Discuss NCLEX NCLEX-RN Exam Topic 4 Question 16

A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

AAlways allow the most vocal person to state the problem first.

BEncourage the mother to speak for the children.

CInterpret immediately what seems to be going on within the family.

DAllow family members to assume the seats as they choose.

Suggested Answer: D

(A) One will always hear what the most vocal person has to say. It is best to start with the quietest family member to encourage that person to express emotions. (B) All family members are encouraged to speak for themselves. (C) In the initial family assessment, only data collection occurs; interpretations are made later. (D) Allowing family members to choose their own seats will assist the nurse in assessing the family system and in determining who feels closer to whom.

Get Premium NCLEX-RN Questions as Interactive Web-Based Practice Test or PDF Real Exam Format Detailed Explanations Instant Access Get Your Practice Test

12 comments · newest first

Francesco 3 months ago

But what about A? The vocal person might dominate the conversation.

Royce 3 months ago

I agree, Sarah. It shows respect for their dynamics.

Nana 3 months ago

I think D is the best option. Letting them choose seats feels more comfortable.

Hailey 3 months ago

I feel like C could lead to misunderstandings right away.

Farrah 3 months ago

A is not a good idea. It can make the quieter ones feel ignored.

Felicidad 4 months ago

Wait, why would we let kids choose? They might just sit anywhere!

Maricela 5 months ago

Totally agree! It sets a relaxed vibe for everyone.

Joanne 5 months ago

I think D is the best choice. Letting them choose seats feels more natural.

Clay 6 months ago

I’m not confident about interpreting the family dynamics right away; it seems like jumping to conclusions could create more tension.

Elly 6 months ago

Encouraging the mother to speak for the children seems a bit limiting; I feel like the kids should have a chance to express themselves directly.

Stefania 6 months ago

I remember a practice question where we discussed the importance of letting everyone have a voice, so I wonder if option A could be relevant here too.

Kimberlie 6 months ago

I think allowing family members to choose their seats might help them feel more comfortable, but I'm not entirely sure if that's the best approach.

NCLEX-RN Exam - Topic 4 Question 16 Discussion