Question 1

As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:

Accepted Answer

The ecomap illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities. Option A describes a genogram, Option C describes a different type of questionnaire, and Option D is a general description of a family assessment.

Question 2

The community health nurse is assessing several families for various strengths and needs in regard to afterschool and backup child care arrangements. The family type that typically will benefit most from this assessment and subsequent interventions is the:

Accepted Answer

Single-parent families typically have more challenges with finding affordable and reliable afterschool and backup child care arrangements. Therefore, this family type would benefit the most from the assessment and subsequent interventions by the community health nurse.

Question 3

During assessment of a child's biological family history, it is especially important that the nurse asking the mother for information uses the term "child's father" instead of "your husband" in the situation of a:

Accepted Answer

Using the term "your husband" assumes that the child's father is married to the mother, which may not be the case in a heterosexual cohabitating family. Using the term "child's father" is more inclusive and allows for the possibility of unmarried parents or other family configurations.

Question 4

The nurse is working with a mother of three children on parenting skills. The nurse demonstrates a strategy that uses reward to increase positive behavior. This strategy is called:

Accepted Answer

The strategy of using rewards to increase positive behavior is a type of behavior modification, where desirable behavior is increased through reinforcement. Time-out, experiencing consequences of misbehavior, and reasoning are other discipline strategies, but they do not involve the use of rewards to promote positive behavior.

Question 5

A pediatric clinic serves several children who were adopted. The clinic nurse recognizes that the adopted child who is most likely to blame himself for being "given away" by the biologic parents is the:

Accepted Answer

Children entering kindergarten are at a developmental stage where they begin to understand family dynamics and may internalize feelings of blame or guilt about being adopted.

Question 6

Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:

Accepted Answer

The divorced father from the binuclear family may legally sign emergency medical consent for treatment, assuming he has legal custody or shared legal custody rights. Legal guardianship is not automatically revoked upon divorce, and parents typically retain the right to make medical decisions for their children unless specifically revoked by court order.

Question 7

A seven-year-old client tells you, "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as a(n):

Accepted Answer

An extended family is a family type that includes aunts, uncles, grandparents, and other relatives who live together in a shared household. The statement made by the seven-year-old client implies the presence of grandparents in their household, indicating an extended family.

Question 8

The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and that the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is:

Accepted Answer

The family is experiencing multiple simultaneous stressors, including the child's fractured femur, the father's recent job loss, and the mother's newly accepted temporary job as a waitress. These stressors can significantly affect the family's coping abilities and increase their risk of experiencing compromised family coping.

Question 9

The community health nurse is making an initial visit to a family. The most effective and efficient way for the nurse to assess the parenting style in use is to:

Accepted Answer

The answer of The community health nurse is making an...

Question 10

The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent?

Accepted Answer

The authoritative style of parenting is characterized by high levels of both warmth and control. This style sets clear expectations, while also allowing children to be independent and make their own decisions. Adolescents raised with an authoritative style of parenting tend to be self-reliant and socially competent.

Question 11

While performing a family assessment, the nurse identifies which symptoms associated with dysfunctional family coping strategies? Standard Text: Select all that apply.

Accepted Answer

A dysfunctional coping strategy involves the presence of addiction in the family. Father's acknowledgement of his addiction to alcohol indicates negative coping strategies. In addition, the father dictating decisions for the entire family and the mother being compliant signifies a pattern of lopsided control where one person dominates over the rest of the family members.

Question 12

The camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?

Accepted Answer

Children who have been recently placed in foster care may struggle with a sense of belonging due to the disruption of their previous living situation and relationships. Children who have experienced divorce, remarriage, or adoption may also have some challenges with a sense of belonging, but may have established relationships and a support system to help them through the transition.

Question 13

A nurse is working with the family of a pediatric client. The nurse is planning to obtain an accurate family assessment. The initial step would be to:

Accepted Answer

The initial step in obtaining an accurate family assessment is to establish a trusting relationship with the family. This allows for open communication and the opportunity to gather important information about the family's beliefs, values, and dynamics that may impact the pediatric client's care. Once trust is established, appropriate family assessment tools can be utilized and observations in the home setting can be made. Focusing solely on the mother's concerns may not provide a comprehensive picture of the family's situation.

Question 14

A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The best example of a nursing action in the family-centered care approach would be when the nurse:

Accepted Answer

Family-centered care focuses on meeting the needs of the child and family as a whole. Encouraging parents to stay with and comfort the child during an invasive procedure is an example of family-centered care where the child's needs and family's involvement are considered.

Quiz 2: Family-Centered Care: Theory and Applications