Lone Star College System, North Harris - PSYC 1301

Chapter 32: Family Interventions Test Bank

MULTIPLE CHOICE

1)Which term refers to the mutual support, time, energy, resources, and advancement of awareness about psychiatric illness needed to advocate for improved family services?

1. 1. Family advocacy
   2. Family community aid
   3. Suicide prevention advocacy
   4. Community advancement agency

2. A nurse is managing the care of a family who has had no previous experience with community mental health care. The intervention addressed at the initial meeting should focus on:
   1. determining similarities between the family and the other families presently receiving care at the clinic.
   2. arranging for a social worker to be present to help the family acquire supportive community services.
   3. helping the family meet other families in the community who have members with mental illnesses.
   4. examining whether the nurse’s cultural background reflects those of the family members.

3. When assessing a family for functional versus dysfunctional characteristics, which is a dysfunctional target symptom the nurse should identify?
   1. An adolescent who is failing math
   2. A teenage daughter who is 6 months pregnant
   3. A spouse who maintains family peace at any price
   4. A young adult who is working full-time as a laundry worker

4. The diagnosis of a parent-child relational problem is indicated on which DSM-IV-TR axis?
   1. Axis I
   2. Axis II
   3. Axis III
   4. Axis IV

5. A nurse suspects that an adolescent patient is at risk for psychiatric problems according to the risk and protective factors model. Which information gathered during the intake assessment supports this suspicion?
   1. The patient lives with a parent and a half-sibling whom the patient “hates.”
   2. The patient readily admits to regularly “having a few beers to loosen up.”
   3. The patient repeatedly says, “I want to play drums for a rock band for a living.”
   4. The patient’s parents are divorced and “both of them date a lot of different people.”

6. An adolescent with a history of multiple minor physical injuries is sent to the school nurse because of a large bruise on the lower left leg. The adolescent says, “I think I got the bruise when I fell.” The school nurse should interview the adolescent with a primary focus on:
   1. having the adolescent describe the circumstances of the fall that resulted in the bruise.
   2. determining whether this adolescent will identify other risk factors for physical abuse.
   3. gathering data to include in a report to the department of social services for adolescent abuse.
   4. establishing the likelihood that the adolescent has a physical condition that accounts for the frequent injuries.

7. An adolescent has been hospitalized after telling the mother, “I can’t stand all the arguing between Dad and me; I just want to die and be away from all the yelling.” The unit nurse manager expects the patient’s psychiatric health provider will recommend therapy.
   1. group
   2. family
   3. social skills
   4. short-term individual

8. An essential outcome of family therapy is:
   1. change.
   2. acceptance.
   3. accountability.
   4. participation.

9. It is useful initially for a therapist who is completing a family assessment to:
   1. have members also attend individual therapy.
   2. interview members individually.
   3. consider cultural influences.
   4. visit the family home.

10. A family participating in family therapy has identified the middle child as being the source of the family’s conflict. What will the family therapist most likely suggest?
    1. The parents should provide extra time and support to the middle child in order to facilitate necessary changes in behavior.
    2. All members should participate in therapy sessions by identifying the daily difficulties that the individual member is experiencing.
    3. The middle child should attend an educational group especially designed to address the special needs of this birth order position.
    4. All members should be active participants in suggested activities between therapy sessions that focus on improving their coping skills.

11. A nurse is planning a mental health–oriented training session for high school guidance counselors. Considering the counselors’ target population, which type of program should the nurse focus on in the training in-service?
    1. Comprehension skills
    2. Parenting skills
    3. Coping skills
    4. Social skills

12. Which method should be used to assess changes in parent-child interactions as part of a family intervention?
    1. Self-written reflections
    2. Direct observation
    3. Detailed questions
    4. Anecdotal accounts

13. To conduct research based on family intervention, the researcher would focus on the family as a unit or system to better understand family:
    1. roles.
    2. economics.
    3. ethnicity.
    4. functioning.

14. One of the primary goals identified in marital therapy is:
    1. support from families of origin.
    2. consensus in all decisions related to the marriage.
    3. the preservation of good interpersonal communication skills.
    4. the maintenance of a support system comprised of mutual friends.

15. The discharge plan for a patient newly diagnosed with bipolar disorder includes a variety of treatment modalities. The most likely rationale for including both psychoeducational and family therapy to the plan of care is that they are:
    1. viewed as effective by most private insurance providers as well as Medicaid.
    2. likely to affect the patient’s compliance with the prescribed treatment plan.
    3. likely to address the issues the disorder can cause for the patient and family.
    4. focused on communication and problem solving.

16. Skill building may include relapse-prevention drills and disorder-related conflict skills for adult patients diagnosed with schizophrenia or a mood disorder. Along with skill building, the patient typically receives individualized:
    1. pharmacotherapy.
    2. subsidized housing.
    3. occupational therapy.
    4. health care treatment.

MULTIPLE RESPONSE