CMAN 272 EXAM 1 UPDATED Actual
Exam Questions and 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." -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
Parental role conflict
Defensive coping
Relational problems - CORRECT ANSWER- ✔✔Relational problems
Exam Questions and 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." -
CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
Parental role conflict
Defensive coping
Relational problems - CORRECT ANSWER- ✔✔Relational problems
