Question 1

When considering how to best maintain family integrity, the nurse would best focus on which of the following:&#10;A) Developmental tasks.&#10;B) The family stress response.&#10;C) Patterns of interaction.&#10;D) Family boundaries.&#10;

Accepted Answer

Family boundaries refer to the physical and emotional barriers that exist between family members and their environment. Maintaining and respecting these boundaries is important to ensure family integrity, as it allows family members to feel secure and comfortable within their own space. It also allows for open communication, support, and the development of positive relationships between family members. Therefore, focusing on family boundaries would be the best way for a nurse to maintain family integrity.

Question 2

When using the Calgary Family Assessment Model (CFAM), it is important to know that:&#10;A) The developmental assessment yields the most important information to guide nursing actions.&#10;B) Synthesis of the family development assessment, structural assessment, and functional assessment yields the most information to guide nursing actions.&#10;C) The structural assessment yields the most important information to guide nursing actions.&#10;D) The functional assessment yields the most important information to guide nursing actions.&#10;

Accepted Answer

The CFAM is based on the integration of three different types of assessments: the developmental, structural, and functional assessments. While all three assessments are important, it is the combination of the information gathered from all three that yields the most comprehensive understanding of the family's situation and helps guide nursing actions. Therefore, the best choice is B.

Question 3

Altering a family's perception of the illness event is possible.

Accepted Answer

Altering the family's perception of the illness event through teaching, educating, and interpreting the situation is possible.

Question 4

Family nursing models are an example of:&#10;A) Middle-range theories.&#10;B) Grand theories.&#10;C) Borrowed theories.&#10;D) Social science theories.&#10;

Accepted Answer

Family nursing models are considered middle-range theories, as they focus specifically on the dynamics and interactions within a family unit in the context of healthcare. They are more specific and narrow in scope than grand theories, which are overarching and often abstract concepts related to the nature of nursing and healthcare. Family nursing models are not borrowed from another discipline, but rather are developed within the nursing profession specifically for understanding and addressing the needs of families in healthcare settings. They may draw on social science theories to inform their understanding of family dynamics and behavior, but they are not considered social science theories themselves.

Question 5

A nurse's definition of family health might influence the way the nurse practices with families.

Accepted Answer

A nurse's definition of family health can influence how the nurse assesses families and the nursing actions chosen, thus influencing nursing practice.

Question 6

The goal of care in support of family coping is to:&#10;A) Decrease the stress linked with illness experiences.&#10;B) Provide the family with forms of support that will enhance individual healing and promote the construction of family health.&#10;C) Make certain that the family's perception of the illness event is as accurate as possible.&#10;D) All of the above.&#10;

Accepted Answer

The goal of care in support of family coping is to decrease stress, provide support for healing and promote family health, as well as ensuring that the family's understanding of the illness event is accurate. Therefore, all of the above options are correct.

Question 7

Family health beliefs are:&#10;A) Always the same as the culture from which the family originates.&#10;B) Usually the same as the nurse's health beliefs.&#10;C) Inaccessible to the nurse.&#10;D) Unique to the family.&#10;

Accepted Answer

Family health beliefs are unique to each family and can be influenced by a variety of factors such as culture, religion, upbringing, socioeconomic status, and personal experiences. It is important for nurses to recognize and respect each family's beliefs and practices in order to provide culturally sensitive care. While there may be some similarities between a family's health beliefs and the nurse's own beliefs, it is not safe to assume that they are always the same. It is also possible for a family's beliefs to differ from the culture from which they originate. Additionally, while it may be difficult for a nurse to fully understand or access a family's beliefs, it is important to have open communication and build a trusting relationship in order to better understand and support their health beliefs.

Question 8

Integrating conceptual and theoretical frameworks when working with families is:&#10;A) Confusing, because integration makes it difficult to create evidence-based approaches.&#10;B) Important, because no one conceptual or theoretical framework is sufficient.&#10;C) Not necessary if a middle-range nursing theory is used.&#10;D) Helpful, because the nurse can see the uniqueness of the individual through this lens.&#10;

Accepted Answer

Integrating conceptual and theoretical frameworks is important when working with families because no one conceptual or theoretical framework is sufficient to capture the complexity of family dynamics and interactions. Integrating multiple frameworks allows nurses to better understand the unique needs and experiences of individual families.

Question 9

The nurse who uses the Family Management Style Framework (FMSF) would pay attention primarily to:&#10;A) Whether the family is developing along a normal trajectory.&#10;B) The family's health beliefs.&#10;C) The family's interaction style.&#10;D) Whether the family is thriving, accommodating, enduring, struggling, and floundering.&#10;

Accepted Answer

The FMSF framework focuses on the five family management styles: thriving, accommodating, enduring, struggling, and floundering. The nurse would pay attention to which management style the family is currently using and how they are coping with their situation. This information would provide important insights into the family's strengths and weaknesses, and help the nurse develop a plan of care that is tailored to their specific needs. While the other options may also be considered, they are not the primary focus of the FMSF framework.

Question 10

The professional caregiver who is knowledgeable about instrumental family rituals and routines:&#10;A) Knows that to make any health promoting changes in families, these rituals and routines must be altered.&#10;B) Knows that illness management does not alter rituals and routines.&#10;C) Knows that successful intervention depends upon changing theses rituals and routines.&#10;D) Knows that successful intervention depends upon incorporating new health-care practices into the family's rituals and routines.&#10;

Accepted Answer

Successful intervention often involves incorporating new health-care practices into existing family rituals and routines rather than attempting to change these deeply ingrained patterns. This approach respects the family's culture and values, making it more likely that the health-care practices will be adopted and maintained.

Question 11

The family development realm of assessment within family-focused care addresses family development as:&#10;A) A functional process that is not influenced by contextual systems.&#10;B) Family change and transformation occurring in a pattern over time.&#10;C) A process that has a set end goal.&#10;D) Predictable and accurate.&#10;

Accepted Answer

The answer of The family development realm of assessment within...

Question 12

Use of a family nursing model in practice:&#10;A) Helps to provide a framework for assessment and decision-making.&#10;B) Contributes to other disciplines.&#10;C) Is essential so that nursing can be considered a profession.&#10;D) Is too time-consuming to be used in modern health care.&#10;

Accepted Answer

The answer of Use of a family nursing model in...

Question 13

According to Wright and Leahy, effective family nursing actions are those that:&#10;A) The nurse believes to be in the best interest of the family.&#10;B) Are developed in collaboration with the family experiencing the illness event.&#10;C) Are informed by a family nursing theory.&#10;D) Are interdisciplinary in nature.&#10;

Accepted Answer

The answer of According to Wright and Leahy, effective family...

Question 14

Health-seeking behaviors of the individual are influenced by:&#10;A) The family's health beliefs.&#10;B) The family's identity.&#10;C) The family's values.&#10;D) All of the above.&#10;

Accepted Answer

The answer of Health-seeking behaviors of the individual are influenced...

Question 15

It is not possible to understand and attend to the individual and the family simultaneously in a care situation.

Accepted Answer

The answer of It is not possible to understand and...

Deck 7: Using Family Theory to Guide Nursing Practice