CMAN 272 EXAM 1 Questions With 100%
Correct Answers
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?
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?
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?
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
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