Nokea
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.
You may also like to solve these questions
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 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.
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.
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 engaged in developing a relationship with a family during a family assessment. Which of the following would be important? Select all that apply.
- A. Demonstrating culturally competent nursing skills
- B. Completing the assessment efficiently in the first meeting
- C. Identifying the family?s immediate needs
- D. Exhibiting a professional image
- E. Investigating the adherence to the medication regimen
Correct Answer: A,C,D
Rationale: Building a relationship involves culturally competent skills (A), identifying immediate needs (C), and maintaining professionalism (D) to establish trust. Completing the assessment in one meeting (B) is unrealistic, and medication adherence (E) is a specific intervention, not relationship-building.