Question 1

When completing a family unit assessment, what would the nurse assess?&#10;A) Family household information&#10;B) Complaints of physical problems&#10;C) The implications of individual differences between the family members&#10;D) The implications of family members' knowledge of the disease process&#10;

Accepted Answer

Family household information is a key component of a family unit assessment as it helps the nurse understand the living conditions, dynamics, and resources available to the family.

Question 2

The nurse is working with the client to assess multiple family members' involvement in his disease process. Which questions best fit this assessment?&#10;A) Are you married? How long have you been married?&#10;B) Do you have children? How many children do you have?&#10;C) What do you usually have for dinner? Do you sit down with your family for a meal?&#10;D) What do you do for yourself? What do your family members do for you?&#10;

Accepted Answer

These questions directly assess the involvement of family members in the client's disease process by asking about the support and actions taken by the family.

Question 3

Identification of genetic patterns of inheritance is important not only for individuals and families, but also communities. Some autosomal recessive disorders are more commonly seen among which of the following groups?

A) Persons from different economic classes
B) Certain racial/ethnic groups
C) Certain age groups
D) Certain social networks

Certain racial/ethnic groups

Accepted Answer

Certain racial/ethnic groups may have a higher prevalence of certain autosomal recessive disorders due to genetic variations that are more common within that population. Examples include sickle cell anemia in individuals with African ancestry and Tay-Sachs disease in individuals of Ashkenazi Jewish descent.

Question 4

The nurse is working with a client to identify the factors that cause risks or benefits to health. Which questions best reflect thinking family to help identify factors requiring further teaching?&#10;A) How many cigarettes a day do you smoke? Where do you usually smoke?&#10;B) Do you enjoy taking long walks in the winter? How many times a week do you walk?&#10;C) Do you prefer water aerobics over floor aerobics? How many times a week do you attend aerobics class?&#10;D) How many family members do you have? What do you all do together?&#10;

Accepted Answer

The question about smoking habits (A) directly addresses a known health risk factor, which requires further teaching to mitigate its negative impact on health.

Question 5

What can nurses learn when using geographic information system (GIS) databases?&#10;A) Population trends and how to target population health interventions&#10;B) Education trends and how to target community education&#10;C) Transmission of inherited traits from one generation to another among similar or related organisms&#10;D) Genes that regulate human susceptibility to viruses&#10;

Accepted Answer

Nurses can learn population trends and how to target population health interventions by using GIS databases. This information can assist in identifying areas with high disease prevalence, determining the distribution of health care resources, and prioritizing health interventions.

B, C, and D are not relevant to GIS databases for nurses.

Question 6

What is one way the nurse can maintain a broad-minded perspective when completing a family assessment?&#10;A) By using the Family Functioning Framework.&#10;B) By using the Family Health Model.&#10;C) By using either the Family Functioning Framework or the Family Health Model.&#10;D) Use of a model or framework is not necessary for a broad-minded and comprehensive approach to family assessment.&#10;

Accepted Answer

The answer of What is one way the nurse can...

Question 7

Which of the following would be an intended outcome of the use and maintenance of electronic personal and family health records?&#10;A) Continuity in care&#10;B) Improved family care planning&#10;C) Enhanced public health&#10;D) Identification of health risks based on geographic location&#10;

Accepted Answer

Electronic records are one option to provide some form of an ongoing plan for some chronic conditions that identifies goals, strategies, supports, and outcomes linked with family unit needs and individual conditions, and that could be instrumental in family care planning to improve health outcomes and enhance public health. Identification of health risks based on geographic location is best obtained through geographic information system databases.

Question 8

Which of the following scenarios could result in greater continuity of care because of documentation by electronic health record?&#10;A) A public health screening for hypertension&#10;B) A 12-year-old female with an asthma flare-up during recess at school being seen by the school's nurse&#10;C) Walgreen's nationwide flu shot clinics&#10;D) An 89-year-old male dismissing home from a hospital with home-health care for assistance with dressing changes&#10;E) None of the above

Accepted Answer

All scenarios contain either intergenerational issues or connections between the individual and the family within the community that could be documented and referred to by a wide variety of providers for more effective long term treatment.

Question 9

Which of the following assessment measures would be most beneficial to complete with a 30-year-old female whose family has a history of breast cancer?&#10;A) Ecogram&#10;B) Ecomap&#10;C) Genogram&#10;D) Geographic information system

Accepted Answer

A genogram would be most beneficial in this case, as it is a visual representation of a person's family health history, including any history of breast cancer. It can help identify patterns of inheritance and assess the client's risk for developing breast cancer. The other options (ecogram, ecomap, geographic information system) are not typically used for assessing family health history or genetic risk factors.

Question 10

Coordinated family care relies on ____ that provides an accurate picture of the ____.&#10;A) Collection of information; actual living conditions&#10;B) Cooperation of family members; family dynamics&#10;C) The skill of the nurse; nurse-individual-family relationship&#10;D) Assessment of family functioning; ways family members process information&#10;

Accepted Answer

Coordinated family care relies on the collection of information that provides an accurate picture of the actual living conditions. Without accurate information, it would be difficult to coordinate care for the family. While the other options may also contribute to coordinated family care, they are not as central to the process as accurately collecting information about the family's living conditions.

Question 11

Which of the following are major ways that the family carries out its health-care functions?&#10;A) Family provides preventative health care to its members at home&#10;B) Family provides the major share of sick care to its members&#10;C) Family pays for most health services received&#10;D) Family has primary responsibility for initiating and coordinating health services&#10;E) None of the above

Accepted Answer

The answer of Which of the following are major ways...

Question 12

When is nursing assessment most complete?&#10;A) When insight is gained through an assessment of individual needs before the needs of the family&#10;B) When insight is gained through an assessment of the family needs before the needs of the individual&#10;C) When insight is gained through an assessment of the needs of the individual and family simultaneously&#10;D) When insight is gained through an individual-nurse-family relationship with consideration of the surrounding community&#10;

Accepted Answer

The answer of When is nursing assessment most complete?&#10;A) When...

Question 13

What information does the geographic expansion of family-focused assessment to the community level provide the nurse?&#10;A) Factors supporting health&#10;B) Existing health disparities&#10;C) Family health history&#10;D) Risks to health&#10;E) Historic migration patterns&#10;

Accepted Answer

The answer of What information does the geographic expansion of...

Question 14

Geographic information system (GIS) databases can be used to highlight geo-spatial patterns of concern and resources to nurses providing care to which of the following clients?&#10;A) Acutely ill patients&#10;B) Chronically ill persons being hospitalized due to environmental-related symptoms&#10;C) Families seeking out grocery stores with affordable fresh fruits and vegetables&#10;D) Skilled-care patients in a residential facility&#10;E) Community members involved in community planning of transportation routes&#10;

Accepted Answer

The answer of Geographic information system (GIS) databases can be...

Question 15

Which of the following roles for nurses exist in the genomic era?&#10;A) Individual and family counseling&#10;B) Clinical care and education&#10;C) Advocacy&#10;D) Spiritual care&#10;E) Research&#10;F) Ethics

Accepted Answer

The answer of Which of the following roles for nurses...

Deck 5: Family Assessment