Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 10: Families as Resources, Caregivers, and Collaborators
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | household. |
| b. | nuclear family. |
| c. | extended family. |
| d. | traditional family. |
ANS: C
The term extended family is used to describe a family in which the patient lives with others who are related by blood or marriage. A nuclear family consists of parents and their children. The terms traditional and nontraditional may be used to describe a family according to gender roles and employment status. Household is a less precise term referring to a residence consisting of an individual living alone or a group of people sharing a common dwelling and cooking facilities.
DIF: Cognitive Level: Comprehension REF: Text Page: 139
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | A patient’s child occasionally has an asthma attack when the patient and the patient’s spouse argue. |
| b. | A patient’s spouse leaves for a few days and gambles after a serious fight with the patient. |
| c. | A patient’s 12-year-old child has one daily and one weekly household chore to complete. |
| d. | A patient calls a parent daily concerning decisions such as what to prepare for dinner. |
ANS: C
Characteristics of a functional family include children assuming age-appropriate responsibility and enjoying age-appropriate responsibility. The remaining options reflect examples of dysfunctional family characteristics.
DIF: Cognitive Level: Application REF: Text Page: 139
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | The patient spends time away from the family, taking both a weekly art and dance class. |
| b. | Every other week, the patient visits aging parents who live 1 hour away. |
| c. | The patient and spouse resolve problems on their own, although it often takes several hours. |
| d. | The patient often grounds the children for misbehavior in an attempt to raise them “the right way.” |
ANS: D
In a healthy family the preservation of a positive emotional climate is more highly valued than doing what is “right.” If the children are often grounded for infractions of rules, this may be an indicator of less-than-optimal family functioning, and this warrants further assessment by the nurse. The remaining options represent indicators of a functional family, including effective problem resolution, maintenance of emotional contact across generations, and the promotion of personal growth and creativity, respectively.
DIF: Cognitive Level: Application REF: Text Page: 139
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Use of natural family support networks |
| b. | Prevention of negative patient outcomes |
| c. | The view of anxiety disorder as a disease |
| d. | Treatment of dysfunctional characteristics |
ANS: A
A competence paradigm promotes the use of natural support networks, focuses on growth-producing behaviors rather than treatment of problems or negative outcomes, and uses a health-based developmental model rather than a disease-based medical model.
DIF: Cognitive Level: Application REF: Text Page: 141
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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