Nokea
Which is not a technique of SFT?
- A. Joining the family
- B. Blocking inflexible patterns
- C. Heighten conflictual interaction
- D. Balancing inflexible patterns of interaction
Correct Answer: D
Rationale: Balancing isn't a specific SFT technique; the others are standard.
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What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.
How many types of family based on authority:
- A. 5
- B. 2
- C. 4
- D. 3
Correct Answer: C
Rationale: Family types by authority are 4: patriarchal, matriarchal, egalitarian, and mixed.
Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?
- A. You are feeling violated because you thought you could trust your partner.
- B. Im here for you. I want you to tell me about the bad things that happened to you.
- C. I was very worried about you. I knew you were living in a potentially violent situation.
- D. Abusers often target people who are passive. I will refer you to an assertiveness class.
Correct Answer: A
Rationale: The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.
Joe, a Native American, goes to the emergency department (ED) because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
- A. The shaman is snubbing the physician.
- B. The shaman is angry at Joe for wanting to go to the ED.
- C. The shaman does not believe in traditional medicine.
- D. The shaman does not feel comfortable with touch.
Correct Answer: D
Rationale: The shaman's brief touch and quick withdrawal likely reflect cultural discomfort or unfamiliarity with physical touch, common in some Native American cultures, aligning with option d.
A family has presented at a community mental health clinic. The mother reports that the children ages 8 and 10 are 'not doing well since their father died three months ago.' The nurse demonstrates an understanding of the goals of a family mental health assessment when initially:
- A. Assessing the mother's ability to provide physical care for her children.
- B. Encouraging the mother to discuss the problems with the children's teachers.
- C. Observing how the children interact with both their mother and with each other.
- D. Arranging for the family members to attend age-appropriate grief management groups.
Correct Answer: D
Rationale: The correct answer is D because arranging for the family members to attend age-appropriate grief management groups aligns with the goal of assessing and addressing the family's mental health needs following a significant loss. This approach recognizes the impact of the father's death on the children and the mother, providing them with support and coping strategies. It acknowledges the importance of addressing grief and promoting healthy coping mechanisms within the family unit.
Choices A, B, and C are incorrect because they do not directly address the family's mental health needs in the context of grief and loss. Assessing the mother's ability to provide physical care, encouraging discussions with teachers, and observing interactions are important but do not specifically target the emotional and psychological impact of the father's death on the family.