ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 14 : Family Assessment and Interventions Questions
Question 1 of 5
A nurse is using a genogram as an intervention strategy based on the understanding of which of the following?
Correct Answer: B
Rationale: A genogram maps family relationships and patterns across generations, helping families visualize their evolution and dynamics. It does not directly provide problem-solving methods, subjective perspectives, or specific beliefs about mental illness, though it may indirectly inform these.
Question 2 of 5
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
Correct Answer: C
Rationale: In the Calgary Family Model, identifying problems marks the transition from assessment to the intervention stage, where the nurse collaborates with the family to address issues. Engagement initiates contact, assessment gathers data, and termination concludes the process.
Question 3 of 5
While caring for a family, the nurse determines that first-order changes have occurred with which of the following?
Correct Answer: A
Rationale: First-order changes are superficial adjustments within a family system that do not alter its structure, such as a parent returning to work when children start school. Options B, C, and D involve structural changes (leaving home, marriage, or death), which are second-order changes.
Question 4 of 5
The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse?
Correct Answer: C
Rationale: The family systems framework, such as Bowen?s theory, emphasizes assessing the degree of enmeshment (overly close emotional boundaries) to understand family dynamics. Acceptance of rules, boundary adjustment, and differentiation are relevant but secondary to enmeshment, which directly impacts family functioning.
Question 5 of 5
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?
Correct Answer: A
Rationale: Minuchin?s structural family therapy model focuses on assessing family boundaries (clear, rigid, or diffuse) to understand roles and interactions. Emotional cutoff, sibling position, and family projection process are concepts from Bowen?s theory, not Minuchin?s model.