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A group of nursing students is reviewing information about the changing family structure and its effect on mental health and illness. The students demonstrate understanding of the information when they identify which of the following?
- A. Middle-aged childless adults are more vulnerable to loneliness and depression.
- B. In stepfamilies, caring for the children often is a primary stressor to the marital partners.
- C. Separation because of relocation provides additional support from extended family.
- D. Same-sex families typically demonstrate lower rates for depression and stress.
Correct Answer: B
Rationale: In stepfamilies, caring for children often introduces stress to marital relationships due to complex dynamics, a well-documented effect. Childless adults may face loneliness but not universally, relocation often reduces extended family support, and same-sex families do not consistently show lower depression rates.
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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.
Assessment of a family reveals that the youngest child has moved out of the family home to live by herself. One of the other two children is married, and the other child has just gotten engaged. The nurse interprets this family to be in which stage of the family life cycle?
- A. Families with adolescents
- B. Launching children and moving on
- C. Families in later life
- D. Leaving home: single young adults
Correct Answer: B
Rationale: The family is in the 'launching children and moving on' stage, as the youngest child has moved out, another is married, and one is engaged, indicating children transitioning to independent lives. Adolescents, later life, and single young adults are different stages.
A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient?s family?
- A. Ineffective Family Therapeutic Regimen Management
- B. Compromised Family Coping
- C. Ineffective Denial
- D. Caregiver Role Strain
Correct Answer: B
Rationale: The father?s excessive drinking and unavailability indicate compromised family coping, as the family struggles to manage stress and support the adolescent?s needs. Ineffective therapeutic regimen management, denial, and caregiver role strain are less specific to the family?s overall coping deficit.
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.
A nurse is assessing the communication patterns in the family. When observing the interaction, which of the following would be important to keep in mind? Select all that apply.
- A. Who sits next to who?
- B. Which topics are not addressed?
- C. Which situations are identified as stressful?
- D. Who makes the decisions for child care?
- E. How does the family handle conflict?
Correct Answer: A,B,C,D,E
Rationale: Assessing family communication involves observing seating arrangements (A), avoided topics (B), stressful situations (C), decision-making roles (D), and conflict management (E), as all provide insight into family dynamics and interaction patterns.