eBay:testbanks_and_xanax

Each parent is seeing the other’s behavior in a possibly distorted manner, which the nurse would explore and help the parents correct. The nurse would guide the parents to communicate more effectively, but confrontation would likely be non-therapeutic because it would increase the tension and triangulation. Since fear and anxiety contribute to triangulation, increasing the parent’s coping abilities as well as reducing anxiety and fear would be areas for intervention. Teaching the adolescent how to protect herself from triangulation, when done in conjunction with interventions to help the parents reduce this behavior, would be protective of the adolescent and would assist the parents in their efforts to change this pattern of communication. The nurse has no facts about whether or not the husband is having an affair; therefore, the nurse should not convince the wife that her fear is only due to her insecurities. Her fears may be well-founded. Helping the husband understand how his wife might see the changes in behavior differently can help him to respond helpfully instead of accusing her of being insecure.

PTS: 1 DIF: Cognitive Level: Analyze (Analysis)

REF: Pages 35-21, 22, 32 (Box 35-1) | Page 35-36 (Table 35-1)

TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity a. Help the family set realistic expectations. b. Provide empathy, acceptance, and support. c. Empower the family by teaching problem solving. d. Negotiate role flexibility among family members. e. Focus planning on the family rather than on the patient.

2. A parent was recently hospitalized with severe depression. Family members say, “We’re falling apart. Nobody knows what to expect, who should make decisions, or how to keep the family together.” Which interventions should the nurse use when working with this family?

(Select all that apply.)

ANS: A, B, C, D

The correct answers address expressed needs of the family. The distracter is inappropriate.

PTS: 1 DIF: Cognitive Level: Apply (Application)

REF: Pages 35-21 to 25

MSC: Client Needs: Psychosocial Integrity

TOP: Nursing Process: Implementation a. A parent needs long-term care after sustaining a severe brain injury. b. The youngest child in a family leaves for college in another state. c. A spouse is diagnosed with liver failure and needs a transplant. d. Parents of three children, aged 9, 7, and 2 years, get a divorce. e. A parent retires after working at the same job for 28 years.

3. Which situations are most likely to place severe, disabling stress on a family? (Select all that apply.)

ANS: A, C, D

Major illnesses and divorce place severe, potentially disabling stress on families. The distracters identify normal milestones in a family’s development.

PTS: 1 DIF: Cognitive Level: Analyze (Analysis)

REF: Pages 35-8 to 10, 17

MSC: Client Needs: Psychosocial Integrity

TOP: Nursing Process: Assessment