A fatherless, 11-year-old African American girl lives with her grandmother after the death of her mother. Her older stepbrother is very involved in her life. How should the community health nurse view this family constellation, and why?
A. Abnormal; the grandmother should be concerned with issues ...
A fatherless, 11-year-old African American girl lives with her grandmother after
the death of her mother. Her older stepbrother is very involved in her life. How
should the community health nurse view this family constellation, and why?
A. Abnormal; the grandmother should be concerned with issues other than
childrearing.
B. Abnormal; a two-parent household is the most advantageous arrangement for
parenting.
C. Normal; cultural variations exist in the family life cycle.
D. Normal; because of their wisdom, older adults make better parenting figures. -
ANSWER- ANS: C
The nurse should be aware that cultural differences and specific events may lead
to variety in family constellations. This is normal.
In defiance of parental wishes, a Japanese teenager succumbs to peer pressure
and gets a tattoo. According to Bowen's family systems theory, how should the
community health nurse interpret the teenager's action?
A. The teenager is attempting to differentiate self.
B. The teenager is triangulating self.
C. The teenager is cutting self off emotionally.
D. The teenager is exhibiting antisocial traits. - ANSWER- ANS: A
The teenager is taking on some of the cultural values of peers and is beginning to
develop a unique identity. This process is called differentiation and is a normal
task of adolescence.
,A home health nurse is visiting an Asian family. A married couple, their three
children, and the maternal grandparents all live in the home. How should the
nurse interpret the presence of the grandparents in the home?
A. The parents have diffuse boundaries and have allowed the grandparental
subsystem to be present.
B. The grandparental subsystem is not successfully managing separation from
the parental subsystem.
C. Extended family living arrangements are common in some cultures.
D. The nuclear family living arrangement is the preferred environment for
childrearing. - ANSWER- ANS: C
The Asian culture highly respects the elderly. Having the grandparents living in
the home is not uncommon in this culture.
A depressed 21-year-old client has lived with his mother ever since the death of
his father 3 years ago. After the client received a college acceptance, the mother
repeatedly states, "That's wonderful. I'll be fine all alone." How would the nurse
interpret the mother's statements?
A. The mother is withholding supportive messages.
B. The mother is expressing denigrating remarks.
C. The mother is communicating indirectly.
D. The mother is using double-bind communication. - ANSWER- ANS: D
The client's mother says she is fine with him going away to college but then tries
to make him feel guilty about her being left alone. The client is in a no-win
situation because his mother has given a mixed message—a double-bind
communication.
In a family that is in the life cycle stage called "The Family with Adolescents,"
which changes must occur for the family to proceed developmentally?
A. Making adjustments within the marital system to meet the responsibilities of
parenthood
B. Establishing a new identity as a couple by realigning relationships with
extended family
C. Redefining the level of dependence so that adolescents are provided with
greater autonomy
D. Reestablishing the bond of the dyadic marital relationship - ANSWER- ANS: C
, Stage IV of the family life cycle is described as "The Family with Adolescents."
The task of this stage is to redefine the level of dependence so that adolescents
are provided with greater autonomy while parents remain responsive to
teenagers' dependency needs.
A clinic nurse is caring for a 40-year-old client who lives with his parents. The
client's mother continues to do the client's laundry and provides spending
money. Based on this situation, which family dynamic does the nurse recognize?
A. Taking over
B. Communicating indirectly
C. Belittling feelings
D. Making assumptions - ANSWER- ANS: A
Taking over occurs when a family member fails to allow another member to
develop a sense of responsibility and self-worth. By doing the client's laundry
and managing finances, the mother is fostering the client's dependence.
A 30-year-old client seeking therapy states, "My mom cries when she is not
included in all my social activities and thinks of my friends as her own." How
would the nurse describe the boundaries between this family's parent and child
subsystems?
A. The boundaries are rigid.
B. The boundaries are restructured.
C. The boundaries are enmeshed.
D. The boundaries are disengaged. - ANSWER- ANS: C
With enmeshed boundaries, family members lack individuation and experience
exaggerated connectedness. The client's mother is trying to prevent
independence by generating feelings of guilt.
A nurse enters an inpatient room and finds the family disagreeing about the
client's living arrangements after discharge. Which information should the nurse
provide when teaching techniques to resolve family conflicts?
A. All family members should use past incidents to make their point.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tuition. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
