# Situation: The public health nurse visits a family registered at the Barangay Health Station (BHS). The father, 55, is an office clerk and the mother, 52, is a teacher. Their children are a 23-year-old daughter who leaves next month to work overseas, a 19-year-old son in college, and a 16-year-old daughter in high school. All three children live at home. No member has a current illness. Which developmental task belongs to this family's CURRENT stage in Duvall's framework?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=627133  
> language: ko  
> subject: Nursing Practice I — Community Health Nursing

## 문제

Situation: The public health nurse visits a family registered at the Barangay Health Station (BHS). The father, 55, is an office clerk and the mother, 52, is a teacher. Their children are a 23-year-old daughter who leaves next month to work overseas, a 19-year-old son in college, and a 16-year-old daughter in high school. All three children live at home. No member has a current illness.

Which developmental task belongs to this family's CURRENT stage in Duvall's framework?

## 보기

1. Balancing the teenager's freedom with her duties at home
2. Adjusting to retirement and to the loss of a spouse
3. Releasing young adults and reshaping the couple's roles **✔ 정답**
4. Strengthening the marriage after all children have left

**정답: 3**

## 해설

The family stage is set by the oldest child. With the eldest daughter about to leave home, the family is in the launching stage, which lasts from the first child's departure until the last child leaves. Its task is to release young adults with appropriate independence while the parents adjust their roles; the presence of a 16-year-old does not move the family back to the teenage stage.

## 심화 해설

Family Developmental Stage in Duvall’s Framework

The correct answer is 3. Releasing young adults and reshaping the couple’s roles.

In Duvall’s family developmental framework, the family’s current stage is determined by the oldest child, not by the youngest or by averaging the children’s ages. The eldest daughter is 23 years old and is leaving next month to work overseas. This departure marks the family’s entry into the launching stage, which begins when the first child leaves home and continues until the last child departs. The presence of a 16-year-old daughter still living at home does not pull the family backward into the teenage stage, because the stage is anchored by the first child’s transition out of the household.

The core developmental task of the launching stage is to release young adults with appropriate independence while the parents adjust their own roles and relationship. The parents, ages 55 and 52, are not yet retiring; they are actively working as an office clerk and a teacher. Their task is not to manage a teenager’s freedom, nor to cope with retirement or widowhood. Instead, they must support the eldest daughter’s move toward autonomy—helping her prepare for overseas work, managing the emotional and practical aspects of separation—while simultaneously renegotiating their own roles as a couple who will gradually have fewer children at home.

The other options belong to different stages. Option 1, balancing a teenager’s freedom with duties, is a task of the family with adolescents stage, which occurs before launching. Option 2, adjusting to retirement and loss of a spouse, belongs to the aging family stage, much later in the life cycle. Option 4, strengthening the marriage after all children have left, belongs to the empty nest or middle-aged family stage, which begins only after the last child departs. Since two children remain at home, the family has not yet reached that point.

Key point! In Duvall’s model, the family stage is set by the oldest child’s developmental milestone. A family with one child leaving and others still at home is in the launching stage, not the teenage stage or the empty nest stage.

Watch out! Do not be distracted by the 16-year-old daughter. The question asks for the family’s *current* stage, and the eldest child’s imminent departure defines that stage. The task of releasing young adults applies to the whole family system, even though younger children still require parenting.

The public health nurse visiting this family would assess readiness for the launching transition: the daughter’s preparedness for overseas employment, the parents’ coping with separation, and the family’s communication about changing roles. This aligns with the nursing process focus on family health promotion during a developmental transition, not on disease management, since no member has a current illness.

## 임상 시나리오

Duvall Family Stage: LaunchingStage is set by the oldest child, not the youngest
In Duvall's framework, the family's current stage is determined by the oldest child. The eldest daughter is 23 years old and leaving next month for overseas work, so the family enters the launching stage.

The launching stage begins with the first child's departure and continues until the last child leaves home. The presence of a 16-year-old still at home does not move the family back to the teenage stage.

The core task is to release young adults with appropriate independence while parents reshape their roles as a couple. The parents, ages 55 and 52, remain actively employed and are not yet in the retirement stage.

CautionDo not classify the family by the youngest child. A teenager at home does not override the oldest child's transition; the launching stage continues until the last child departs.

## 핵심 개념

- **Launching stage** — Duvall stage from first child's departure until last child leaves home
- **Duvall's framework** — Family developmental model where stage is determined by the oldest child
- **Developmental task** — Expected family adjustment at each stage of the family life cycle
- **Empty nest stage** — Stage after all children have left home
- **Teenage stage** — Stage focused on balancing adolescent freedom with responsibility

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