Deck 10: Families as Resources, Caregivers, and Collaborators

Question 1

Which interview information could indicate the need for further assessment of a potential problem with a patient's family functioning?

A) The patient spends time away from the family, taking both a weekly art and dance class.
B) Every other week, the patient visits aging parents who live 1 hour away.
C) The patient and spouse resolve problems on their own, although it often takes several hours.
D) The patient often grounds the children for misbehavior in an attempt to raise them "the right way."

Answer 1

The patient often grounds the children for misbehavior in an attempt to raise them "the right way."

Question 2

Which aspect of a family is likely to be determined or influenced by cultural or ethnic differences? (Select all that apply.)

A) Beliefs governing family relationships
B) Family norms regarding what is right and wrong
C) How outside events are perceived and interpreted
D) Educational level family members are allowed to achieve
E) Career family members are encouraged to pursue as adults

Answer 2

Beliefs governing family relationships
Family norms regarding what is right and wrong
How outside events are perceived and interpreted

Question 3

When providing education for families of mentally ill patients,the nurse realizes that which of the following organizations places the most importance on this intervention?

A) The Managed Care Association
B) National Alliance on Mental Illness
C) American Psychiatric Nurses Association
D) New Freedom Commission on Mental Health

Answer 3

New Freedom Commission on Mental Health

Question 4

Which observation best demonstrates that a patient is a member of a well functioning family?

A) Family members openly discuss the patient's needs and how to meet them effectively.
B) The patient looks forward to family members' visits and is less stressed after they spend time together.
C) The patient asks for his family members' input when making a decision and generally seeks their approval.
D) Family members are likely to provide the patient with suggestions on what should be done and when it should be done.

Question 5

A psychiatric nurse is sharing information with a patient and family about psychoeducational programs offered by the National Alliance on Mental Illness (NAMI).The nurse explains that which objective is the primary purpose of such programs?

A) Enhancing compliance with medication therapy
B) Reducing hospital readmission rates
C) Evaluating effectiveness of therapy
D) Providing education and support

Question 6

When using symbolic interactionism,which question should a nurse use to best gain an understanding of the experiences of the family of a patient with schizophrenia?

A) "What situations create stress in your family at this time?"
B) "What are the transportation costs of traveling to and from therapy sessions?"
C) "Is there always enough money to pay the family bills and pay for therapy?"
D) "Have things become better at home since your family member was discharged last time?"

Question 7

A patient accompanied by a sibling has returned to the hospital because of a recurrence of bipolar disorder.The admitting nurse notes that the sibling seems disinterested in the admitting process.The nurse should act on the thought that the sibling:

A) may be quiet by nature.
B) is probably thankful for the admission.
C) may be feeling hurt, anger, or resentment.
D) may not fully understand the admission process.

Question 8

A nurse has established a helping relationship with the family of a mentally ill patient.This relationship should focus on:

A) the patient and the patient's needs.
B) family attending educational sessions.
C) family concerns with burden and grief.
D) helping the family members meet their own needs.

Question 9

When a family is having difficulty adjusting to the burden of having a mentally ill family member,which is the most therapeutic resource of ongoing support a nurse can suggest to the family?

A) American Medical Association (AMA)
B) National Alliance on Mental Illness (NAMI)
C) American Psychiatric Nurses Association (APNA)
D) National League for Nursing (NLN)

Question 10

Which statement confirms that a nurse approaches working with mentally ill patients from a pathology paradigm?

A) "The patient made some important gains during the group session today. The patient was able to identify two strategies for coping with stressors to use after discharge."
B) "It's understandable that the patient keeps getting readmitted. The family dysfunction that the patient has to cope with must be such a burden after each discharge."
C) "During our session today, I hope to be able to get the patient to share more about the family's cultural background."
D) "The patient has not yet fully grasped the concept of being a full partner in the process of care and in setting goals for functioning after discharge."

Question 11

A patient experiences frequent recurring bouts of bipolar illness.Which member of the patient's family is likely to be most profoundly and negatively affected by the patient's illness?

A) Her mother
B) Her child
C) Her husband
D) Her adult sister

Question 12

A parent accompanies an adult patient to an outpatient clinic.During an interview the nurse is primarily focused on the possibility that the parent:

A) may be contributing to the patient's problem.
B) is a potential source of valid patient-focused information.
C) will be vital in supporting prescribed medication compliance.
D) may minimize the patient's symptoms in order to reduce a sense of guilt.

Question 13

A psychiatric nurse is helping to plan an educational program for families of mentally ill patients.The title of the program is Enhancing Personal and Family Effectiveness.Which topic should the nurse include in developing this program?

A) Legal issues
B) Conflict resolution
C) Hygiene and appearance
D) Prescribed medications

Question 14

To plan and budget for preventive services,a nurse in charge of a community mental health center has reviewed the records to discern how many families received services in the current year.To estimate the need for the coming year,the nurse should:

A) increase the allocation, because most eligible families are underserved.
B) decrease the allocation, because most eligible families are overserved.
C) interview the families currently being supported to determine valid needs.
D) ask for a consultant to ascertain community interest in preventive services.

Question 15

The symbolic interactionism theoretical model helps explain the:

A) hypotheses explaining why patients with schizophrenia hear voices.
B) basis for social difficulties experienced by patients with bipolar disorder.
C) impact that living with a mentally ill person has on their family structure.
D) relative lack of support for mentally ill patients of certain U.S. subcultures.

Question 16

A psychiatric nurse working within a competence paradigm would emphasize which of the following when working with a patient with an anxiety disorder?

A) Use of natural family support networks
B) Prevention of negative patient outcomes
C) The view of anxiety disorder as a disease
D) Treatment of dysfunctional characteristics

Question 17

A nurse is educating a patient's family about becoming involved in the patient's treatment plan.Which belief held by the nurse would be a barrier to such education?

A) The family system perpetuates the patient's illness.
B) Alliance with the family will not interfere with patient confidentiality.
C) Services provided to families are as important as those provided to patients.
D) An alliance with the family supports the nurse's relationship with the patient.

Question 18

Which finding is a positive indicator of family functioning?

A) A patient's child occasionally has an asthma attack when the patient and the patient's spouse argue.
B) A patient's spouse leaves for a few days and gambles after a serious fight with the patient.
C) A patient's 12-year-old child has one daily and one weekly household chore to complete.
D) A patient calls a parent daily concerning decisions such as what to prepare for dinner.

Question 19

During a mental health assessment,a patient reports living with two children from a previous relationship,a sibling,and a sibling's three children.To use the most precise documentation,the nurse documents that the patient is part of a(n):

A) household.
B) nuclear family.
C) extended family.
D) traditional family.

Question 20

When dealing with the family of a patient being admitted to a psychiatric unit,the nurse should give priority to the possibility that family members may:

A) also be in need of support.
B) view the staff in a negative light.
C) be relieved that someone else is responsible for the patient care.
D) want more information sharing than confidentiality rules allow.

Question 21

Which component would be part of a comprehensive program for working with families of mentally ill patients? (Select all that apply.)

A) Skill
B) Social
C) Debate
D) Emotional
E) Family process

Question 22

Which item would not be included by a nurse when using the family APGAR tool as an assessment measure of family roles and relationships? (Select all that apply.)

A) Nurturing
B) Decision making
C) Recreational activities
D) Emotional experiences
E) Allocation of earned income

Question 23

A nurse constructing a family genogram for an adult patient would necessarily include which family member mentioned by the patient? (Select all that apply.)

A) Brother
B) Stepson
C) Aunt
D) Adopted brother
E) Great-grandmother