A mother calls her 20-year-old daughter's university professor to insist he change her grade. A structural family therapist would assume what?
This family has clear boundaries.
This family has rigid boundaries.
This family has diffuse boundaries.
This family supports individuation.
The Correct Answer is C
Choice A reason: Clear boundaries in a family system allow for healthy autonomy and appropriate involvement between members. A mother intervening in her adult daughter’s academic affairs suggests a lack of autonomy, which contradicts the concept of clear boundaries.
Choice B reason: Rigid boundaries are characterized by emotional distance and disengagement between family members. The mother’s overinvolvement in her daughter’s academic life does not reflect rigidity but rather excessive enmeshment.
Choice C reason: Diffuse boundaries are marked by overinvolvement, lack of autonomy, and blurred roles between family members. The mother’s action—intervening in her adult daughter’s academic affairs—demonstrates a lack of differentiation and autonomy, which is a hallmark of diffuse boundaries in structural family therapy.
Choice D reason: Individuation refers to the process of developing autonomy and a distinct identity. The mother’s behavior undermines individuation by not allowing her daughter to manage her own academic responsibilities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Empathy is a core component of therapeutic relationships and does not indicate countertransference. It reflects appropriate emotional attunement and professional compassion.
Choice B reason: This behavior reflects transference, where the patient projects feelings or associations from past relationships onto the therapist. It is not countertransference, which originates from the clinician.
Choice C reason: Countertransference occurs when the clinician projects personal feelings onto the patient, often unconsciously. Spending excessive time and thinking about the patient outside of clinical hours suggests that the nurse practitioner’s emotional boundaries are compromised, indicating countertransference.
Choice D reason: A patient giving a gift may reflect transference or an attempt to build rapport. It does not necessarily indicate countertransference unless the clinician responds inappropriately or emotionally.
Correct Answer is D
Explanation
Choice A reason: Dorothy Orem developed the Self-Care Deficit Nursing Theory, which focuses on individuals’ ability to care for themselves and the role of nursing in supporting self-care.
Choice B reason: Nola Pender is known for the Health Promotion Model, which emphasizes behaviors that improve health and prevent illness.
Choice C reason: Hildegard Peplau developed the Interpersonal Relations Theory, which centers on the nurse-patient relationship and therapeutic communication.
Choice D reason: Madeline Leininger created the Culture Care Theory, which emphasizes the importance of cultural competence in nursing and the integration of cultural beliefs into care practices.
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