Chapter 11 Flashcards
A fatherless, 11-year-old African American girl lives with her grandmother after the death of her mother. Her older stepbrother is very involved in her life. How should the community health nurse view this family constellation, and why?
Normal; cultural variations exist in the family life cycle.
In defiance of parental wishes, a Japanese teenager succumbs to peer pressure and gets a tattoo. According to Bowen’s family systems theory, how should the community health nurse interpret the teenager’s action?
The teenager is attempting to differentiate self.
A home health nurse is visiting an Asian family. A married couple, their three children, and the maternal grandparents all live in the home. How should the nurse interpret the presence of the grandparents in the home?
Extended family living arrangements are common in some cultures.
A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, “That’s wonderful. I’ll be fine all alone.” How would the nurse interpret the mother’s statements?
The mother is using double-bind communication.
In a family that is in the life cycle stage called “The Family with Adolescents,” which changes must occur for the family to proceed developmentally?
Redefining the level of dependence so that adolescents are provided with greater autonomy
A clinic nurse is caring for a 40-year-old client who lives with his parents. The client’s mother continues to do the client’s laundry and provides spending money. Based on this situation, which family dynamic does the nurse recognize?
Taking over
A 30-year-old client seeking therapy states, “My mom cries when she is not included in all my social activities and thinks of my friends as her own.” How would the nurse describe the boundaries between this family’s parent and child subsystems?
The boundaries are enmeshed.
A nurse enters an inpatient room and finds the family disagreeing about the client’s living arrangements after discharge. Which information should the nurse provide when teaching techniques to resolve family conflicts?
All family members should respect differing opinions and use compromise and negotiation.
After hearing parents discuss divorce, a 5-year-old develops behavioral problems. Upon dealing with the child’s behavioral issues, the marital relationship conflict decreases. The pediatric clinic nurse should recognize that this is an example of which family system concept?
Triangulation
An instructor is teaching about differentiated parent and adult child relationships. Students are instructed to give an example of a well-differentiated parent and adult child relationship. Which student example meets the instructor requirement?
An adult child considers, but is not governed by, the advice of his or her parents.
During family counseling a husband states, “Every time my wife and I discuss child discipline, we get into shouting matches.” The nurse instructs the couple to shout at each other for 2 weeks on Tuesdays and Thursdays for 30 minutes. What intervention is the nurse using?
Paradoxical intervention
During family counseling a child states, “I just want to surf like other kids. Mom says it’s okay, but Dad says I’m too young.” The mother allows surfing when the father is absent. In the structural model of family therapy, what family interactional pattern should the nurse recognize?
Mother–child subsystem
During family counseling, a husband tells his wife to spend more time with the family, and she responds by stating, “Okay, I’ll turn in my resignation tomorrow.” The husband replies, “I knew it! You’ve always been a quitter!” How should the nurse interpret the husband’s statement?
The husband is expressing double-bind communication.
A couple has been married for 20 years. They argue constantly, belittle feelings, and continuously contradict each other. During a therapy session, the nurse documents “Marital schism.” What does the nurse mean by this documentation?
The couple has an incompatible marriage relationship.
A couple is in counseling related to their dysfunctional relationship. Their daughter has recently made a suicide gesture. The nurse should recognize that this might be an example of which family system concept?
Triangulation
