Chapter 32: Family Interventions

Chapter 32: Family Interventions

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which term refers to the mutual support, time, energy, resources, and advancement of awareness about psychiatric illness needed to advocate for improved family services?

a.	Family advocacy
b.	Family community aid
c.	Suicide prevention advocacy
d.	Community advancement agency

 

 

ANS:  A

Family advocacy refers to the mutual support, time, energy, and resources needed to advocate for improved services and opportunities for family members with psychiatric illness. It is effective in raising awareness among service providers, legislators, and the public.

 

DIF:    Cognitive Level: Knowledge            REF:   Text Page: 628

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

2. A nurse is managing the care of a family who has had no previous experience with community mental health care. The intervention addressed at the initial meeting should focus on:

a.	determining similarities between the family and the other families presently receiving care at the clinic.
b.	arranging for a social worker to be present to help the family acquire supportive community services.
c.	helping the family meet other families in the community who have members with mental illnesses.
d.	examining whether the nurse’s cultural background reflects those of the family members.

 

 

ANS:  A

The nurse needs to recognize similarities and differences with those of patients and other families being served. The other choices can be assets, but self-reflection is the priority for the nurse.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 629

TOP:   Nursing Process: Planning               MSC:  NCLEX: Psychosocial Integrity

 

3. When assessing a family for functional versus dysfunctional characteristics, which is a dysfunctional target symptom the nurse should identify?

a.	An adolescent who is failing math
b.	A teenage daughter who is 6 months pregnant
c.	A spouse who maintains family peace at any price
d.	A young adult who is working full-time as a laundry worker

 

 

ANS:  C

The spouse who maintains peace at any price is said to be in a dysfunctional family system.

 

DIF:    Cognitive Level: Analysis                REF:   Text Page: 631

TOP:   Nursing Process: Diagnosis|Nursing Process: Analysis

MSC:  NCLEX: Psychosocial Integrity

 

4. The diagnosis of a parent-child relational problem is indicated on which DSM-IV-TR axis?

a.	Axis I
b.	Axis II
c.	Axis III
d.	Axis IV

 

 

ANS:  A

A psychiatric diagnosis related to family-related problems is an Axis I diagnosis.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Pages: 631-632

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

5. A nurse suspects that an adolescent patient is at risk for psychiatric problems according to the risk and protective factors model. Which information gathered during the intake assessment supports this suspicion?

a.	The patient lives with a parent and a half-sibling whom the patient “hates.”
b.	The patient readily admits to regularly “having a few beers to loosen up.”
c.	The patient repeatedly says, “I want to play drums for a rock band for a living.”
d.	The patient’s parents are divorced and “both of them date a lot of different people.”

 

 

ANS:  B

According to the risk and protective factors model, this adolescent has at least one of the risk factors, indicated by the attitude toward alcohol consumption.

 

DIF:    Cognitive Level: Analysis                REF:   Text Pages: 630-631

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity