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CMAN 272 EXAM 1 with complete solutions 2024_2025
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CMAN 272 EXAM 1 with complete solutions 2024_2025
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CMAN 272 EXAM 1 with completesolutions 2024/2025
Which situation is the best example of a double bind?
A wife sighs while telling her husband, "You can go out with the boys tonight if
it's what you really want to do."
A mother tells her son, "Under no circumstances will I give you permission to
stay out after midnight."
A roommate states, "I would prefer to have you call if you think you are going to
be late for dinner."
A man says, "I was surprised and delighted when my entry was chosen for an
award." - ANSWER-A wife sighs while telling her husband, "You can go out with
the boys tonight if it's what you really want to do."
A double bind is created when the verbal and nonverbal messages are
incongruent, leaving the listener confused or trapped ("damned if he does and
damned if he doesn't"). None of the other options present such a confused
message.REF: 626; Box 35-2
What is the primary function of the nurse generalist in caring for families?
Assessing the amount of stress on the system
Conducting private family therapy sessions
,Prescribing psychobiological intervention
Determining the new skills the family needs - ANSWER-Assessing the amount of
stress on the system
An important function of a nurse generalist is to assess cues from various family
members that indicate the degree and amount of stress the family system is
experiencing and report these so that appropriate interventions may be made in a
timely manner by a qualified counselor. The remaining options are outside the
scope of practice of a psychiatric nurse generalist.REF: 628-629
A family consists of a husband, a wife, their three children, and the wife's mother.
This family form is referred to using which term?
Extended
Dyadic
Blended
Indwelling - ANSWER-Extended
An extended family (multigenerational) is a composite of three or more
generations. None of the other options refer to this family composition.REF: 622
Which assessment tool is highly effective in uncovering multigenerational issues
in a family?
Genogram
Focused interview
Family function checklist
Family assessment device - ANSWER-Genogram
A genogram maps family structure and family information for at least three
generations. It graphically depicts relational patterns and multigenerational
,issues. Demographics, sociocultural context, and critical events can be noted.
While helpful, none of the remaining options focus on multigenerational
issues.REF: 627
The family consists of the husband and his wife, their four children, the wife's 21-
year-old sister, and client's elderly aunt. Which members are considered the
client's nuclear family?
The parents and their four children
The wife and her sister
The husband and his aunt
The four children and the wife's sister - ANSWER-The parents and their four
children
The term nuclear family refers to parents and the children under the parents'
care.REF: 622
During a family therapy session a wife states, "My husband is always angry. The
children and I are always on edge. We can never relax." The nurse identifies the
wife's communication technique using which term?
Placating
Distracting
Generalizing
Manipulating - ANSWER-Generalizing
Generalization involves making global statements using "always" and "never"
when dealing with problematic family issues. Generalization allows the speaker to
avoid dealing with specific examples. None of the other options describes the
provided conversation.REF: 624; Box 35-1
, The members of a family openly tell each other what they are thinking and feeling.
A nurse listening to their interchanges would assess their communication using
which term?
Generalizing
Double-bind
Disengaged
Healthy - ANSWER-Healthy
Healthy communication is exemplified by being clear and direct in saying what
you want and need. The other terms are used to describe some form of
dysfunctional communication.REF: 623
A girl is overheard saying to her brother, "If you stick up for me with mom and
dad, I will forget I heard you planning to sneak out after they are asleep." This can
be assessed as what type of communication?
Manipulative
Scapegoating
Generalizing
Placating - ANSWER-Manipulative
One example of manipulation occurs when a family member makes a request with
strings attached so that the other person has difficulty refusing. This example is
not associated with any of the other options.REF: 624; Box 35-1
During family therapy the family's youngest daughter says, "They care more
about my sister because she's older and gets straight As in school." Which
nursing diagnosis should be given priority?
Deficient knowledge
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