Deck 25: Promoting Family Health

Question 1

A nurse is conducting a family assessment and is focusing, for the moment, on the family members' communication patterns. Which of the following indicate that there are existing or potential problems with family communication?

A) Disagreements are not addressed among members, rather, ignored by the person who does the most talking.
B) All members are participating in the discussion equally, some quite vocally.
C) The verbal communication is congruent with the non-verbal messages.
D) A few of the members just sit and listen.

Answer 1

Disagreements are not addressed among members, rather, ignored by the person who does the most talking.

Question 2

The function of a family is to:

A) provide an environment conducive to growth and health.
B) provide an individual and alternative culture.
C) create conflict with differing values.
D) keep everyone secure.

Answer 2

provide an environment conducive to growth and health.

Question 3

A nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire. The nurse will next assess the family's external support systems. These would include which of the following?

A) Friends.
B) Religious affiliations.
C) Individual members of the family.
D) Health care professionals.

Answer 3

Friends.
Religious affiliations.
Health care professionals.

Question 4

Two nursing students, both single parents, have decided to move into a larger house. Part of their rationale includes providing support for studying and sharing responsibilities of parenting. This is an example of which of the following?

A) Blended family.
B) Foster family.
C) Intra-generational family.
D) Cohabiting family.

Question 5

A nurse is conducting a family assessment as part of the process for services provided through the community. Of the following, which would provide the best information in identifying existing or potential health problems?

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

Question 6

A nurse is conducting a family assessment and asks the following question: "How, as a family, do you deal with disappointments or stressful changes that occur and affect the members of your family?" The nurse is trying to identify ________.

Question 7

The nurse is performing a family risk assessment. Which of the following factors would indicate that this family is at risk of developing health problems?

A) The family lives in a remote town with few health services.
B) The family is an elderly couple who are active in their retirement community.
C) The family is a teenage mother and child. The mother is enrolled in parenting classes at the high school.
D) The family depends on two incomes.

Question 8

Which of the following is the purpose of a family assessment?

A) Determine the level of family functioning.
B) Identify family strengths and weaknesses.
C) Provide legal guidelines for consent to health care.
D) Clarify family interaction patterns.

Question 9

The systems theory provides a framework for family health promotion by:

A) recognising the interrelatedness of boundaries and all people.
B) recognising the connection between membership and relationships within families.
C) recognising the interdependence of the different parts of a whole.
D) looking at the socioeconomic factors and the effect on families.

Question 10

The structural-functional theory provides a framework for family health promotion by:

A) recognising the influence of the outer community on the family.
B) recognising the connection between membership and relationships within families.
C) looking at the socioeconomic factors and the effect on families.
D) evaluating the impact of same-sex marriages.

Question 11

A family struggles with clear communication, and members of the family often seek the help of other systems for personal validation and gratification. What would be an appropriate nursing diagnosis for this family?

A) Knowledge Deficiency (communication patterns) related to dysfunctional patterns of communication.
B) Ineffective Family Coping evidenced by assistance from outside sources.
C) Interrupted Family Processes related to communication patterns.
D) Impaired Verbal Communication related to inability to communicate.

Question 12

A family member is hospitalised with an illness. Which of the following factors will the nurse assess to determine the impact this illness will have on the family?

A) Nature of the illness.
B) Duration of the illness.
C) Cause of the illness.
D) Financial impact of the illness.
E) Effect of the illness on future family functioning.

Question 13

A nurse is working with a particular cultural group in which it is not uncommon 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) Intra-generational family.
B) Blended family.
C) Two-career family.
D) Traditional family.

Question 14

A teenage family member has recently been incapacitated from a motor vehicle accident. His parents are unable to continue managing his care on a 24-hour basis. The nurse:

A) recommends that they admit him to a nursing home.
B) tells them that he should be their priority.
C) identifies acceptable resources available to assist the family.
D) suggests that the extended family may take him off their hands.

Question 15

A father of a family was killed in a motor vehicle accident. Which of the following would the nurse consider a "normal" reaction to this event?

A) The family withdraws into seclusion during the grief process.
B) Family members become detached from the extended family.
C) The family feels that their place in the community has been eliminated.
D) Family disorganisation may occur.

Question 16

A nurse has been working with a family at the community health office and is alert to signs of family violence. Which of the following would the nurse be most concerned about, in this regard?

A) The family does not have a regular general practitioner.
B) The baby always seems to have a cold.
C) One of the teenage daughters is withdrawn and seems to have lots of cuts on her arms.
D) The family's clothes are relatively clean, but the children usually have some kind of dirt stain on their shirt or pants.

Question 17

When assessing a family's wellness, the nurse considers:

A) the maturity level of the members.
B) genetic factors.
C) lifestyle practices.
D) All of the above.

Question 18

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

A) Traditional.
B) Nuclear.
C) Extended.
D) Blended.

Question 19

During a previous family assessment, the nurse realised that the mother did most of the talking and was quick to make decisions, which appeared to be acceptable to the father. When one of their children is hospitalised, the nurse will:

A) make sure that the doctor understands the family dynamics so parental consent comes from the mother.
B) make sure that both parents are involved in all decision making.
C) include both parents in the decision making, but not be surprised if the mother retains control.
D) allow the mother to make the decisions.