You are seeing a family for family therapy. Arjun and Kate are having difficulty in their marriage since their oldest daughter left for college. Whenever there is a fight, Kate vents her frustrations to her younger son. According to family systems therapy, what behavior is Kate and Arjun engaging in to stabilize their relationship?

Differentiation

Scapegoating

Double Binding

Triangulation

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Differentiation is incorrect. Differentiation refers to the ability of family members to maintain their individuality while remaining emotionally connected. It is not directly related to involving a third person in conflicts.

Choice B Reason:

Scapegoating is incorrect. Scapegoating involves blaming one family member for the family's problems. While this can be a dysfunctional family dynamic, it is not specifically about involving a third person in conflicts.

Choice C Reason:

Double Binding is incorrect. Double binding involves conflicting messages that create a no-win situation for the recipient. It does not specifically involve the inclusion of a third person in conflicts as observed in the given scenario.

Choice D Reason:

Triangulation is correct. Triangulation in family systems therapy occurs when a third person, often a child, is involved in the conflicts between two other family members. In this scenario, Kate is venting her frustrations to her younger son, which creates a triangle or three-person dynamic in the family system. Triangulation can serve as a way for family members to stabilize their relationships by shifting the focus or tension onto a third party.

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Correct Answer is C

Explanation

Choice A Reason:

Authoritarian is incorrect. Authoritarian leadership is characterized by a leader who makes decisions unilaterally and expects strict compliance from group members.

Choice B Reason:

Autocratic is incorrect. Autocratic leadership is similar to authoritarian leadership, where the leader has centralized control, makes decisions without input from others, and expects obedience.

Choice C Reason:

Laissez-faire is correct. The leadership style demonstrated in this scenario is Laissez-faire. In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to have significant freedom in decision-making and behavior. The leader provides minimal guidance and only intervenes when asked or when absolutely necessary.

Choice D Reason:

Democratic is incorrect. Democratic leadership involves collaboration and shared decision-making among group members. The leader seeks input from the group and values the participation of all members in decision-making processes.

A. Coordinate the implementation of the nursing care plan and documents. B. Provide and maintain a safe and therapeutic environment in collaboration with others. C. Apply current knowledge to assess the patient's response to medication. D. Give anticipatory guidance to prevent or reduce menta illness and enhance mental health.

Correct Answer is B

Explanation

Choice A Reason:

Coordinating the implementation of the nursing care plan and documents is inappropriate. This choice is more related to general nursing responsibilities and care coordination. Milieu therapy specifically focuses on creating a therapeutic environment rather than coordinating care plans and documents.

Choice B Reason:

Providing and maintaining a safe and therapeutic environment in collaboration with others is appropriate. Milieu therapy involves creating a therapeutic environment that promotes the patient's mental health and well-being. This includes ensuring safety, providing structure, and creating a supportive atmosphere for patients. The nurse, in collaboration with the healthcare team, is responsible for establishing and maintaining this therapeutic milieu.

Choice C Reason:

Applying current knowledge to assess the patient's response to medication is inappropriate.

Assessing the patient's response to medication is an important nursing responsibility, but it is not the primary focus of milieu therapy. Milieu therapy is more concerned with the overall environment and its impact on the patient's mental health.

Choice D Reason:

Giving anticipatory guidance to prevent or reduce mental illness and enhance mental health is inappropriate. While anticipatory guidance is important in nursing care, it may not capture the essence of creating and maintaining a therapeutic environment, which is the core of milieu therapy. This choice is more related to health education and preventive measures rather than the overall therapeutic environment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which style of leadership is demonstrated when an advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic or the member's behavior and makes no comment unless asked a direct question?

Correct Answer is C

Explanation

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

Correct Answer is B

Explanation

Which activity would happen first in the nurse-patient relationship?

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

Which factor promoting patient growth describes the ability to view another person as worthy of caring about and as someone who has strengths and achievement potential?

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

Which statement describes the focus of psychiatric emergency care?

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?