In defiance of parental wishes, a teenager succumbs to peer pressure and gets a tattoo. According to Bowen’s family systems theory, how should the community health nurse interpret the teenager's action?

The teenager is exhibiting antisocial traits.

The teenager is cutting self-off emotionally.

The teenager is attempting to differentiate self.

The teenager is triangulating self.

Answer and Explanation

The Correct Answer is C

Choice A reason: Antisocial traits involve behaviors such as disregard for others’ rights, deceitfulness, or aggression. Getting a tattoo in response to peer pressure does not necessarily indicate antisocial personality traits. It is more reflective of identity formation and family dynamics rather than pathology.

Choice B reason: Cutting self-off emotionally refers to distancing oneself completely from family relationships, often by avoiding contact or severing ties. The teenager’s action does not demonstrate emotional cutoff but rather an attempt to assert individuality while still remaining connected to the family system.

Choice C reason: Differentiation of self is a central concept in Bowen’s theory. It refers to the ability to establish one’s own identity and beliefs while remaining emotionally connected to the family. The teenager’s tattoo represents an effort to assert independence and individuality, even in defiance of parental wishes, which aligns with differentiation.

Choice D reason: Triangulation occurs when a third party is drawn into a conflict between two individuals to reduce tension. The teenager’s tattoo decision does not involve pulling another person into the parental-child conflict, so triangulation is not applicable.

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Correct Answer is B

Explanation

Choice A reason: Independence in self-care is possible but not realistic in a short-term care plan. Progress is gradual.

Choice B reason: Establishing trust with at least one caregiver is realistic and foundational for therapeutic progress. Trust promotes engagement and reduces anxiety.

Choice C reason: Expecting all needs to be communicated verbally by discharge is unrealistic. Many children with ASD use alternative communication methods.

Choice D reason: Participation in team sports requires complex social skills and coordination, which is not a realistic short-term outcome.

A. “Group therapy is an economical way of providing therapy to many clients concurrently.” B. “Group therapy is optional. You can go if you find the topic helpful and interesting.” C. “Group therapy provides the opportunity to learn and practice new coping skills.” D. “Group therapy is mandatory. All clients must attend.”

Correct Answer is C

Explanation

Choice A reason: While group therapy is cost-effective, this explanation does not address the therapeutic purpose or benefit for the client. It focuses on economics rather than client-centered care.

Choice B reason: Group therapy is not optional in most structured psychiatric units. Attendance is encouraged because participation is therapeutic and supports recovery.

Choice C reason: This is the most therapeutic response. It explains the purpose of group therapy in a supportive way, emphasizing skill-building and coping strategies. It validates the client’s concern while encouraging participation for personal benefit.

Choice D reason: Stating that group therapy is mandatory may increase resistance and does not provide therapeutic rationale. It risks damaging rapport and trust.

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In defiance of parental wishes, a teenager succumbs to peer pressure and gets a tattoo. According to Bowen’s family systems theory, how should the community health nurse interpret the teenager's action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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