According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?
Marital skew
Sibling position
Double-bind communication
Pseudomutuality
The Correct Answer is B
Choice A Reason:
Marital skew refers to a situation where one partner in a marriage dominates the relationship, leading to an imbalance of power. This concept is not directly related to Bowen's theory of functional family interaction patterns. Instead, it is more associated with family dynamics that can lead to dysfunction rather than functionality.
Choice B Reason:
Sibling position is a concept within Bowen's family systems theory that suggests the order in which children are born in a family can influence their roles and behaviors within the family system. Bowen believed that understanding sibling positions can help in predicting certain family dynamics and interactions. For example, first-born children might take on more leadership roles, while later-born children might be more rebellious or independent. Recognizing these patterns can help in understanding and improving family interactions.
Choice C Reason:
Double-bind communication refers to a situation where a person receives two or more conflicting messages, with one message negating the other. This can create confusion and stress, as the person cannot resolve the contradiction. While this concept is important in understanding dysfunctional communication patterns, it is not a concept of functional family interaction in Bowen's theory.
Choice D Reason:
Pseudomutuality is a term used to describe a family dynamic where there is a false appearance of harmony and mutual understanding. This facade hides underlying conflicts and issues that are not addressed. Pseudomutuality is indicative of dysfunction rather than a functional family interaction pattern according to Bowen's theory.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
A sudden onset of high fever is not a symptom of tardive dyskinesia (TD). High fever may indicate an infection or other serious conditions such as neuroleptic malignant syndrome, which is a different and more severe reaction to antipsychotic medications
Choice B reason:
Twisting tongue movements are a classic sign of tardive dyskinesia. TD is characterized by repetitive, involuntary, and purposeless movements that often affect the face, including the tongue. These movements result from long-term use of certain antipsychotic medications, like fluphenazine, which block dopamine receptors in the brain.
Choice C reason:
Constant tapping of the feet when sitting could be a sign of restlessness or akathisia, which is another side effect of antipsychotic medications but is not specifically indicative of tardive dyskinesia. TD typically involves more complex movements of the limbs, not just simple tapping.
Choice D reason:
A shuffling gait is more commonly associated with parkinsonism or pseudoparkinsonism, which can also be a side effect of antipsychotic medications. It is not a typical manifestation of tardive dyskinesia, which usually presents with involuntary movements of the face, tongue, and upper body
Correct Answer is C
Explanation
Choice A Reason:
Grief following the death of a loved one can lead to a variety of emotional and physical symptoms, but it does not typically result in delirium. The symptoms of grief can include sadness, difficulty sleeping, and a loss of interest in activities, but these do not align with the acute cognitive changes seen in delirium.
Choice B Reason:
Chronic forgetfulness that has been present for years suggests a progressive cognitive decline rather than delirium, which is characterized by a sudden onset. Conditions such as Alzheimer's disease or other forms of dementia are more likely to cause long-term memory issues.
Choice C Reason:
The sudden onset of behavioral changes is a hallmark of delirium. Delirium is an acute confusional state that typically occurs rapidly and can fluctuate throughout the day. It is often caused by a medical condition, medication, infection, or substance withdrawal.
Choice D Reason:
While it is true that the risk of delirium increases with age, it is not a normal part of aging. Delirium is always considered a medical emergency that requires immediate attention to identify and treat the underlying cause.
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