Varcarolis Chapter 35: Family
Interventions
A married couple has two biologic children who live with them as well as a child from the wife's
first marriage. What type of family is evident?
a. Homogeneous
b. Extended
c. Blended
d. Nuclear - ANSC
A married couple has two children living in the home. Recently, the wife's mother moved in. This
family should be assessed as:
a. nuclear.
b. blended.
c. extended.
d. alternative. - ANSC
When a nurse assesses a family, which family task has the highest priority for healthy family
functioning?
a. Allocation of family resources
b. Physical maintenance and safety
c. Maintenance of order and authority
d. Reproduction of new family members - ANSB
Which documentation of family assessment indicates a healthy and functional family?
a. Members provide mutual support.
b. Power is distributed equally among all members.
c. Members believe there are specific causes for events.
d. Under stress, members turn inward and become enmeshed. - ANSA
A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother,
stepfather, and several siblings. When performing a family assessment, the nurse must first
determine:
a. how the family expresses and manages emotion.
b. names and relationships of the family's members.
, c. the communication patterns between the patient and parents.
d. the meaning that the patient's suicide attempt has for family members. - ANSB
Which information is the nurse most likely to find when assessing the family of a patient with a
serious mental illness?
a. The family exhibits many characteristics of dysfunctional families.
b. Several family members have serious problems with their physical health.
c. Power in the family is maintained in the parental dyad and rarely delegated.
d. Stress from living with a mentally ill member has challenged the family's function. - ANSD
The parent of an adolescent diagnosed with mental illness asks the nurse, "Why do you want to
do a family assessment? My teenager is the patient, not the rest of us." Select the nurse's best
response.
a. "Family dysfunction might have caused the mental illness."
b. "Family members provide more accurate information than the patient."
c. "Family assessment is part of the protocol for care of all patients with mental illness."
d. "Every family member's perception of events is different and adds to the total picture." -
ANSD
An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently
hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the
stress. Which nursing diagnosis is most applicable to this scenario?
a. Ineffective family coping related to parental role conflict
b. Caregiver role strain related to the stress of chronic illness
c. Impaired parenting related to patient's repeated hospitalizations
d. Interrupted family processes related to relapse of acute psychosis - ANSB
An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family
are very anxious. Select the best outcome to add to the plan of care for this family.
a. Describe the stages of the anticipatory grieving process.
b. Identify and describe effective methods for coping with anxiety.
c. Recognize ways dysfunctional communication is expressed in the family.
d. Examine previously unexpressed feelings related to the patient's sexuality. - ANSB
A parent is admitted to a chemical dependency treatment unit. The patient's spouse and
adolescent children participate in a family session. What is the most important aspect of this
family's assessment?
a. Spouse's codependent behaviors
b. Interactions among family members
Interventions
A married couple has two biologic children who live with them as well as a child from the wife's
first marriage. What type of family is evident?
a. Homogeneous
b. Extended
c. Blended
d. Nuclear - ANSC
A married couple has two children living in the home. Recently, the wife's mother moved in. This
family should be assessed as:
a. nuclear.
b. blended.
c. extended.
d. alternative. - ANSC
When a nurse assesses a family, which family task has the highest priority for healthy family
functioning?
a. Allocation of family resources
b. Physical maintenance and safety
c. Maintenance of order and authority
d. Reproduction of new family members - ANSB
Which documentation of family assessment indicates a healthy and functional family?
a. Members provide mutual support.
b. Power is distributed equally among all members.
c. Members believe there are specific causes for events.
d. Under stress, members turn inward and become enmeshed. - ANSA
A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother,
stepfather, and several siblings. When performing a family assessment, the nurse must first
determine:
a. how the family expresses and manages emotion.
b. names and relationships of the family's members.
, c. the communication patterns between the patient and parents.
d. the meaning that the patient's suicide attempt has for family members. - ANSB
Which information is the nurse most likely to find when assessing the family of a patient with a
serious mental illness?
a. The family exhibits many characteristics of dysfunctional families.
b. Several family members have serious problems with their physical health.
c. Power in the family is maintained in the parental dyad and rarely delegated.
d. Stress from living with a mentally ill member has challenged the family's function. - ANSD
The parent of an adolescent diagnosed with mental illness asks the nurse, "Why do you want to
do a family assessment? My teenager is the patient, not the rest of us." Select the nurse's best
response.
a. "Family dysfunction might have caused the mental illness."
b. "Family members provide more accurate information than the patient."
c. "Family assessment is part of the protocol for care of all patients with mental illness."
d. "Every family member's perception of events is different and adds to the total picture." -
ANSD
An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently
hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the
stress. Which nursing diagnosis is most applicable to this scenario?
a. Ineffective family coping related to parental role conflict
b. Caregiver role strain related to the stress of chronic illness
c. Impaired parenting related to patient's repeated hospitalizations
d. Interrupted family processes related to relapse of acute psychosis - ANSB
An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family
are very anxious. Select the best outcome to add to the plan of care for this family.
a. Describe the stages of the anticipatory grieving process.
b. Identify and describe effective methods for coping with anxiety.
c. Recognize ways dysfunctional communication is expressed in the family.
d. Examine previously unexpressed feelings related to the patient's sexuality. - ANSB
A parent is admitted to a chemical dependency treatment unit. The patient's spouse and
adolescent children participate in a family session. What is the most important aspect of this
family's assessment?
a. Spouse's codependent behaviors
b. Interactions among family members
