ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 14 : Family Assessment and Interventions Questions
Question 1 of 5
A male patient has recently been diagnosed with type II diabetes. His family is having trouble incorporating the dietary and exercise regimen prescribed by his physician into their daily routines. They tell the nurse that they are all tired when they return home from school and work and that the last thing any of them want to do is go on a walk. In addition, the patient?s wife discloses that she is unable to prepare any sugar-free or low-sugar foods that her husband enjoys eating. Based on this information, which nursing diagnosis would be most appropriate for this family?
Correct Answer: D
Rationale: The family?s difficulty incorporating the prescribed dietary and exercise regimen indicates ineffective family therapeutic regimen management, as they struggle to adhere to the medical plan. Interrupted processes, denial, and caregiver strain do not directly address the regimen adherence issue.
Question 2 of 5
A couple who have a 7-year-old son have been experiencing growing tension and anxiety in their relationship. However, the tension and anxiety between them lessened when the mother began focusing most of her attention on the son. When applying the family systems therapy model concept of triangulation, which of the following would the nurse expect to assess in the child?
Correct Answer: C
Rationale: In triangulation, a family member (the child) is drawn into parental conflict, often leading to problematic symptoms (e.g., behavioral or emotional issues) due to the stress of being the focus of redirected tension. Options A, B, and D may occur but are not the primary expected outcome in triangulation.
Question 3 of 5
A nursing instructor is developing a teaching plan for a class about families. Which of the following would the instructor be most likely to include?
Correct Answer: B
Rationale: Families expand through birth, marriage, or adoption, reflecting a fundamental aspect of family structure. Families are not solely blood-based (
A), family size has generally decreased in the U.S., and mobility has increased, not decreased, making B the most accurate.
Question 4 of 5
A group of nursing students is reviewing information about the changing family structure and its effect on mental health and illness. The students demonstrate understanding of the information when they identify which of the following?
Correct Answer: B
Rationale: In stepfamilies, caring for children often introduces stress to marital relationships due to complex dynamics, a well-documented effect. Childless adults may face loneliness but not universally, relocation often reduces extended family support, and same-sex families do not consistently show lower depression rates.
Question 5 of 5
A nurse is planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?
Correct Answer: C
Rationale: Stigma associated with psychiatric disorders is a primary source of stress for families, impacting their social interactions and emotional well-being. Symptom severity, barriers, and relapse risk contribute but are secondary to the pervasive impact of stigma.