A 14-year-old girl came with her family to the clinic as her father picked up his medication. The girl became anxious and said she had to go home soon to clean the house and start dinner. Which of the following would the nurse most likely suspect from this interaction?
a. As Freud pointed out, girls try to take over the wife role with their dad.
b. The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment.
c. The girl is taking on the role of hero with responsibility for caretaking functions.
d. The girl was afraid she would be seen with her dad, a known drug addict, in a public place.
Ans: c. The girl is taking on the role of hero with responsibility for caretaking functions.
Explanation: In the case of substance abuse, a major purpose of the system is to deny the substance abuse of the affected family member and keep it a "shameful" family secret. Generally, ego boundaries between the family members are weakened or nonexistent, with enmeshment of the members and an intolerance of individual differences. Rules are rigid and communication is unbalanced; the dynamics are either always conflicting or always superficially pleasant. Children may become involved in a "role reversal" in which they act as caretakers of their parents.
You might also like to view...
A nurse institutes an exercise program at an inpatient mental health facility. Which wellness domain does this type of program address?
1. Psychological 2. Sociological 3. Biological 4. Cultural
A hospital specializing in women's and children's services opened in a mid-sized town. As the organization grew, more staff members were needed to accommodate the new services added
The hospital developed job descriptions, policies, and procedures for the employees working in the new services. This hospital was going through which developmental stage? a. Birth b. Youth c. Maturity d. Termination
The family of a patient diagnosed with schizophrenia is unfamiliar with the illness and family's role in recovery. Which type of therapy should the nurse recommend?
a. Psychoeducational b. Psychoanalytic c. Transactional d. Family
When transferring a patient, introduce the patient to any new roommate(s) and to the new nursing team
True False