Question

A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue?

a. Family members maintain individual interests and friendships.

b. Family members share personal information freely.

c. Family members avoid discussing sensitive topics.

d. Family members have difficulty differentiating between each

Answer 1

Boundary issues in family dynamics are indicated by family members having difficulty differentiating between each other. Situations where family members lack psychological distinctions indicate problems with boundaries.

Step-by-step explanation:

When assessing a family's dynamics, especially in terms of boundary issues, the correct answer to the question provided is option d: 'Family members have difficulty differentiating between each other'. This indicates that the family may lack appropriate boundaries, which are necessary for healthy family functioning. Boundaries in family dynamics refer to the psychological distinctions that allow family members to have separate identities, and manage their own roles and responsibilities. Overly enmeshed relationships can lead to difficulties in autonomy and individual decision-making.

By contrast, options a and b do not necessarily indicate boundary issues; maintaining individual interests can be a sign of healthy boundaries, and sharing information freely may reflect close relationships as long as privacy is respected. Avoiding discussing sensitive topics (option c) might indicate other issues, like communication problems or emotional safety concerns within the family dynamics.