Chapter 15 Family, Couples, and Group Therapy

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Chapter 15  Family, Couples, and Group Therapy

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

1.
The Bradner family consists of a mother named Maria; a father named Greg; a son named Jeff, aged 14; and a daughter named Kim, aged 11. Which of the following statements made by Greg indicates successful accomplishment of family tasks as described by Duvall?
A)
“Maria and I seem to be arguing a lot more lately.”
B)
“Jeff has decided to attend his friend’s church this weekend.”
C)
“I don’t think Jeff is ready to borrow my tools at this time.”
D)
“Maria and I decided to bowl with the league three nights a week.”
Ans:
B

Feedback:

The correct answer reflects the movement of the 14-year-old child out of the family of origin and toward spending more time with peers, which is a normal developmental task at this stage of the family’s growth according to Duvall.

2.
Which of the following would indicate to the nurse–therapist that a family is in the assessment stage of the initial interview according to Jay Haley?
A)
The family members remember the therapist’s name.
B)
The family members express individual and family concerns.
C)
The therapist explores additional problems and concerns.
D)
The therapist synthesizes the information received.
Ans:
B

Feedback:

During the assessment stage of the interview, the family expresses its concerns, and individual members share their unique perspectives on the family problem.

3.
Which of the following indicates a family strength that would be helpful when working with a family?
A)
The father delivers the teenage son’s newspapers rather than allowing him to be fired.
B)
The mother is willing to find full-time employment during a layoff period at the father’s plant.
C)
The teenage son views the family psychotherapy as a waste of his time.
D)
The daughter is willing to complete her chores only if she receives compensation for them.
Ans:
B

Feedback:

The correct answer is the only option that indicates a healthy response to a problematic or difficult situation. The others are unhealthy or ineffective responses to problematic behaviors.

4.
Acting in a family therapist role is relatively new for psychiatric–mental health nurses. Which of the following describes an appropriate intervention for a nurse who is functioning in this capacity?
A)
Conduct family assessments and draw genograms.
B)
Perform psychological tests and assessments.
C)
Prescribe psychotropic medications and order drug screening.
D)
Write process recordings and discharge orders.
Ans:
A

Feedback:

Conducting assessments of the family with genograms is within the scope of practice of the advanced practice psychiatric–mental health nurse. Performing psychological testing, prescribing medications, and writing discharge orders are not within the legal scope of the generalist psychiatric nurse.

5.
A family has been seen at the community mental health clinic for several weeks and continues to demonstrate abusive, violent behavior. The husband persists in physically and verbally abusing his wife and two children. The family’s 10-year-old son has been suspended from school for fighting and destroying school property. An appropriate nursing diagnosis for this family is what?
A)
Compromised ineffective family coping related to inadequate comfort provided by primary support person
B)
Disabling ineffective family coping related to overt destructive behavior
C)
Altered family process related to father’s unemployment
D)
Ineffective individual coping related to father’s noncompliance
Ans:
B

Feedback:

The family process not only is altered and ineffective but also could be diagnosed as disabling at this point. The father and his son both demonstrate disruptive and destructive behaviors.

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