Deck 13: Nursing Care of Families

Question 1

When offering a commendation to a family,what should the nurse remember?

A)Compliment the family on their ability to recognize their own problems
B)Comment upon the family's efforts to comply with advice from the health care team
C)Convince the family that they are coping so well that they do not require further assistance
D)Comment upon family strengths observed by the nurse or reported by the family

Answer 1

Comment upon family strengths observed by the nurse or reported by the family

Question 2

In what way can reflective questions be interventive when working with families?

A)They allow private conversations with individual family members about problems.
B)Family members may be convinced to follow up on the nurse's suggestions.
C)They keep data gathering focused and help avoid long narratives by family members.
D)Reflective questions help family members' understanding and problem-solving.

Answer 2

Reflective questions help family members' understanding and problem-solving.

Question 3

Because of the increasing divorce rate in Canada,nurses who use a genogram as part of their family assessments have had to make what adjustment?

A)Include questions about the stress that the divorce created for the children
B)Consider the need for respite care in single-parent families
C)Consider stepparenting and blended family arrangements
D)Only use triadic questions to elicit information for the genogram

Answer 3

Consider stepparenting and blended family arrangements

Question 4

A community health nurse is conducting a family assessment.Which of the following would provide the best information in identifying existing or potential health problems?

A)Ecomap
B)Genogram
C)Cultural assessment
D)Family communication patterns

Question 5

93-year-old Mrs.Hamilton was admitted following a hip fracture,and her son expresses concerns about his responsibility for her care upon discharge.What would be the nurse's best response?

A)"Many people care for aging parents just fine.We have some reading material to help you cope."
B)"Home care,outpatient,and community services all offer support to help with your mother's care."
C)"Changing demographics and increased longevity contribute to this shift in health care practices."
D)"Your mother's physician will be in soon,and you can raise your concerns with her."

Question 6

Which of the following statements is true regarding cultural diversity in Canada?

A)Since 1970,most immigrants coming to Canada have been from European countries.
B)One-third of Canada's Aboriginal population is under the age of 24 years.
C)Half of Canada's Aboriginal peoples live on reserves north and west of Ontario.
D)Canada's foreign-born population is increasing eight times faster than Canadian-born.

Question 7

Henry has been caring for his 89-year-old mother since her discharge from hospital.The home care nurse notes that Henry is showing signs of exhaustion.When should the nurse approach him about the need for respite?

A)After careful exploration of family preferences suggests that respite is warranted
B)When his mother is unwilling to accept an alternate caregiver
C)Only if he mentions that he thinks he needs it
D)If the family has no financial resources available to hire an alternate caregiver

Question 8

A child is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,and stepparents.This client is describing which type of family?

A)Nuclear
B)Mixed generation
C)Traditional
D)Blended

Question 9

For some cultural groups,it is common for grandparents to live with their married children and to assist with child rearing and discipline issues.This is an example of which of the following?

A)Two-career family
B)Blended family
C)Mixed generation family
D)Traditional family

Question 10

What is known about implementing relational nursing practice?

A)Relational nursing practice is usually situated in acute care hospital settings.
B)The focus is always on the concerns and needs of the ill family member.
C)Relational nursing practice takes place in community health,not acute care settings.
D)The focus is on the whole family and not limited to the ill family member.

Question 11

Which nursing group is often affected by compassion fatigue?

A)Overworked palliative care nurses
B)Mental health mobile unit "street health nurses"
C)Nurses working in long-term care
D)Nurses with advanced-aged parents

Question 12

Which of the following is a true fact regarding Canadian demographics (2011)?

A)Canada's immigration rate is double that of the United States.
B)More than one in three Canadians was born in another country.
C)Over 64% of Canadians have origins other than Aboriginal,French,or English.
D)Canada's growth is largely due to advancing technology industries.

Question 13

How can nurses evaluate the effectiveness of their relational practices with families?

A)Seeking feedback from their team leader or nursing manager
B)Reflecting on family satisfaction with medical care provided
C)Asking other nurses for a peer review for feedback on practice skills
D)Inviting family feedback about the family-nurse relationship

Question 14

Family members of Mrs.Yuill,86,are at her bedside for most of the day.From a family nursing perspective what should the nurse expect?

A)Constant family presence is important in the patient's culture.
B)Some of the patient care should be done by family members.
C)Family members will strictly adhere to established visiting policies.
D)Constant family presence may increase their access to information.

Question 15

What stimulated the rise of family nursing?

A)The focus on wellness care instead of illness care
B)Recognition of the psychosocial aspects of health and illness
C)A looming nursing shortage
D)Biomedicine and a focus on cure

Question 16

What would a nurse hope to accomplish by eliciting a family's illness narrative?

A)Encourage family members to vent their feelings about the illness or hospitalization
B)Focus on the family's understanding of symptoms,medications,and treatments
C)Explore the impact of illness on the family,and the impact of the family on the illness
D)Focus on possible treatments and resources available to the family

Question 17

When offering information to family members,what should be the nurse's focus?

A)Physiological aspects of the presenting illness
B)Ensuring they have all available literature regarding community supports
C)Developmental tasks of families confronting similar dilemmas
D)Relevant information that the family thinks would be most helpful

Question 18

Mrs.Rho,69,is recovering at home following a myocardial infarction.The visiting nurse asks,"When your husband shows his concern by insisting that you follow doctors' orders,how do you respond?" What type of questioning technique is this?

A)Difference question
B)Behavioural effect question
C)Triadic question
D)Hypothetical question

Question 19

Mrs.Cunningham,87,has just been admitted to a continuing care facility.At a family meeting,the nurse asks Mrs.Cunningham's children,"Who do you think will be most affected by your mother's admission to this facility?" Which type of reflective question is this?

A)Triadic question
B)Future-oriented question
C)Behavioural effect question
D)Difference question

Question 20

A nurse is caring for Mrs.Ayotte,77,who has heart disease.She has been started on a cardiac diet and a mild exercise regime.Which of the following is an example of a question to elicit an illness narrative?

A)How have these changes in your diet and activity level been for you?
B)Can you describe the onset and duration of your chest pains?
C)Have you had any diagnostic tests for heart disease in the past month?
D)Have you been on a diet for health reasons in the past?

Question 21

Which of the following are current trends in Canadian families?

A)Families are getting larger.
B)Family violence is over-reported.
C)Fewer couples are legally married.
D)Inequality is improving.

Question 22

During the 1990s,what was the dramatic shift that took place in Canadian hospitals?

A)There was a focus on fiscal restraint.
B)Rising acuity lengthened hospital stays.
C)A sharp decline occurred in outpatient services.
D)Government supported much new infrastructure.

Question 23

A family assessment includes the assessment of interaction patterns.Which of the following is an example of interaction patterns?

A)Defining who works outside the home,and who stays home to raise the children
B)The frequency of routine health care,including health-promotion initiatives
C)The size and type of family (nuclear,extended,or alternative)
D)The way the family expresses affection or anger toward each other

Question 24

What is meant by the family unit as the client of care?

A)The individual remains the primary focus and the family is a significant contextual influence.
B)Attention is directed towards the individual and the family simultaneously.
C)Initially,the individual is the focus,then attention shifts to the whole family unit.
D)The family unit as client of care defines what is meant by community health nursing.

Question 25

Most recently,in which area of practice is the significance of family becoming increasingly important?

A)Maternal-child health
B)Mental health
C)Public health
D)Pediatrics

Question 26

What do the symbols on an ecomap diagram depict?

A)Tumultuous relationships within families
B)A family's connections to larger systems
C)The genetic makeup of a family
D)The risk factors in a family

Question 27

What is known about respite care availability in Canada?

A)Respite care is now available in all provinces and territories.
B)Respite care can be provided only in temporary inpatient beds.
C)Allowed time for respite is an hour minimum to two weeks maximum.
D)Family members can provide respite care.

Question 28

Physical health status,coping resources,family structure,and family values are part of what information-gathering tool utilized by nurses?

A)Ecomap
B)Nursing process
C)Family assessment guide
D)Relational stance