Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 11: Working with the Family
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Allocation of family resources |
| b. | Physical maintenance and safety |
| c. | Maintenance of order and authority |
| d. | Reproduction of new family members |
ANS: B
Physical and safety needs are given greater importance in Maslow’s hierarchy of needs than other needs.
DIF: Cognitive level: Applying REF: p. 107
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | Members provide mutual support. |
| b. | Power is distributed equally among all members. |
| c. | Members believe that there are specific causes for events. |
| d. | Under stress, members turn inward and become enmeshed. |
ANS: A
Healthy families nurture and support their members, buffer against stress, and provide stability and cohesion. The distracters are unrelated or incorrect.
DIF: Cognitive level: Understanding REF: p. 107
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | how the family expresses and manages emotion. |
| b. | the names and relationships of the patient’s family members. |
| c. | the communication patterns between the patient and parents. |
| d. | the meaning the patient’s suicide attempt has for family members. |
ANS: B
The names and relationships of the patient’s family members constitute the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.
DIF: Cognitive level: Analyzing REF: p. 108
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | The family exhibits many characteristics of dysfunctional families. |
| b. | Several family members have serious problems with their physical health. |
| c. | Power in the family is maintained in the parental dyad and rarely delegated. |
| d. | The stress of living with a mentally ill individual has negatively affected family function. |
ANS: D
The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the family’s level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional.
DIF: Cognitive level: Understanding REF: p. 108
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
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