chapter 12 final

Regardless of how uniquely they are defined, strong emotional ties and durability of membership characterize

family relationships.

When focusing on family interrelationships and the impact a serious health alteration has on individual family members and the equilibrium of the family system, the nurse should use

circular questions.

A family systems theory that conceptualizes the family as an interactive emotional unit in which family members assume reciprocal family roles, develop automatic communication patterns, and react to each other in predictable, connected ways, particularly when family anxiety is high, was created by

Murray bowen

\__________ proposed a family life stage framework for understanding issues that normal families experience based on expected family development through the life span, each with its own set of tasks. Duvall's model describes the life cycle of a family, using the age of the oldest child in the family as the benchmark for determining the family's developmental stage.

Evelyn Duvall

Resiliency Model of Family Stress, Adjustment, and Adaptation is considered the most extensively studied model of family coping with traumatic and chronic illness.

Mcubbin &Mcubbin

emphasize the structure (subsystems, hierarchies, and boundaries) of the family unit as the basis for understanding family function. Family structure refers to how the family is constructed legally and emotionally.

Salvador Minuchin.

The nurse is caring for a client who is extremely dependent on the approval of others, causing them to discount their own needs. The nurse recognizes that the client is demonstrating

poor self-differentiation.

The nurse is caring for a client who reports having marital difficulties. When experiencing heightened anxiety related to his health issues, the client chooses to discuss his feelings with a female friend rather than with his spouse. The nurse recognizes the client's actions as a defensive way of reducing, neutralizing, or defusing heightened anxiety known as

triangles

When performing an admission assessment on a client, the nurse asks about sibling position based on the knowledge that sibling position can shape relationships and influence a person's expression of behavioral characteristics. The concept that each sibling position has its own strengths and weaknesses is based on the work of:

Walter Toman.

When performing an assessment that focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations, the nurse uses

a genogram.

When interviewing the family of a client newly diagnosed with Alzheimer disease, the nurse's primary goal is to help the family members sort out their personal fears and identify family strengths through the use of

interventive/intervene questioning.

When interviewing the family of a client who is suffering from alcoholism, the communication technique used by the nurse is called circular questioning. The advantage of this technique is that it

focuses on the equilibrium of the family system.

Which of the following describes the dyad family unit?

Husband and wife or other couple living alone without children

Which of the following is a true statement when comparing biological and blended families?

A blended family is born of loss.

When the nurse cares for a client with a terminal illness, a question that the nurse can ask the client's family to elicit information about family strengths is

What has the family been doing so far that is helpful?"

The nurse-family relationship in client care depends on what type of relationship between the nurse and the family?

A reciprocal relationship

When caring for clients, it is important for the nurse to understand that

individual family members have different perspectives.

The home health nurse is visiting a family who is having difficulty coping. The family has a 2-month-old malnourished child whom they are feeding diluted formula along with rice cereal. The parents of the child are unemployed and are unable to pay their monthly expenses. The father of the child complains of not being able to find a job, while the mother of the child accuses him of not even trying to find employment. Which of the following techniques would be most helpful for the nurse to use in this situation? (Select all that apply.)

a. Linear questioning

b. interventive questioning

c. circular questioning

d. identifying family strengths

The nurse is designing therapeutic interventions for a family whose child is hospitalized with a terminal condition. The nurse recognizes that nursing actions that can be offered to the family that can promote positive change in family functioning include which of the following? (Select all that apply.)

a. Encouraging the telling of illness narratives

b. Commending family on individual strengths

c. Offering information and opinions