Which interview information could indicate the need for further assessment of a potential problem with a patient's family functioning?
a. The patient spends time away from the family, taking both a weekly art and dance class.
b. Every other week, the patient visits aging parents who live 1 hour away.
c. The patient and spouse resolve problems on their own, although it often takes several hours.
d. The patient often grounds the children for misbehavior in an attempt to raise them "the right way.".
D
In a healthy family the preservation of a positive emotional climate is more highly valued than doing what is "right.". If the children are often grounded for infractions of rules, this may be an indicator of less-than-optimal family functioning, and this warrants further assessment by the nurse. The remaining options represent indicators of a functional family, including effective problem resolution, maintenance of emotional contact across generations, and the promotion of personal growth and creativity, respectively.
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