A daughter describes her family as follows: "I play sweet so Dad won't come down on me, and mom takes the blame when I mess up. My brother usually ends up getting blamed for nobody getting along because he doesn't stand up for himself."
Assuming the daughter's descriptions are accurate, which three forms of dysfunction should the nurse document as present? a. Manipulating, placating, and scapegoating
b. Placating, scapegoating, and generalizing
c. Manipulating, distracting, and generalizing
d. Manipulating, placating, and differentiating
A
The daughter is manipulating her father by behaving in a manner that makes it difficult for him to hold her accountable. The mother is placating because she is taking the blame for issues to keep peace in the family. The family is scapegoating the brother in that they are blaming family issues involving others on him. Generalizing is a form of distorted communication in which issues are exaggerated by the use of overreaching generalizations, such as "he always gets what he wants and I never do"; this dynamic is not evident. Distracting involves introducing irrelevant information to disrupt problem-solving or other responses to problematic behavior and is not evident in this scenario. Differentiation is the process of developing separate identities within the family.
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