Chapter 29: Military Families

Chapter 29: Military Families

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Approximately two million American children have experienced the deployment of a parent to Iraq or Afghanistan. How many of these children either lost a parent or have a parent who was wounded in these conflicts?

1.	48,000
2.	26,000
3.	11,000
4.	8,000

 

 

____     2.   Research has shown that an adolescent (13 to 18 years) would typically exhibit which behavior as a reaction to parental military deployment?

1.	May exhibit regressive behaviors and assume blame for parent’s departure
2.	May become sullen, tearful, throw temper tantrums, or develop sleep problems
3.	May participate in high-risk behaviors, sexual acting out, and drug or alcohol abuse
4.	May respond to schedule disruptions with irritability and/or apathy and weight loss

 

 

____     3.   What is the expected feeling and/or behavior experienced by military families during the “sustainment” cycle of deployment, as described by Pincus and associates?

1.	Feelings alternate between denial and anticipation of loss
2.	Feelings alternate between excitement and apprehension associated with homecoming
3.	Feelings focus on the establishment of new support systems and new family routines
4.	Feelings focus on the struggle to take charge of the details of the new family structure

 

 

____     4.   A nursing instructor is teaching about suicide among active duty military. Which fact should the instructor include in the lesson plan?

1.	On average, two suicides per day occur in the U.S. military.
2.	From 2005 to 2009, relationship distress factored in more than 25 percent of Army suicides.
3.	Statistically, in 2012, suicide rates of service members surpassed the number killed in combat.
4.	Military suicides are associated with a narcissistic personality disorder diagnosis.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____     5.   A nursing instructor is preparing a lesson plan related to the history of the diagnosis of PTSD. Which of the following facts would be appropriate to include? (Select all that apply.)

1.	Between 1950 and 1970, little was written about PTSD.
2.	During the 1970s and 1980s, there was a major increase in research on PTSD.
3.	During the 1970s and 1980s, much research was related to World War II veterans.
4.	PTSD did not appear until the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).
5.	PTSD did not appear until the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

 

MULTIPLE CHOICE

 

1. ANS:  1

Chapter: Chapter 29, Military Families

Objective: Discuss historical aspects and epidemiological statistics related to members of the U.S military.

Page: 780

Heading: Application of the Nursing Process>Assessment>The Impact of Deployment

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Family Dynamics

Difficulty: Moderate

 

	Feedback
1	More than 48,000 children have either lost a parent or have a parent who was wounded in Iraq or Afghanistan.
2	The number 26,000 does not indicate how many children either lost a parent or have a parent who was wounded in these conflicts.
3	The number 11,000 does not indicate how many children either lost a parent or have a parent who was wounded in these conflicts.
4	The number 8,000 does not indicate how many children either lost a parent or have a parent who was wounded in these conflicts.

 

 

PTS:   1                    CON:  Family Dynamics

 

2. ANS:  3

Chapter: Chapter 29, Military Families

Objective: Discuss historical aspects and epidemiological statistics related to members of the U.S military.

Page: 780

Heading: Application of the Nursing Process>Assessment>The Impact of Deployment

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Family Dynamics

Difficulty: Moderate

 

	Feedback
1	Preschoolers (3 to 6 years) may regress in areas such as toilet training, sleep, separation fears, physical complaints, or thumb sucking and may assume blame for parent’s departure. School age children (6 to 12 years) are more aware of potential dangers to parent, and may exhibit irritable behavior, aggression, or whininess, and become more regressed and fearful about parent’s safety.
2	Toddlers (1 to 3 years) may become sullen, tearful, throw temper tantrums, or develop sleep problems.
3	Adolescents (13 to 18 years) may be rebellious, irritable, or more challenging of authority. Parents need to be alert to high-risk behaviors, such as problems with the law, sexual acting out, and drug or alcohol abuse.
4	Infants (birth to 12 months) may respond to schedule disruptions with irritability and/or apathy and weight loss.

 

 

PTS:   1                    CON:  Family Dynamics

 

3. ANS:  3

Chapter: Chapter 29, Military Families

Objective: Discuss the impact of deployment on families of service members.

Page: 780

Heading: Application of the Nursing Process > The Military Family>The Impact of Deployment

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Family Dynamics

Difficulty: Moderate

 

	Feedback
1	In the predeployment cycle, feelings alternate between denial and anticipation of loss.
2	In the redeployment cycle, feelings alternate between excitement and apprehension associated with homecoming.
3	In the sustainment cycle, families establish new support systems and new family routines.
4	In the deployment cycle, the spouse struggles to take charge of the details of living without his or her partner.

 

 

PTS:   1                    CON:  Family Dynamics

 

4. ANS:  3

Chapter: Chapter 29 Military Families

Objective: Discuss the impact of deployment on families of service members.

Page: 785

Heading: Veterans > Depression and Suicide

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Family Dynamics

Difficulty: Moderate

 

	Feedback
1	On average, one—not two—suicides a day occur in the U.S. military.
2	From 2005 to 2009, relationship distress factored in more than 50 percent—not 25 percent—of Army suicides.
3	Statistically, in 2012, suicide rates of service members surpassed the number killed in combat.
4	Military suicides are associated with the diagnoses of substance use disorder, major depressive disorder, posttraumatic stress disorder (PTSD), and traumatic brain injury (TBI), not narcissistic personality disorder.

 

 

PTS:   1                    CON:  Family Dynamics

 

MULTIPLE RESPONSE

 

5. ANS:  1, 2, 4

Chapter: Chapter 29 Military Families

Objective: Describe combat related illnesses common in members and veterans of the U.S. military.

Page: 784–785

Heading: Application of the Nursing Process>Veterans > Posttraumatic Stress Disorder

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Family Dynamics

Difficulty: Moderate

 

	Feedback
1.	Very little was written about PTSD during the years between 1950 and 1970.
2.	This absence was followed in the 1970s and 1980s with an explosion in the amount of research and writing on the subject.
3.	During this time, much research was related to Vietnam, not World War II veterans.
4.	PTSD did not appear until the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).
5.	PTSD appeared in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III).

 

 

PTS:     1          CON:   Family Dynamics