Deck 26: Working With Families in the Community for Healthy Outcomes

Question 1

A nurse is making an appointment with a family for a nursing visit. Which of the following best describes a barrier that the nurse may experience when trying to schedule this appointment?

A) The assessment cannot be done unless the extended family is present.
B) It may be difficult to find a convenient time for all family members to be present.
C) Nurses have limited time to do home visits.
D) Families are often scattered over a large area, making access difficult.

Answer 1

It may be difficult to find a convenient time for all family members to be present.

Question 2

A public health nurse (PHN) is working with families and communities. Which of the following best illustrates the nursing action that is being implemented?

A) Learning about the core competencies for public health professionals
B) Facilitating a client discharge from an inpatient facility
C) Assessing the structure of a family
D) Assisting clients who are uninsured in finding resources and services

Answer 2

Assisting clients who are uninsured in finding resources and services

Question 3

A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle. Which of the following theories is being applied?

A) Family systems
B) Bioecological systems
C) Family developmental and life cycle
D) Capacity-building model

Answer 3

Family developmental and life cycle

Question 4

A nurse strives to meet the health care needs of diverse and changing families. Which of the following best describes the consideration that should be made by the nurse?

A) Provide culturally competent care.
B) Understand family dynamics.
C) Recognize that two-income parent households are less stressful.
D) Learn how to care for people in their homes.

Question 5

A nurse is demonstrating how a family relates to the other units in the community. Which of the following assessment instruments would be appropriate for the nurse to use?

A) Family intervention
B) Family assessment
C) Genogram
D) Ecomap

Question 6

A nurse displays pertinent family information in a multigenerational family tree format. Which of the following best describes this format?

A) Family intervention
B) Family assessment
C) Genogram
D) Ecomap

Question 7

The nurse chooses to interview a family in the clinic office. Which of the following provides the rationale for this decision?

A) Nurse's territory will provide the nurse with power.
B) More formal setting may allow for better discussion of family issues.
C) Nurse will feel more comfortable.
D) Environment of the family can be assessed.

Question 8

A nurse keeps informed and up to date about demographic trends pertaining to families and all types of households. Which of the following best describes why this is important?

A) To understand the demographics of the areas they are serving
B) To provide safe care to the public
C) To predict the needs of families within the community
D) To identify households where children may need special attention

Question 9

A nurse considers how the environment outside of the family influences the development of a child. Which of the following theories is being used?

A) Bioecological systems
B) Family systems
C) Family developmental and life cycle
D) Capacity-building model

Question 10

A nurse asks, "Where is this family on the continuum of the family cycle?" Which of the following theories is being used?

A) Bioecological systems
B) Family systems
C) Family developmental and life cycle
D) Capacity-building model

Question 11

A nurse is assessing family structure. Which of the following describes what the nurse should recognize?

A) An individual may experience many different family structures over a lifetime.
B) The variations in family structure are becoming less common.
C) The traditional nuclear family is the most common family structure.
D) There is great variation among family structures.

Question 12

A nurse makes a visit to a home where several people live. The client says that several people in her family are not related biologically. What action should the nurse take?

A) Ask the client why they are living in her home.
B) Ask each member to identify his or her health needs.
C) Tell the client that these people are not considered family.
D) Accept the client's definition of family.

Question 13

A nurse recognizes that a barrier that may be experienced when providing family nursing care is health literacy. Which strategy should the nurse implement to reduce the occurrence of this problem?

A) Write down all necessary information for the family.
B) Use multiple colors of ink on written materials.
C) Print in upper- and lowercase letters.
D) Use as many descriptors as possible.

Question 14

The nurse asks, "What has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is being used?

A) The context
B) The client
C) A system
D) A component of society

Question 15

Which statement about divorce rates is correct?

A) The divorce rate is increasing.
B) The divorce rate is decreasing.
C) The divorce rate is difficult to measure due to the increase in cohabitation.
D) The divorce rate has leveled off and remains relatively constant.

Question 16

Which theory views the family with boundaries that are affected by the environment?

A) Family developmental and life cycle theory
B) Bioecological systems theory
C) Microsystems
D) Family systems theory

Question 17

A nurse examines family interactions. Which of the following identifies the theory that is being applied?

A) Bioecological systems
B) Family systems
C) Family developmental and life cycle
D) Capacity-building model

Question 18

Nurses analyze family developmental changes and stressors when studying what aspect of the family?

A) Demographics
B) Functions
C) Structure
D) Nursing

Question 19

A nurse is using the termination component of the nurse-family relationship. Which of the following strategies would the nurse use?

A) Increasing sessions with the nurse
B) Making referrals when appropriate
C) Providing a formative evaluation of the relationship
D) Refusing additional communication with the family

Question 20

The nurse visits a household that consists of an elderly person living with 2 individuals who rent rooms in the house. Which of the following describes this type of household?

A) Single-family household
B) Family household
C) Non-family household
D) Family demographic trend

Question 21

A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions would the nurse take?

A) Resigning from employment, but retaining health insurance
B) Sharing family information with colleagues
C) Providing Medicaid to a family who cannot afford health insurance
D) Taking a defined amount of time off of work for family events without fear of job loss

Question 22

What are the reasons for cohabitation? (Select all that apply.)

A) Cohabitants would marry, but do not for economic reasons.
B) Cohabitants are seeking a more egalitarian relationship.
C) Resources, such as food stamps and budget management, can be shared.
D) Cohabitants are using this as a trial period to assess whether to marry.
E) Resources can be received by multiple individuals.

Question 23

A nurse is constructing a genogram for a family. Which of the following describes its importance?

A) Allows nurses to diagnose disease patterns.
B) Brings the family together to do a mutual task.
C) Shows family history and patterns of health-related information.
D) Provides a visual diagram of the family unit in relation to other subsystems.

Question 24

Government actions that have a direct or indirect effect on families are called what type of policy?

A) Social
B) Family
C) Public
D) Financial