Question 1

Which of the following would a nurse consider essential when completing a family health history?&#10;A) Home environment&#10;B) Vocations within the family&#10;C) Three generations of information&#10;D) Educational level of family members

Accepted Answer

Obtaining an accurate family history for three generations is an essential component of a comprehensive health assessment and serves as an inexpensive tool to promote health and prevent illness for the patient and his or her family members. The home environment, vocations within the family, and educational level of family members are of lesser importance when completing the family health history.

Question 2

Which of the following would an advanced practice nurse do to ensure that culturally competent care is provided to a family?&#10;A) Examine personal biases and prejudices&#10;B) Learn basic phrases of the family's primary language&#10;C) Schedule adequate time to interview all family members&#10;D) Provide teaching material in the family's primary language

Accepted Answer

Examining their own biases and prejudices is necessary for advanced practice nurses to provide culturally competent care. It's important to be aware of and sensitive to ethnic and cultural specificities while avoiding stereotypes. Learning basic phrases in the family's primary language, scheduling adequate time to interview all family members, and providing teaching material in the family's primary language are not identified as actions to ensure the provision of culturally competent care.

Question 3

Which of the following would a nurse identify as a barrier when completing a family assessment?&#10;A) Number of family members&#10;B) Lack of viable assessment tools&#10;C) Knowledge level of the nurse&#10;D) Type of illnesses in the family members

Accepted Answer

Nurses describe several barriers when conducting family assessments, including their level of knowledge, skills, and experience, and challenges related to time. The number of family members, assessment tools, and types of illnesses in the family members are not identified as barriers when completing a family assessment.

Question 4

Which of the following is the cornerstone for identifying interventions for a family plan of care?&#10;A) Therapeutic communication skills&#10;B) Cost to implement the interventions&#10;C) Degree of family member compliance&#10;D) Number of times the action needs to be completed

Accepted Answer

Many family nursing interventions are rooted in therapeutic conversations and include strategies to commend family members on their strengths and facilitating exchanges between family members. The cost to implement the interventions, degree of compliance, and frequency of repeating an intervention are not identified as cornerstones when identifying interventions for a family plan of care.

Question 5

Which of the following is a finding for researching studies conducted on family care?&#10;A) Few studies that include men and children&#10;B) Great number of studies that focus on diverse cultures&#10;C) Significant number of studies that focus on same-sex parents&#10;D) Specific interventions for the nurse to implement the &#34;how&#34; of care

Accepted Answer

Limitations to the body of evidence about family care are that the majority of studies focus on females and limited numbers of studies include men and children. Few studies outline best practices when working with families of diverse cultures, and few studies focus on families with same-sex parents. Many studies provide limited information on "how" the nursing role is practiced.

Question 6

Which area in family care needs further research?&#10;A) Chronic illnesses&#10;B) Single-parent families&#10;C) Health and well-being&#10;D) Multigenerational households

Accepted Answer

Further research is needed in the areas of health and well-being. Several studies have been conducted in families with chronic illnesses. There is no evidence to support the need to research single-parent families or multigenerational households.

Question 7

Which of the following is a positive outcome of implementing family-based care?&#10;A) Increased rate of hospitalizations&#10;B) More scheduling of outpatient procedures&#10;C) Improved adherence to immunization schedules&#10;D) Improved healthy lifestyles for all family members

Accepted Answer

Outcomes of family-based programs report an increase in positive healthy lifestyles for all family members. Increased hospitalizations, increased outpatient procedures, and adherence to vaccination schedules have not been identified as positive outcomes of implementing family-based care.

Question 8

Which of the following is a systems issue that prevents the implementation of family-based programs and care?&#10;A) Lack of resources&#10;B) Limited amount of time&#10;C) Limited training in the language&#10;D) Lack of graduate programs that include family nursing theory

Accepted Answer

Systems issues that prevent the implementation of family-based programs and care include the lack of availability of graduate nursing education programs that include family nursing theory. Lack of resources, time, and training in the language are identified as individual nurse barriers to the implementation of family-based programs and care.

Question 9

Which of the following needs to be done to increase the development of more culturally relevant services?&#10;A) Increased training for nursing staff&#10;B) Enhanced screening tools applicable to the population&#10;C) Stakeholder partnerships on evidence-based practice changes&#10;D) Additional resources allocated to the care of a diverse population

Accepted Answer

The need for stakeholders to form partnerships to collaborate on evidence-based practice changes is relevant to implementing family interventions to increase public health awareness on developing more culturally relevant services. Increasing training for nursing staff, enhancing screening tools applicable to the population, and allocating additional resources are not identified as actions to increase the development of more culturally relevant services.

Question 10

What would an advanced practice nurse do to promote the family health of diverse cultures?&#10;A) Request additional resources to be budgeted&#10;B) Spend time in diverse communities to learn the culture&#10;C) Attend continuing education programs on culturally appropriate care&#10;D) Advocate for interprofessional practice through organizations and mentorships

Accepted Answer

The potential for interprofessional practice teams to promote family health of diverse cultures could occur by initiating practices that promote interprofessional practice through advocacy with organizations and mentorship in the field. Requesting additional resources, spending time learning cultures, and attending continuing education programs are not identified as actions to promote the family health of diverse cultures.

Deck 9: Family Health Promotion and Risk Reduction