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Townsend Mental Health Nursing Ch 11 latest Edition with 100% correct Answers, Exams of Nursing

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." stressful." - ✔✔ANS: C Open lines of communication are needed for newly forming families to begin their relationship together and establish a new family structure. 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. D. The teenager is exhibiting antisocial traits. - ✔✔ANS: A

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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
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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

The Asian culture highly respects the elderly. Having the grandparents living in the home is not uncommon in this culture. PTS: 1 REF: 205 KEY: Cognitive Level: Application | Integrated Process: Evaluation

  1. A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, "That's wonderful. I'll be fine all alone." How would the nurse interpret the mother's statements? A. The mother is withholding supportive messages. B. The mother is expressing denigrating remarks. C. The mother is communicating indirectly. D. The mother is using double-bind communication. - ✔✔ANS: D The client's mother says she is fine with him going away to college but then tries to make him feel guilty about her being left alone. The client is in a no-win situation because his mother has given a mixed message—a double-bind communication. PTS: 1 REF: 206 KEY: Cognitive Level: Application | Integrated Process: Evaluation
  2. Which task should the nurse recognize as appropriate to stage IV of the family life cycle? A. Making adjustments within the marital system to meet the responsibilities of parenthood B. Establishing a new identity as a couple by realigning relationships with extended family C. Redefining the level of dependence so that adolescents are provided with greater autonomy D. Reestablishing the bond of the dyadic marital relationship - ✔✔ANS: C Stage IV of the family life cycle is described as the "The Family with Adolescents." The task of this stage is to redefine the level of dependence so that adolescents are provided with greater autonomy while parents remain responsive to teenagers' dependency needs. PTS: 1 REF: 203 KEY: Cognitive Level: Application | Integrated Process: Assessment
  3. A clinic nurse is caring for a 40-year-old client who lives with his parents. The client's mother continues to do the client's laundry and provides spending money. Based on this situation, which family dynamic does the nurse recognize? A. Taking over B. Communicating indirectly

B. Triangulation C. Fusion D. Emotional cutoff - ✔✔ANS: B Triangulation occurs when a relationship between two people is dysfunctional so a third person is brought into the relationship to help stabilize it. The son and his behavioral problems redirect the focus from the couple's marital problems. PTS: 1 REF: 210- 211 KEY: Cognitive Level: Application | Integrated Process: Evaluation

  1. An instructor is teaching about differentiated parent and adult child relationships. Students are instructed to give an example of a well-differentiated parent and adult child relationship. Which student example meets the instructor requirement? A. An adult child considers, but is not governed by, the advice of his or her parents. B. An adult child appears to listen, but ignores, the advice of his or her parents. C. An adult child respects and is governed by the wishes of his or her parents. D. An adult child never requests advice or feedback from his or her parents. - ✔✔ANS: A The correct student example of a well-differentiated parent and adult child relationship is when an adult child considers, but is not governed by, the advice of his or her parent. The adult child should be differentiated enough not to be threatened by parental advice and should be able to consider the parental advice without feeling the advice must be followed. PTS: 1 REF: 210 KEY: Cognitive Level: Application | Integrated Process: Assessment
  2. During family counseling a husband states, "Every time my wife and I discuss child discipline, we get into shouting matches." The nurse instructs the couple to shout at each other for 2 weeks on Tuesdays and Thursdays for 30 minutes. What intervention is the nurse using? A. Reframing B. Restructuring the family C. Expressive psychotherapy D. Paradoxical intervention - ✔✔ANS: D In a paradoxical intervention, the therapist requests the family to continue the maladaptive behavior. This removes control over the behavior from the family to the therapist. Clients are made more aware of the defeating behavior and this can lead to behavioral change. PTS: 1 REF: 215 KEY: Cognitive Level: Application | Integrated Process: Implementation
  1. During family counseling a child states, "I just want to surf like other kids. Mom says it's okay, but Dad says I'm too young." The mother allows surfing when the father is absent. In the structural model of family therapy, what family interactional pattern should the nurse recognize? A. Multigenerational transmission B. Disengagement C. Mother-child subsystem D. Emotional cutoff - ✔✔ANS: C In this situation, the mother and child have formed a subsystem in which they have aligned themselves against the father. PTS: 1 REF: 210 | 213 KEY: Cognitive Level: Application | Integrated Process: Assessment
  2. During family counseling, a husband tells his wife to spend more time with the family, and she responds by stating, "Okay, I'll turn in my resignation tomorrow." The husband replies, "I knew it! You've always been a quitter!" How should the nurse interpret the husband's statement? A. The husband is expressing an emotional cutoff. B. The husband is expressing double-bind communication. C. The husband is expressing indirect messages. D. The husband is expressing avoidance behaviors. - ✔✔ANS: B Double-bind communication sets up no-win situations. The husband has created a situation in which no matter what the wife does, she is wrong. PTS: 1 REF: 214 KEY: Cognitive Level: Application | Integrated Process: Assessment
  3. A couple has been married for 20 years. They argue constantly, belittle feelings, and continuously contradict each other. During a therapy session, the nurse documents "Marital schism." What does the nurse mean by this documentation? A. The couple has a compatible marriage relationship. B. The husband has a dominant relationship over the wife. C. The couple has an enmeshed relationship. D. The couple has an incompatible marriage relationship. - ✔✔ANS: D A marital schism is a state of chronic disequilibrium and discord. This describes this couple's marriage. PTS: 1 REF: 215 KEY: Cognitive Level: Application | Integrated Process: Assessment

PTS: 1 REF: 207

KEY: Cognitive Level: Application | Integrated Process: Evaluation

  1. A client is angry because her husband has forgotten their anniversary. The following week, the client is still unwilling to discuss this with her husband because she is afraid she will lose control. How should the nurse interpret this client's means of coping with anger? A. Coping by attacking B. Coping by surrendering C. Coping by avoiding D. Coping by belittling - ✔✔ANS: C When coping by avoidance, differences are never acknowledged openly. The individual who disagrees avoids discussing it for fear that the other person will withdraw love or approval or become angry in response to the disagreement. Avoidance also occurs when an individual fears loss of control of his or her temper. PTS: 1 REF: 208 KEY: Cognitive Level: Application | Integrated Process: Evaluation