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Chapter 10. Intervention With Families

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Chapter 10. Intervention With Families

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  • August 29, 2024
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  • 2024/2025
  • Exam (elaborations)
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Chapter 10. Intervention With Families




MULTIPLE CHOICE



1. A fatherless, 11-year-old African American girl lives with her grandmother after the
death of her mother. Her older stepbrother is very involved in should the
hearbliirbf.ec.omH/toewst
community health nurse view this family constellation, and why?
1. Abnormal; the grandmother should be concerned with issues other than childrearing.
2. Abnormal; a two-parent household is the most advantageous arrangement.
3. Normal; this is an example of a cultural variation that exists inabthirbe.cfoamm/teislyt life
cycle.
4. Normal; older adults make better parenting figures due to life experiences.
ANS: 3
Chapter: Chapter 10, Intervention With Families
Objective: Describe major variations to the American middle-class family life
cycle. Page: 177
Heading: Major Variations > Cultural Variations
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate

Feedback
1. This is incorrect. This statement does not consider that each household has different
and successful dynamics.
2. This is incorrect. This is an assumption that the child will naboitrbh.caovme/teasdt equate
parenting with a grandparent and older brother.
3. This is correct. The family constellation is normal. Cultural differences and specific
events may lead to variety in family constellations. abirb.com/test
4. This is incorrect. This is an assumption that older adults have adequate parenting
skills due to life experiences.

CON: Family Dynamics



2. In defiance of parental wishes, a teenager succumbs to peer pressure and gets a tattoo.
According to Bowen’s family systems theory, how should the community health nurse
interpret the teenager’s action?
1. The teenager is attempting to differentiate self.

, 2. The teenager is triangulating self.
3. The teenager is cutting self off emotionally.
4. The teenager is exhibiting antisocial traits.

ANS: 1
Chapter: Chapter 10, Intervention With Families
Objective: Identify stages of family development.
Page: 181
Heading: Therapeutic Modalities with Families > Major Concepts > Differentiation of
Self
Integrated Processes: Nursing Process: Analysis
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate
Feedback abirb.com/test
1. This is correct. The teenager is attempting the normal task of adolescence of
differentiating himself or herself. The teenager is taking on some of the cultural
values of peers and is beginning to develop a unique identity.
2. This is incorrect. Triangulation occurs when a relationshipabierbt.wcoeme/tnesttwo
people is
3. dysfunctional,
This so Emotional
is incorrect. a third person is brought
cutoff into
describes the relationship
differentiation to help
of the stabilize
self from the it.
perception of the child. abirb.com/test
4. This is incorrect. This is not an example of antisocial traits but an example of the
teenager attempting to develop a unique identity.

CON: Family Dynamics



3. A home health nurse is visiting an Asian family. A married couple, their three
children, and the maternal grandparents all live in the home. How should the nurse
interpret the presence of the grandparents in the home?
1. The parents have diffuse boundaries and have allowed the granabdirpba.croemn/teaslt
subsystem to be present.
2. The grandparental subsystem is not successfully managing separation from the
parental subsystem.
3. Extended family living arrangements are common in some cultures.
4. The nuclear family living arrangement is the preferred environment for child-rearing.
ANS: 3
Chapter: Chapter 10, Intervention With Families
Objective: Describe major variations to the American middle-class family life cycle.
Page: 183
Heading: Major Variations> Extended Family

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