Deck 13: The Family Beleaguered When Problems Come

Question 1

According to the text,what did her family's reaction probably depend on when 13-year-old Nancy became pregnant?

A) the attitude of the relatives
B) their interpretation of the situation
C) the age of Nancy's boyfriend
D) the availability of abortion

Answer 1

B

Question 2

Which of the following probably does NOT affect the impact of a stressor?

A) resources
B) know-how
C) adaptation
D) attitude

Answer 2

C

Question 3

What does the bB factor consist of in the double ABCX model?

A) the meaning the family finds in the event
B) the pileup of stressors
C) the resources that help the family adapt
D) maladaptation

Answer 3

C

Question 4

Who is NOT usually a gatekeeper in our society?

A) judge
B) doctor
C) priest
D) child welfare worker

Question 5

What is an imbalance in demands placed on an individual or family and their ability to meet the demand?

A) role overload
B) a crisis
C) burnout
D) ambiguity

Question 6

What is the definition of snag points?

A) areas of difficulty that interfere with constructive efforts to cope with problems
B) situations where there is an imbalance between demands on a family and resources
C) situations that encourage an individual to act in a functional manner
D) situations that can be damaging to a person's reputation

Question 7

Which of the following is a form of ambiguity?

A) unpredictability of an event
B) loss of self-esteem
C) a definite prison sentence
D) adequate social support

Question 8

What might family resources include?

A) fear of public opinion
B) the family's viewpoint
C) maladaptation
D) practical knowledge

Question 9

Which of the following is a functional response when Anne's husband,Jim,was arrested for armed robbery?

A) Focusing the family energy and resources on Jim during his time of need.
B) Having Anne work more hours so that there is money available for a good lawyer.
C) Blaming Jim for getting into this trouble and letting him stay in jail until his trial.
D) Defending Jim's innocence despite evidence to the contrary.

Question 10

What happens to public opinion,which decides what constitutes a problem?

A) It often changes as time passes.
B) It remains the same as far as problems are concerned.
C) It permits no competing views.
D) It is concerned with the greatest good.

Question 11

What is one way European-based colonialist society did NOT exploit Aboriginal peoples?

A) by teaching Aboriginal children that their people were savage and incompetent
B) by encouraging communities to honour traditional customs
C) by making charters giving ancestral lands to traders and settlers
D) by waging war against them

Question 12

According to the text,when does a social problem exist?

A) when a significant number of people believe that it is a problem
B) when groups compete for scarce resources and the lowest power group defines it as such
C) when there is an imbalance in demands placed on a family and their ability to meet the demand
D) when one person's behaviour allows another to act in an antisocial manner

Question 13

According to the text,what is a family open to during a crisis?

A) trying new ways of finding solutions
B) increased communication about problem issues
C) forging more rigid family boundaries
D) "time out's" between family members to diffuse tension

Question 14

In the past,what was homosexuality considered?

A) a blessing
B) a gift
C) a curse
D) a mental illness

Question 15

According to the text,what do vested interests tend to do?

A) have the greatest influence in defining problems
B) be relatively unsuccessful compared with others
C) be a continuing financial burden on society
D) be the same as gatekeepers

Question 16

Which of the following responses of the Leclair family would be considered functional following Mr.Leclair's job loss?

A) Mrs. Leclair and their son both blame Mr. Leclair for losing his job.
B) Mrs. Leclair is very sympathetic and does not tell him she too is facing lay-off.
C) Mr. Leclair stays at home because he thinks he has no chance of finding a job.
D) Mrs. Leclair starts working full-time instead of part-time to earn more money.

Question 17

According to the double ABCX model,five general types of stressors can pile up.Which of the following is NOT one of them?

A) normative stresses
B) previous strains
C) ambiguity
D) perception of the problem

Question 18

What does "A" refers to in the ABCX model?

A) the perception of the event
B) the stressor event
C) the crisis
D) the family's resources

Question 19

What is a group that has a stake in keeping society unchanged?

A) a gatekeeper
B) public opinion
C) one with a vested interest
D) one with a competing interest

Question 20

What do special-interest groups do?

A) They may cooperate on one issue in common, although they differ in other ways.
B) They are unable to cooperate unless they agree on all principles.
C) They cannot cooperate because they define the problem in very different ways.
D) They may cooperate on issues they do not believe in to get backing for those they support.

Question 21

Functional coping occurs when a family member is chronically ill.It includes all the following EXCEPT which one?

A) working at keeping the family together
B) trying to understand the medical situation
C) bringing in only the immediate family to limit stressors on the ill person
D) accepting any social support that is available

Question 22

What is a NEGATIVE aspect of coping resources?

A) Some resources can create their own demands.
B) Supplementary health insurance can pay for some costs.
C) The care receiver can provide emotional support to the caregiver.
D) The medical system provides too much assistance.

Question 23

Which of the following factors probably does NOT affect the meaning a family places on an illness?

A) experience with a similar disorder
B) length of time the person has been ill
C) the reason the family gives for the illness
D) how family members see the prognosis

Question 24

According to the text,what are some snag points related to?

A) the resources available to the family
B) the family's definition of the situation
C) acceptance of the reality of the problem
D) failure to minimize the tasks

Question 25

In which of the following ways does alcoholism differ from most chronic illnesses?

A) One family member cannot fill usual family roles.
B) It is considered discreditable by society.
C) Others have to adjust their behaviour.
D) Alcohol abuse itself adds stresses.

Question 26

When the onset of illness is gradual,which of the following probably does NOT occur?

A) Family members come to realize something is wrong little by little.
B) Family members react exactly the same as in the case of acute illness.
C) At the time of diagnosis, the family may suffer a crisis.
D) Families have lived with long periods of worry and fear.

Question 27

According to the text,what is the ability to do well in the face of adversity?

A) coping
B) resilience
C) ambiguity
D) resource

Question 28

Which of the following illustrates the impact of chronic illness on the family life cycle?

A) Adult children focus on the needs of their family of procreation.
B) Older couples carry out their retirement plans.
C) The young adult fails to become independent.
D) Young adults get married and have children.

Question 29

When might a family face a crisis if the onset of a chronic disorder is gradual?

A) after a period of about six months
B) when they realize something is wrong
C) after a period of about a year
D) when the disorder is diagnosed

Question 30

What happens to the needs of other family members during the initial phase of an illness?

A) They are often ignored.
B) They take priority.
C) They become fewer.
D) They are unknown.

Question 31

What is an illness that continues for a long period of time?

A) a chronic illness
B) a dysfunctional illness
C) an acute illness
D) a debilitating illness

Question 32

According to the text,when can the nature of a chronic illness be a continuing stress?

A) especially when it is non-progressive
B) especially when the prognosis is certain
C) especially when there are unpredictable episodes
D) especially when the illness is acute rather than chronic

Question 33

Which of the following BEST describes attitudes toward alcohol and other substance abuse?,

A) The problem is defined by gatekeepers rather than by society.
B) The drug of choice is the same across cultures.
C) Alcohol and other substance abuse is not considered discreditable by society.
D) The acceptance varies among cultures.

Question 34

Family activities and goals may need to be changed when a member has a chronic illness.Which of the following is NOT a reason for such changes?

A) financial limitations
B) adequacy of existing resources
C) unpredictability of the illness
D) stigma leading to social isolation

Question 35

Where do a disproportionate number of children with disabilities live?

A) with extended family
B) with single mothers
C) with nuclear families
D) in institutions

Question 36

How society perceives an illness can have a significant impact on a family's stress.When is this most likely to be a issue of concern?

A) when the person with the illness is an ethnic minority
B) when the illness is stigmatized
C) when the illness is caused by a person's behaviour (e.g., smoking)
D) when the illness is chronic

Question 37

What does the A factor NOT include in chronic illnesses?

A) the first attempts at treatment
B) the initial diagnosis
C) the illness
D) re-evaluation

Question 38

According to the text,what probably happened to Michelle's parents the day after Michelle was seriously injured in a car accident?

A) They were so shocked that they could not deal with any practical matters.
B) They experienced an increase in energy as they responded to new demands.
C) They became so exhausted that they could no longer respond to the physical demands.
D) They became burned out emotionally because of the need to tell everyone about the accident.

Question 39

Josie and Matthew have learned to care for their daughter who has cystic fibrosis.Although they are worried about her,they feel that they are coping as well as possible.According to the text,what is likely true of their experience at this point in time?

A) Their energy is depleted because of the chronic nature of the illness.
B) They have found a way to maintain their family rituals and customs.
C) They are getting excellent medical care.
D) They are feeling a sense of control.

Question 40

When might there be a crisis when families are very rigid in their roles?

A) when the family feels disgraced because a member has been imprisoned
B) when families cannot meet a goal because of the chronic illness of a member
C) when someone cannot fulfill the demands of a role
D) when family members see a crisis as a challenge

Question 41

____________________ are individuals recognized as having special expertise in identifying problems.

Question 42

A prolonged illness is called a(n)____________________ illness.

Question 43

Define "vested interests" and briefly explain how they influence what is considered a problem.

Question 44

How long can it take for family members to learn new patterns of interacting after an alcoholic family member stops drinking?

A) four to six weeks
B) six months to two years.
C) two to three years.
D) five to ten years

Question 45

What happens to families with more effective problem-solving skills?

A) They do not use tactics that have worked in the past.
B) They usually communicate clearly.
C) They often seem to be talking at cross-purposes.
D) They attempt to keep things the same.

Question 46

Some families have ____________________,or areas of difficulty that interfere with constructive efforts to cope with problems.

Question 47

Which of the following is NOT characteristic of a codependent person?

A) The codependent person has no clear personal boundaries.
B) The codependent individual finds little worth in caretaking.
C) The individual believes he or she is responsible for the other person.
D) The codependent partner is at risk of developing stress-related illnesses.

Question 48

What is one positive effect of parents' alcohol abuse?

A) Their children are less likely to become alcoholics themselves.
B) Their adult children tend to grow up with greater skill in regulating their own behaviour.
C) Their adult children may be drawn to a helping profession.
D) Their adult children learn to avoid coercive or other ineffective parenting methods.

Question 49

A social ____________________ exists when a significant number of people believe that a certain condition is one.

Question 50

Define "gatekeepers" and explain how they influence the way in which problems are handled.

Question 51

____________________ changes are ones expected as part of the family life cycle.

Question 52

What outcome is likely when families have less positive communication?

A) They have more effective problem-solving skills.
B) They have lower levels of adaptability.
C) They are quick to make changes to family roles and rules.
D) They are often more honest, but more harsh.

Question 53

A group of people who have a stake in keeping society unchanged is a(n)_______________ interest.

Question 54

A decreased ability of a family to solve its problems is referred to as a(n)_______________ adaptation.

Question 55

An imbalance in demands placed on an individual or family and their inability to meet the demands leads to a(n)____________________.

Question 56

According to the text,what might be included in lessons learned about family life by members of alcoholic families?

A) Alcohol cannot become the centre of family life.
B) Alcohol always makes things worse.
C) Alcohol in the house leads to a party.
D) Alcohol abuse is a family secret to be denied.

Question 57

____________________ is the tendency for nonalcoholic members of an alcoholic family to display a variety of psychological symptoms arising from a lack of self-worth,including lack of clear personal boundaries and assumption of responsibility for the alcoholic behaviour.

Question 58

A(n)____________________ characteristic is one that damages a person's reputation.

Question 59

When is alcoholism often admitted?

A) when the individual is confronted by his or her children
B) when a decisive event makes denial impossible
C) when a boss sends the individual to Alcoholics Anonymous
D) when the person's spouse labels him or her as an alcoholic

Question 60

Sandi phones her husband's boss to say he is ill and cannot come in to work when he is drunk.By doing this,what is Sandi being?

A) a discreditable person
B) a codependent
C) an enabler
D) a crisis manager

Question 61

Briefly explain the part an "enabler" plays in an alcoholic family.

Question 62

According to the text,there are five general types of stressors that can pile up.What are these stressors?

Question 63

Discuss the role of vested interests in determining when a problem exists and how it should be dealt with.Give examples.

Question 64

Explain what is meant by a snag point and give an example.

Question 65

Explain what is meant by "normative changes" and state how these changes can be especially stressful for families with a chronically ill or disabled member.

Question 66

What are special-interest groups? How do they affect the perception of a problem?

Question 67

Providing examples,discuss the importance of perception for a family's response to a problem.

Question 68

Using the double ABCX model,explain the factors affecting a family's adaptation to a long-term problem (e.g.,chronic illness,alcoholism).

Question 69

What is the difference between functional and dysfunctional adaptation?

Question 70

State the impact of ambiguity on the way a family perceives a chronic illness.