NUR422 Exam 4 Guide With
Complete Solution
Tasks and Problems for a Single Young Adult - ANSWER Tasks: form an
identity separate from parents, establish intimate peer relationships, advance
toward financial independence
Problems: difficulty separating from the previously interdependent
relationship
Tasks and Problems for Family joined by union/marriage - ANSWER Tasks:
establish a new identity as a couple, realign relationships with extended
family, make decisions about having children
Problems: partners remain enmeshed with family of origin, couple cuts
themselves off from extended family
Tasks and Problems for families with young children - ANSWER Tasks: meet
responsibilities of parenthood, share tasks of child-rearing, integrate roles of
extended family
Problems: parents lack knowledge about normal childhood development and
behavior
Tasks and Problems: Families with adolescents - ANSWER *sandwich effect*
Tasks: provide adolescents with greater autonomy, refocus on
midlife/career/aging parents
Problems: parents unable to relinquish control, parents cannot agree and
,support each other
Tasks and Problems for families with children leaving home - ANSWER Tasks:
reestablish bond of marital relationship, realign relationships, accept
caretaking responsibilities for parents
Problems: feelings of loss and depression, inability to cope with realigned
relationships, deterioration of marital bond
Tasks and Problems for families later in life - ANSWER *more older adults are
assuming responsibility for grandchildren*
Tasks: explore new social roles related to retirement, accept decline in
physiological functioning, cope with death of loved ones, confront and
prepare for one's own death
Problems: dissatisfaction with the way their lives have gone, inability to find
happiness in retirement, inability to find emotional satisfaction in children or
grandchildren, difficulty accepting deaths of loved ones or in preparing for
their own deaths
Stages in the family life cycle of divorce - ANSWER deciding to divorce
planning the breakup of the system
separation
divorce
Stages in the remarried family life cycle - ANSWER entering the new
relationship
planning the new marriage and family
remarriage and reestablishment of family
,Behaviors that interfere with communication in families - ANSWER making
assumptions
belittling feelings
failing to listen
communicating indirectly
presenting double-bind messages
Behaviors that interfere with self-concept reinforcement in families -
ANSWER expressing denigrating remarks
withholding supportive messages
taking over
Behaviors that interfere with realistic, flexible, and individualized family
expectations - ANSWER ignoring individuality
demanding proof of love
Behaviors that interfere with healthy handling of differences in families -
ANSWER attacking
avoiding
surrendering
Behaviors that interfere with healthy family interactional patterns - ANSWER
cause emotional discomfort
perpetuate or intensify problems
are in conflict with each other
, Positive vs. dysfunctional family climates - ANSWER Positive: based on trust,
expressed in openness, joy, caring, valuing each individual, and feeling of
security and well-being
Dysfunctional: evidenced by tension, frustration, guilt, anger and resentment,
depression, and despair
A client, diagnosed with depression, tells the nurse that marriage and
children were chosen over law school. The client states, "My mother was
furious with my decision." The nurse recognizes this as an example of which
maladaptive family behavior?
A.Avoiding
B.Demanding proof of love
C.Attacking
D.Ignoring individuality - ANSWER D
What are the 8 major concepts that make up Bowen's theoretical approach to
family therapy? - ANSWER 1.Differentiation of self
2.Triangles
3.Nuclear family emotional process
4.Family projection process
5.Multigenerational transmission process
6.Sibling position
7.Emotional cutoff
Complete Solution
Tasks and Problems for a Single Young Adult - ANSWER Tasks: form an
identity separate from parents, establish intimate peer relationships, advance
toward financial independence
Problems: difficulty separating from the previously interdependent
relationship
Tasks and Problems for Family joined by union/marriage - ANSWER Tasks:
establish a new identity as a couple, realign relationships with extended
family, make decisions about having children
Problems: partners remain enmeshed with family of origin, couple cuts
themselves off from extended family
Tasks and Problems for families with young children - ANSWER Tasks: meet
responsibilities of parenthood, share tasks of child-rearing, integrate roles of
extended family
Problems: parents lack knowledge about normal childhood development and
behavior
Tasks and Problems: Families with adolescents - ANSWER *sandwich effect*
Tasks: provide adolescents with greater autonomy, refocus on
midlife/career/aging parents
Problems: parents unable to relinquish control, parents cannot agree and
,support each other
Tasks and Problems for families with children leaving home - ANSWER Tasks:
reestablish bond of marital relationship, realign relationships, accept
caretaking responsibilities for parents
Problems: feelings of loss and depression, inability to cope with realigned
relationships, deterioration of marital bond
Tasks and Problems for families later in life - ANSWER *more older adults are
assuming responsibility for grandchildren*
Tasks: explore new social roles related to retirement, accept decline in
physiological functioning, cope with death of loved ones, confront and
prepare for one's own death
Problems: dissatisfaction with the way their lives have gone, inability to find
happiness in retirement, inability to find emotional satisfaction in children or
grandchildren, difficulty accepting deaths of loved ones or in preparing for
their own deaths
Stages in the family life cycle of divorce - ANSWER deciding to divorce
planning the breakup of the system
separation
divorce
Stages in the remarried family life cycle - ANSWER entering the new
relationship
planning the new marriage and family
remarriage and reestablishment of family
,Behaviors that interfere with communication in families - ANSWER making
assumptions
belittling feelings
failing to listen
communicating indirectly
presenting double-bind messages
Behaviors that interfere with self-concept reinforcement in families -
ANSWER expressing denigrating remarks
withholding supportive messages
taking over
Behaviors that interfere with realistic, flexible, and individualized family
expectations - ANSWER ignoring individuality
demanding proof of love
Behaviors that interfere with healthy handling of differences in families -
ANSWER attacking
avoiding
surrendering
Behaviors that interfere with healthy family interactional patterns - ANSWER
cause emotional discomfort
perpetuate or intensify problems
are in conflict with each other
, Positive vs. dysfunctional family climates - ANSWER Positive: based on trust,
expressed in openness, joy, caring, valuing each individual, and feeling of
security and well-being
Dysfunctional: evidenced by tension, frustration, guilt, anger and resentment,
depression, and despair
A client, diagnosed with depression, tells the nurse that marriage and
children were chosen over law school. The client states, "My mother was
furious with my decision." The nurse recognizes this as an example of which
maladaptive family behavior?
A.Avoiding
B.Demanding proof of love
C.Attacking
D.Ignoring individuality - ANSWER D
What are the 8 major concepts that make up Bowen's theoretical approach to
family therapy? - ANSWER 1.Differentiation of self
2.Triangles
3.Nuclear family emotional process
4.Family projection process
5.Multigenerational transmission process
6.Sibling position
7.Emotional cutoff
