In a family therapy session, the therapist notes that the mother and oldest daughter seem to align against the father. The father and son, who is the youngest child in the family, align with each other against the mother. What are these family alliances examples of?
Locked roles
Triangles
Intergenerational dysfunction
Enactments
The Correct Answer is B
Choice A reason: Locked roles refer to rigid, repetitive patterns of behavior within family systems that limit flexibility and growth. While they may be present, they do not specifically describe the shifting alliances or coalitions seen in this scenario.
Choice B reason: Triangles are a concept from Bowenian family therapy describing a three-person relationship system. When tension arises between two people, a third is often drawn in to stabilize the relationship. The described alliances—mother and daughter vs. father, and father and son vs. mother—are classic examples of triangulation used to manage family stress.
Choice C reason: Intergenerational dysfunction refers to patterns of behavior, trauma, or relational issues passed down through generations. While it may underlie the current dynamics, it does not specifically describe the immediate alliance patterns observed in the session.
Choice D reason: Enactments are therapeutic techniques where family members act out roles or scenarios to reveal underlying dynamics. The alliances described are not enactments initiated by the therapist but naturally occurring relational patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Sublimation is a mature defense mechanism where socially unacceptable impulses are transformed into socially acceptable actions. Jason’s shift from drug use to extreme sports channels his need for stimulation into a constructive outlet, making this a textbook example of sublimation.
Choice B reason: Suppression involves consciously choosing to delay or avoid dealing with distressing thoughts or feelings. Jason is not avoiding his impulses; he is redirecting them, which is more consistent with sublimation.
Choice C reason: Projection involves attributing one’s own unacceptable thoughts or feelings to someone else. Jason is not externalizing blame or emotions onto others, so this does not apply.
Choice D reason: Transference refers to redirecting feelings about significant others onto the therapist. Jason’s statement is about his own coping strategy, not about the therapeutic relationship.
Correct Answer is A
Explanation
Choice A reason: Iron deficiency anemia can falsely elevate Hgb A1C levels due to alterations in red blood cell turnover. In IDA, red blood cells live longer, allowing more time for glycation, which can lead to an overestimation of average blood glucose levels.
Choice B reason: Hypertension does not directly affect hemoglobin glycation or red blood cell lifespan. It is not known to cause false elevations in Hgb A1C.
Choice C reason: Osteoarthritis is a degenerative joint condition and does not influence hemoglobin glycation or red blood cell turnover.
Choice D reason: Depression may affect lifestyle and glucose control but does not physiologically alter Hgb A1C measurements.
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