When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?

Correct Answer: D

Rationale: The correct answer is D: Parental disagreement. In a healthy family system, open communication and conflict resolution are key. Parental disagreement is a common occurrence and can be addressed constructively without significantly increasing stress. On the other hand, choices A, B, and C involve significant life transitions that can potentially disrupt the equilibrium of a healthy family system, leading to increased stress. Adolescence going away to college, the birth of a child, and the death of a grandparent are all events that can bring about changes and adjustments within the family dynamics, potentially causing stress.

Correct Answer: B

Rationale: The correct answer is B: Explain the biological nature of schizophrenia. This option educates the family about the genetic and neurological factors contributing to schizophrenia, reducing feelings of guilt and responsibility. It promotes understanding that the disorder is not caused by parenting. Choice A is incorrect because acknowledging the parents' responsibility can exacerbate their guilt. Choice C is incorrect as solely referring to a support group may not address the underlying issue of guilt. Choice D is incorrect as it may imply that the parents are at fault and need to change, perpetuating feelings of guilt.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates the therapeutic communication technique of focusing by redirecting the conversation back to a specific topic, the relationship with the father. This helps the client explore their thoughts and feelings on a particular issue in depth. Choice A is incorrect as it does not focus on a specific topic. Choice B is incorrect as it does not guide the conversation towards a particular subject. Choice C is incorrect as it does not involve redirecting the conversation to a specific issue for exploration.

Correct Answer: B

Rationale: The correct answer is B because it acknowledges the mother's feelings of guilt and validates her emotions. By stating, "You're feeling guilty because you weren't able to save your children," the nurse shows empathy and understanding towards the mother's distress. This response helps the mother process her emotions and begin to cope with the traumatic event. Choice A is incorrect as it focuses on physical barriers rather than the mother's emotional state. Choice C does not address the mother's feelings of guilt and instead redirects her attention to a different aspect of the situation. Choice D is incorrect as it dismisses the mother's emotions and suggests avoidance rather than confronting her feelings.

Correct Answer: C

Rationale: The correct answer is C because it aligns with effective communication strategies in Native American culture. Soft voice respects the patient's preference for calm and gentle interactions. Breaking eye contact occasionally shows respect and humility, as prolonged eye contact can be interpreted as confrontational. General leads and reflective techniques promote a more holistic and patient-centered conversation. In Native American culture, indirect communication is valued, and reflective techniques encourage the patient to share their thoughts and feelings at their own pace. Overall, choice C prioritizes building rapport, demonstrating respect, and fostering a collaborative and inclusive conversation.