The nurse is observing a family counseling session that is focusing on the family members' communication patterns
Which observation indicates that there are existing or potential problems with family communication?
A) All members are participating in the discussion equally.
B) A few of the members just sit and listen.
C) Disagreements are ignored by the family leader.
D) The verbal communication is congruent with the nonverbal messages.
Answer: C
An authoritarian setting is one in which one or more members set firm, nonnegotiable limits and other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others. Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues. Listening is an art, and not all members of a family need to speak in the same setting.
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