A 30-year-old client seeking therapy states, "My parent cries when she is not included in all my social activities and thinks of my friends as her own.” Which of the following indicates the nurse's description of this family's boundaries?
The boundaries are disengaged.
The boundaries are enmeshed.
The boundaries are rigid.
The boundaries are restructured.
The Correct Answer is B
Choice A reason: Disengaged boundaries occur when family members are emotionally distant and uninvolved in each other’s lives. This does not fit the scenario, as the parent is overly involved and emotionally dependent on the client’s social activities.
Choice B reason: Enmeshed boundaries describe families where roles and identities are overly intertwined, with little separation between members. The parent’s behavior of crying when excluded and claiming the client’s friends as her own demonstrates a lack of healthy separation and autonomy. This is a classic example of enmeshment.
Choice C reason: Rigid boundaries occur when family members are overly strict, inflexible, and resistant to change. This does not apply here, as the parent is not distant or inflexible but overly involved.
Choice D reason: Restructured boundaries refer to boundaries that have been adjusted or improved through therapy or intervention. The scenario describes a problem, not a resolution, so this option is incorrect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Asking about spiritual practices is an open-ended, respectful question that allows the client to share personal needs. It is culturally sensitive and not stereotyping.
Choice B reason: Assuming that all Hispanic clients are Catholic and require communion is stereotyping. It imposes a cultural and religious identity without asking the client. This statement reflects bias and requires correction.
Choice C reason: Asking about dietary restrictions is appropriate and culturally sensitive. It allows the client to express individual needs without assumptions.
Choice D reason: Asking about cultural practices is also appropriate. It demonstrates respect and openness to the client’s preferences without stereotyping.
Correct Answer is A
Explanation
Choice A reason: Complementary therapies emphasize holistic care, viewing individuals as integrated beings with physical, emotional, spiritual, and social dimensions. This perspective aligns with the philosophy of complementary approaches, which aim to enhance conventional treatments by addressing the whole person rather than focusing solely on disease.
Choice B reason: Viewing disease as a deviation from normal biological states reflects the biomedical model, not complementary therapies. Complementary approaches focus on balance and integration rather than pathology alone.
Choice C reason: Complementary therapies recognize individuality and uniqueness in human beings. They do not assume all humans are biologically similar but instead tailor interventions to personal needs and differences.
Choice D reason: Focusing primarily on structure and function is characteristic of conventional medicine. Complementary therapies extend beyond physical aspects to include psychosocial and spiritual components.
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