Deck 38: Families and Their Relationships

Question 1

When providing care to an older adult client living with the son and daughter-in-law, the nurse assesses the client and family. This is an aspect of:

A) client-centered nursing interventions.
B) outcome criteria for care.
C) family-centered care.
D) age-related nursing care.

Answer 1

family-centered care.

Question 2

Because of high divorce rates and separations in recent years, there has been a significant increase in the family structure termed:

A) single parent.
B) communal.
C) extended.
D) foster child.

Answer 2

single parent.

Question 3

When a client tells the nurse about being divorced and remarried with one child from the first marriage, the nurse documents the client's family structure as:

A) extended.
B) blended.
C) cohabitating.
D) divided.

Answer 3

blended.

Question 4

Which term describes a support function of the family structure?

A) Providing formal education
B) Ensuring economic stability
C) Providing safety and security
D) Facilitating reproduction and unity

Question 5

A nurse working in a day care setting understands that a common issue with toddlers is:

A) neglect.
B) separation anxiety.
C) depression.
D) sibling rivalry.

Question 6

The nurse is working on the oncology division at a local hospital. An older adult client has just passed away. The client was very close to the grandchildren. To address care of the family, the nurse should:

A) assist with funeral arrangements at the mortuary.
B) assure preschoolers it is not their fault.
C) tell toddlers their grandparent died and is not coming back.
D) only allow immediate family with the deceased.

Question 7

An adolescent client does not physically develop as quickly as same-gender peers. This can impair the client's:

A) future development.
B) physically.
C) hygiene.
D) psychosocial development.

Question 8

A couple with two children are also caring for an aging parent who has become physically impaired. The couple may experience:

A) frustration.
B) a substance use disorder.
C) illness.
D) economic stability.

Question 9

Research has shown that children of employed mothers are able to develop well and have their needs met as long as:

A) the parent has sufficient income.
B) parent is comfortable with child care.
C) the parent is well educated.
D) no crisis occurs in the family.

Question 10

When a member of the family is diagnosed with malignant cancer, the family functioning may be affected primarily by the:

A) impact stress from the illness.
B) absence of role models.
C) family strengths.
D) maintenance of roles.

Question 11

Using an interactional approach, the nurse focuses the assessment of a family on the family's:

A) cultural practices.
B) developmental stages.
C) communication patterns.
D) potential sources of stress.

Question 12

The spouse of a terminally ill client states, "I cannot do this anymore. It is so hard to go to work every day and leave my spouse. I know my spouse is dying and we have such limited time, but my company will not give me any more time off." The most appropriate nursing diagnosis is:

A) caregiver role strain related to difficulty with specific caregiving activities as evidenced by situational factors with other responsibilities.
B) ineffective family coping related to terminal illness and impending death.
C) ineffective family coping related to cancer as evidenced by statements of anxiety.
D) altered family processes related to age of caregiver and employment responsibilities.

Question 13

During a home visit in the postpartum period, the nurse notes the client is having difficulty with breast-feeding. The nurse should refer the client to:

A) a nurse practitioner.
B) La Leche League International.
C) parent effectiveness training.
D) nurses for newborns.

Question 14

A child notes living with the parents, sister, and grandparent. The nurse would document this as what type of family?

A) Extended
B) Cohabitating
C) Nuclear
D) Blended

Question 15

A client states just moved in with the significant other. The couple is going to try living together prior to getting married. The nurse would document this as what type of family?

A) Blended
B) Cohabitating
C) Extended
D) Nuclear

Question 16

A nursing instructor has been discussing child abuse with a group of students. Which statement by a student indicates a need for further education?

A) "Factors that contribute to abuse in families include unemployment, substance use disorder, and chronic illness."
B) "Many abused children grow up and abuse their own children."
C) "Changing abusive patterns is easy once they are detected."
D) "Abuse can happen in any socioeconomic status."

Question 17

The nurse is concerned that a child may have been neglected or abused at home. Which assessment finding would not support this concern?

A) Diagnosis of "Failure to Thrive"
B) A strong attachment to the parental figure
C) Multiple bruises to the child's back
D) Underweight for age and height

Question 18

The nurse is caring for a client who suffers from alcohol use disorder. The client's child states, "I do not understand why my mother keeps buying beer for my dad. She will not admit that he is an alcoholic." What is the best response by the nurse?

A) "Your father would still access alcohol even if your mother did not buy his beer."
B) "In her own way, your mother is trying to keep your family functioning."
C) "Your father is an enabler and it likely influences your mother's behavior."
D) "If your mother stopped buying beer for your father he would most likely stop drinking."

Question 19

The nurse is preparing to do an altered family function risk assessment on a client. Which question should the nurse ask first?

A) "What are the potential sources of stress in your family?"
B) "Are you able to cope with family health problems?"
C) "Tell me about your family's eating habits?"
D) "What is the general sleep pattern in your family?"

Question 20

The hospice nurse has completed a family function assessment on a client who is dying. Which behavioral sign would suggest family dysfunction?

A) The client states, "I cannot live like this anymore."
B) The client's mother is laughing 1 minute and crying the next.
C) The client's daughter states, "I have not slept in 3 days."
D) The client makes good eye contact during the assessment.

Question 21

A client states, "I cannot go to therapy every day. I cannot miss that much work. They will fire me and then how will I provide for my family?" Which is the most appropriate nursing diagnosis?

A) Ineffective Role Performance
B) Caregiver Role Strain
C) Denial
D) Interrupted Family Process

Question 22

The nurse is providing assistance to a family experiencing altered family function. Which intervention should the nurse utilize? Select all that apply.

A) Assist the family to clarify the conflict.
B) Correct misconceptions.
C) Focus on facts, not feelings.
D) Stress effective communication practices.
E) Provide concrete feedback.

Question 23

The nurse has just finished a lecture on family function. Which statement by a group member indicates a need for further education?

A) "Previous life experiences can affect the way a family functions."
B) "Chronic illness does not affect the way a family functions; only acute illnesses do."
C) "A family's culture may affect the way a family functions."
D) "A change in a person's lifestyle may affect the way their family functions."

Question 24

An advanced practice nurse is working with several families. Which family exhibits the highest risk of conflict?

A) A family in which a parent has recently begun a new job.
B) A family in which a parent's parents have just moved into the family's house.
C) A family whose youngest child has just moved out the home.
D) A married couple who have just become pregnant after several months of trying to conceive.

Question 25

After completing a family function assessment on a client who is dying, which finding would lead the nurse to suspect family dysfunction?

A) The client states, "I cannot live like this anymore."
B) The client talks with close friends on the phone.
C) The client's adult child states, "I have been sleeping okay."
D) The client is unable to make eye contact during the assessment.

Question 26

A nurse is teaching a class about family development to a community group of young adults with infants and toddlers. The nurse can best foster family development by:

A) encouraging child-parent bonding.
B) explaining the importance of timely immunizations.
C) promoting the development of creativity
D) teaching participants how to safely and effectively discipline their children.

Question 27

When working with the parents of school-age children about ways to foster development of the child and family, which would the nurse address?

A) Need for understanding about good luck rituals
B) Importance of peer group identity
C) Possible difficulties with role confusion
D) Significance of allowing the child to be creative

Question 28

A nurse is making a home visit to a couple with three children who are caring for a chronically ill aging parent who has become physically impaired. Which statement by the couple would the nurse interpret as potentially affecting family function?

A) "My dad is very set in his ways and likes things done just so."
B) "Our children enjoy having their grandfather here with them."
C) "We have someone come in weekly so the five of us can do something together."
D) "He's taken care of us before, so now it's our turn."

Question 29

A nurse is completing a family assessment to determine factors that might affect the family's function and their relationships. When looking at the family and their interactions with the community, the nurse would need to keep in mind that community members share which aspect? Select all that apply.

A) Geographic boundaries
B) Common interests
C) Values
D) Economic status
E) Skin color