Nokea
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.
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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 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 caring for a family, the nurse determines that first-order changes have occurred with which of the following?
- A. The children are all in school, and the parent returns to work.
- B. The daughter leaves home to attend college.
- C. The son marries his long-time sweetheart and moves into his own home.
- D. The grandmother who has been living in the household dies.
Correct Answer: A
Rationale: First-order changes are superficial adjustments within a family system that do not alter its structure, such as a parent returning to work when children start school. Options B, C, and D involve structural changes (leaving home, marriage, or death), which are second-order changes.
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.
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.