
A nursing instructor is developing a teaching plan for a class about families. Which of the following would the instructor be most likely to include?
- A. Families are primarily determined by blood.
- B. New members are added by birth, marriage, or adoption.
- C. In the United States, family size has been on the increase.
- D. Families are less mobile today than in the past.
Correct Answer: B
Rationale: Families expand through birth, marriage, or adoption, reflecting a fundamental aspect of family structure. Families are not solely blood-based (A), family size has generally decreased in the U.S., and mobility has increased, not decreased, making B the most accurate.
While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?
- A. Boundaries
- B. Emotional cutoff
- C. Sibling position
- D. Family projection process
Correct Answer: A
Rationale: Minuchin?s structural family therapy model focuses on assessing family boundaries (clear, rigid, or diffuse) to understand roles and interactions. Emotional cutoff, sibling position, and family projection process are concepts from Bowen?s theory, not Minuchin?s model.
A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?
- A. Differentiation of self
- B. Sibling position
- C. Family development
- D. Subsystems
Correct Answer: C
Rationale: The Calgary Family Model emphasizes family development, focusing on stages and transitions in family life. Differentiation of self and sibling position are from Bowen?s theory, and subsystems are part of Minuchin?s structural model, not the Calgary model.