Townsend Mental Health Nursing Ch 11
1. An adolescent, his mother, and his soon-to-be stepfather have been in counseling
with the nurse. Which statement by the nurse fosters positive relationships within this
new family structure?
A. "Your son should be consistently disciplined by only one parent."
B. "You should not have any more children because your son will need your full
attention."
C. "You need to keep the lines of communication open between all of you."
D. "Allow your son to make his own choices because this new situation will be
stressful." - ✔✔ANS: C
Open lines of communication are needed for newly forming families to begin their
relationship together and establish a new family structure.
PTS: 1 REF: 204
KEY: Cognitive Level: Application | Integrated Process: Implementation
2. In defiance of parental wishes, a Japanese teenager succumbs to peer pressure and
gets a tattoo. According to Bowen's family systems theory, how should the community
health nurse interpret the teenager's action?
A. The teenager is attempting to differentiate self.
B. The teenager is triangulating self.
C. The teenager is cutting self off emotionally.
D. The teenager is exhibiting antisocial traits. - ✔✔ANS: A
The teenager is taking on some of the cultural values of peers and is beginning to
develop a unique identity. This process is called differentiation and is a normal task of
adolescence.
PTS: 1 REF: 210
KEY: Cognitive Level: Application | Integrated Process: Evaluation
3. A home health nurse is visiting an Asian family. A married couple, their three children,
and the maternal grandparents all live in the home. How should the nurse interpret the
presence of the grandparents in the home?
A. The parents have diffuse boundaries and have allowed the grandparental subsystem
to be present.
B. The grandparental subsystem is not successfully managing separation from the
parental subsystem.
C. Extended family living arrangements are common in some cultures.
D. The nuclear family living arrangement is the preferred environment for childrearing. -
✔✔ANS: C
