1. While caring for a family, the nurse determines that first-order changes have occurred
with which of the following?
A) The children are all in school, and the parent returns to work.
B) The daughter leaves home to attend college.
C) The son marries his long-time sweetheart and moves into his own home.
D) The grandmother who has been living in the household dies. - answerA
2. The nurse is assessing a family system applying the family system framework model.
Which assessment would be important for the nurse?
A) Acceptance of the family rules
B) Adjustment to the family boundaries
C) Degree of enmeshment in the system
D) Interpersonal differentiation - answerD
3. While assessing a family system, the nurse uses the structural family system model
by Minuchin. The nurse focuses the assessment on which of the following about the
family members?
A) Boundaries
B) Emotional cutoff
C) Sibling position
D) Family projection process - answerA
4. A female patient is an adolescent who recently tried to overdose because her
boyfriend broke up with her. Her father is a single parent, and he has been drinking
excessively to cope with his stress. The patient tells the nurse that whenever she needs
to talk to her father, he is always drunk or away drinking with his drinking buddies.
Based on this information, which nursing diagnosis would be most appropriate for this
patient's family?
A) Ineffective Family Therapeutic Regimen Management
B) Compromised Family Coping
C) Ineffective Denial
D) Caregiver Role Strain - answerB
5. A family has recently lost all their belongings when their house burned down. They
have been living in temporary housing. Although the parents were previously very
supportive and able to help their young children with their homework in the evenings,
they have been unable to do so under their present circumstances. Based on this
information, which nursing diagnosis would be most appropriate for this family?
A) Interrupted Family Processes
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