A family consists of a mother, aged 44 and a school teacher, and ...

[jerry coleman]

A family consists of a mother, aged 44 and a school teacher, and her two daughters, aged 12 and 14 . The 14-year-old is rebellious and has a strained relationship with the mother and her boyfriend.
 
  The mother has been divorced since 1999 and has not remarried but does have a boyfriend who lives with the family on and off; she has a bachelor's degree in elementary education, is in good health, but is overweight and smokes. The biological father, who works in construction and has been diagnosed with bipolar disorder and alcohol abuse, lives out of state. He is one of three siblings, all living and in good health, and is a high school graduate. The mother's parents live nearby, and she has one sibling, a brother currently being treated for diabetes and depression. The paternal grandparents were killed in an auto accident before the grandchildren were born. The maternal grandparents are Catholic, and the paternal grandparents belonged to the Church of the Nazarene. The mother and biological father did not practice a religion, and the children have not identified a religious preference. They live in an apartment. If the nurse wishes to construct a genogram to diagram the family structure, which information should she plan to include? Select all that apply. a. Date of the parent's divorce
  b. Father's alcohol and bipolar disorders
  c. Mother's obesity and smoking
  d. Last three places of residence
  e. Education and occupations
  f. Daughter's strained relationships

Question 2

A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone. Which finding best demonstrates the patient has improved? The patient:
 
  a. uses increased activity to reduce fear.
  b. plans coping strategies for fearful situations.
  c. temporarily withdraws from social situations.
  d. expresses willingness to engage in sexual activity.

[samiel-sayed]

Answer to Question 1

A, B, E, F
Genograms are a way of graphically illustrating key elements of the family structure, history, and functioning. Demographic information such as dates of birth and death, religion, education, occupation, three generations of the family tree, important health information such as mental or substance abuse issues and causes of death, key or critical life events (marriages, separations), and the quality or style of relationships are typically incorporated, but most health practices such as exercise or smoking are not usually included. The current residence is the only one needed.

Answer to Question 2

B
The key shows willingness and ability to take personal action to reduce disabling fear. Expresses willingness to engage in sexual activity relates to sexual functioning rather than fear.