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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.
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A nurse is using a genogram as an intervention strategy based on the understanding of which of the following?
- A. It provides information about appropriate methods for problem solving.
- B. It allows the family to view its evolution over several generations.
- C. It permits a subjective yet factual perspective of family relationships.
- D. It provides a means for identifying the family?s beliefs about mental illness.
Correct Answer: B
Rationale: A genogram maps family relationships and patterns across generations, helping families visualize their evolution and dynamics. It does not directly provide problem-solving methods, subjective perspectives, or specific beliefs about mental illness, though it may indirectly inform these.
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.
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.
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 planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?
- A. Severity of the patient?s symptoms
- B. Barriers faced by the patient
- C. Stigma associated with the diagnosis
- D. Risk for relapse
Correct Answer: C
Rationale: Stigma associated with psychiatric disorders is a primary source of stress for families, impacting their social interactions and emotional well-being. Symptom severity, barriers, and relapse risk contribute but are secondary to the pervasive impact of stigma.