Nokea
A male patient has recently been diagnosed with type II diabetes. His family is having trouble incorporating the dietary and exercise regimen prescribed by his physician into their daily routines. They tell the nurse that they are all tired when they return home from school and work and that the last thing any of them want to do is go on a walk. In addition, the patient?s wife discloses that she is unable to prepare any sugar-free or low-sugar foods that her husband enjoys eating. Based on this information, which nursing diagnosis would be most appropriate for this family?
- A. Interrupted Family Processes
- B. Ineffective Denial
- C. Caregiver Role Strain
- D. Ineffective Family Therapeutic Regimen Management
Correct Answer: D
Rationale: The family?s difficulty incorporating the prescribed dietary and exercise regimen indicates ineffective family therapeutic regimen management, as they struggle to adhere to the medical plan. Interrupted processes, denial, and caregiver strain do not directly address the regimen adherence issue.
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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 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 nurse is constructing a genogram of a family. Which of the following would the nurse do?
- A. Use circles to represent the male members.
- B. Use horizontal lines to connect the parents with children.
- C. Use horizontal lines to show marriages.
- D. Use asterisks to denote ages listed at the bottom.
Correct Answer: C
Rationale: In a genogram, horizontal lines represent marriages, connecting spouses. Males are represented by squares (not circles), vertical lines connect parents to children, and ages are typically noted near the individual, not with asterisks.
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 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.