Deck 7: The Nurse and the Family

Question 1

Culture and social class usually set a precedent for different roles and responsibilities of each family member.The healthiest family is one in which the:

A) Father assumes the role as breadwinner.
B) Mother assumes the role as homemaker.
C) Father or mother shares the roles of breadwinner and homemaker.
D) Roles of breadwinner or homemaker can be shifted as needed.

Answer 1

Roles of breadwinner or homemaker can be shifted as needed.

Question 2

The patient,a 36-year-old mother of four children,is crying.She relates to you that her best friend just told her,"You are a good mother and you do everything perfectly,but I don't think you enjoy it." The nurse assesses that the patient has taken the role of:

A) Caretaker
B) Martyr
C) Contributor
D) Harmonizer

Answer 2

Martyr

Question 3

During a family counseling session,the patient,a mother of a 5-year-old son,states,"I don't understand why my husband continually tries to get our son involved in T-ball.My son said the coach and his dad yelled at him and told him the game was lost because he couldn't catch the ball." As a nurse,you know that to maintain a healthy family unit,one of the most important family interactions is to:

A) Maintain open communication among all family members.
B) Encourage self-acceptance and self-esteem for all family members.
C) Encourage all family members to participate in community events.
D) Realize that not all family members may be able to fulfill assigned roles.

Answer 3

Encourage self-acceptance and self-esteem for all family members.

Question 4

The nurse assesses that the patient comes from an extended family because it has:

A) Multiple wage earners
B) Three generations living together
C) Children from previous marriages
D) Parents of different ethnic origins

Question 5

According to the latest Census Bureau report,most families in the United States are:

A) Nontraditional
B) Blended
C) Multigenerational
D) Traditional

Question 6

The patient who is recovering from a mastectomy relates that she no longer feels like a woman.The best response by the nurse would be:

A) "I am sure you will feel differently once you have your prosthetic bra."
B) "Have you told your husband how you feel?"
C) "I will bring you a catalog that carries built-in prosthetic bras."
D) "Would you like me to arrange a visit from 'Reach for Recovery?'"

Question 7

The nurse is designing a home care plan for a child with a congenital disease and is assessing the family values regarding home care.The nurse will use as her best source:

A) Current literature on congenital deformities
B) General knowledge of the culture
C) Patient's family
D) Written survey

Question 8

The nurse reminds the patient that functional patterns of communication in the family setting provide a means of:

A) Nurturing
B) Information
C) Closeness
D) Openness

Question 9

The nurse clarifies that the main role of the nurse when assessing families and their coping strategies is:

A) Emotional support and reassurance
B) Information and reassurance
C) Emotional support and referral
D) Elimination of the stressor

Question 10

The nurse explains that children assume roles in family interaction based on:

A) Obligation
B) Instinct
C) Observation
D) Rewards

Question 11

The patient confides that her husband shares only the incidental happenings of his day at work as he reads the paper,and he never tells her that he loves her anymore.She is beginning to wonder if their marriage is getting stale.The nurse recognizes this communication pattern as:

A) Affective
B) Affectional
C) Functional
D) Dysfunctional

Question 12

The patient who was recently diagnosed with cancer tells the nurse that she is so grateful for her children and family because she does not know what she would do without them.Your patient is exhibiting which one of the following coping responses?

A) Internal family
B) External family
C) Family communication
D) Social support

Question 13

The patient states that her 5-year-old is always running up to relatives and friends and wants to give them a big hug and kiss.The patient asks if her daughter is appropriate in her actions.Based on the concepts of functional communication,the most appropriate reply would be:

A) "Your daughter's actions are definitely dysfunctional."
B) "Your daughter is just being a 'little girl' and will outgrow being so affectionate."
C) "Your daughter is going through a normal developmental phase."
D) "Does your mother-in-law show signs of affection toward your daughter?"

Question 14

For the past three evenings,shortly after their arrival in the hospital unit,the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital.The patient begins to cry and complains about her abdominal pain.The nurse assesses that the patient is assuming the role of:

A) Caretaker
B) Martyr
C) Blocker
D) Scapegoat

Question 15

The family is an important unit in society primarily because it:

A) Offers unconditional love and acceptance.
B) Provides emotional support and security.
C) Is essential to life and society.
D) Promotes cultural values and attitudes.

Question 16

The nurse counsels a family that during the stage of families with adolescents,one of the developmental tasks is to:

A) Maintain relationships with the extended family.
B) Develop parental roles to meet the needs of children.
C) Maintain a satisfying marital relationship.
D) Communicate openly between parent and children.

Question 17

Children of racial minorities are more likely to live in a family that is:

A) Blended
B) Extended
C) Traditional
D) Nontraditional

Question 18

The nurse counsels a patient that the manner in which a family unit adapts to stress can affect the family's:

A) Ability to communicate and function
B) Health and function
C) Level of affective communication
D) Ability to adapt and function

Question 19

When discussing the communication patterns of families with the patient,the nurse must consider the:

A) Cultural aspects of the family
B) Age of the family members
C) Role adopted by each family member
D) Number of members in the family

Question 20

The nurse is aware that families in later life must master the significant developmental task of:

A) Becoming role models for their grandchildren
B) Making a significant contribution to society
C) Abandoning the parental role to grown children
D) Maintaining a satisfactory living arrangement

Question 21

When assessing the coping measures of families under stress,the first priority of the nurse should be to:

A) Determine the type of coping mechanisms used by the family in the past.
B) Consider the relationship of the family members.
C) Relieve the anxiety and fear of the family members.
D) Determine what stressors the family is currently experiencing.

Question 22

The nurse reminds the patient that communication in the family unit involves continual exchange of information and includes:

A) Determining the intent of the communication being sent
B) Determining whether the communication is functional or dysfunctional
C) Accepting individual differences
D) Excluding emotional responses

Question 23

The current view of the family as a unit would generally best be described as:

A) Functioning together to provide security and support to its members
B) Functioning to meet the needs of society and support its members
C) A unit of two or more that shares common goals and mutual support
D) A unit of two or more joined together by mutual bonds and identity

Question 24

The nurse congratulates the patient for successfully coping with a family crisis.The state of having used coping strategies effectively is classified as ____________________.

Question 25

The nurse makes a patient referral to community resource,knowing that such a resource can:

A) Provide helpful literature.
B) Offer ongoing and consistent assistance.
C) Reassure the family members that they are not alone.
D) Offer a variety of free services.
E) Organize a support group.

Question 26

The patient states that her mother has just been diagnosed with Alzheimer disease and that she is devastated and does not know what to do.The nurse suggests that she attend a support group meeting where she can discuss her concerns with others.The patient says that she will call and attend a meeting.The nurse assesses the coping strategy the patient is using as:

A) Internal family coping by sharing feelings
B) External family coping by seeking information
C) External family coping by seeking social support
D) Internal family coping to maintain a cohesive family unit

Question 27

When the nurse is assessing for functional communication styles in a family,the nurse will be looking for evidence of:

A) Openness
B) Subtlety
C) Chitchat
D) Spontaneity
E) Self-disclosure

Question 28

As the nurse is preparing the patient for a colonoscopy,the patient states that she is nervous about the procedure but knows it will help her physician diagnose her problem.The nurse assesses that this patient is using the coping strategy of:

A) Internal family coping by interpreting events in a positive manner
B) Internal family coping by relieving anxiety and tension with humor
C) External family coping by seeking social support
D) External family coping by depersonalizing the procedure

Question 29

The nurse includes the family in patient care to maintain the family's ____________________.