Deck 19: Family Nursing

Question 1

When the nurse views the family as context,the primary focus is on the health and development of an individual member existing within a specific environment (i.e. ,the patient's family).Although the focus is on the individual's health status,the nurse should do which of the following?

A)Assess how much the family provides the patient's basic needs.
B)Assess family patterns versus individual characteristics.
C)Maintain distinctions between "family as patient" and "family as context."
D)Plan care to meet not only the patient's needs but also those of the patient's family.

Answer 1

Assess how much the family provides the patient's basic needs.

Question 2

The nurse is providing discharge teaching for an older woman who will need dressing changes at home.Her husband,who is also an older person,is her only source of care.The husband states that he will not be able to perform the dressing changes.What does the nurse need to arrange for?

A)Home care service referrals.
B)Extra dressing supplies.
C)Cancellation of the discharge.
D)An order for antibiotics.

Answer 2

Home care service referrals.

Question 3

It is essential for family members to realize that a family's beliefs,values,and practices strongly influence the health-promoting behaviours of its members,and to understand which of the following?

A)Canadian families are part of the same culture with the same values and beliefs.
B)Economic status has little effect on a family's ability to access adequate health care.
C)Family environment in early life has a strong influence on later health practices.
D)All families place a high value on good health and health practices.

Answer 3

Family environment in early life has a strong influence on later health practices.

Question 4

A husband brings his children in to visit their mother in the hospital.The nurse asks how the family is getting along at home without their mom around.The husband states,"None of her jobs are getting done,and I don't do those jobs,so the house and the kids are falling apart." The nurse suspects that this family structure is which of the following?

A)Very flexible.
B)Quite rigid.
C)Extremely open.
D)Hardy.

Question 5

Sociocultural and economic changes facing the family in today's Canadian society are increasing challenges to family health.Of the choices below,what are some of these changes? (Select all that apply. )

A)Learning disabilities.
B)Addictions.
C)Family violence.
D)Increase in number of families headed by same-sex couples.
E)Dementia.

Question 6

An 86-year-old diabetic patient who requires daily insulin injections lives with his daughter and her husband.To assess instrumental functioning,what would the nurse ask?

A)"Mr.Casey,how do you think your daughter feels about your refusing to take your insulin?"
B)"What do you feel has aggravated your difficulty in controlling the diabetes?"
C)"Mr.Casey,who is responsible for administering your insulin injections?"
D)"How will you deal with hypoglycemic reactions?"

Question 7

The nurse is caring for an older woman and notices that she is not using her cane properly.Which of the following statements by the nurse would most likely elicit a positive response from the patient?

A)"You're doing that all wrong.Let me show you how to do it."
B)"I don't know who showed you how to use the cane like that,but you're not doing it right.Let me show you again."
C)"You use the cane the way I did before I was shown a way to keep from tripping over it;do you mind if I show you?"
D)"I used to use the cane the same way you are using it: the wrong way.I'll show you the right way to do it."

Question 8

In an assessment for signs of a healthy family,what would the nurse would expect to find?

A)Change is viewed as detrimental to family processes.
B)The response to stressors is passive.
C)The structure is flexible enough to adapt to crises.
D)Minimal influence is exerted on the environment.

Question 9

Mrs.Lily is talking about her recent diagnosis of a chronic condition and how it has affected her emotionally,intellectually,socially,and spiritually.The nurse knows that this is referred to as which of the following?

A)Reflection.
B)Illness narrative.
C)Comprehensive honesty.
D)Complete life review.

Question 10

Although the family as a whole differs from individual members,the measure of family health is more than a summary of the health of all members.Of the following,what areas are unique to family assessment in the Calgary Family Assessment Model (CFAM)? (Select all that apply. )

A)Developmental.
B)Structural.
C)Functional.
D)Family health.
E)Individual health.

Question 11

When focusing on older persons,the nurse must be aware of which of the following?

A)Elder abuse happens only in lower socioeconomic classes.
B)Older persons have the same social networks as do younger people.
C)Caregivers may be spouses or middle-aged children.
D)Caregiver stress is minimal in the care of a parent.

Question 12

What is an example of circular communication patterns between father and child?

A)The father and child are engaged in a game of catch.
B)The father uses rewards to encourage the child to go to bed.
C)The father comforts the crying child.
D)The child disobeys his father.

Question 13

The nurse is interviewing a patient who is being admitted to the hospital.The patient's family went home before the nurse's interview.The nurse asks the patient,"Who decides where to go on vacation?" In asking this,what is the nurse trying to do?

A)Assess the family structure.
B)Assess the family form.
C)Assess the family function.
D)Make a categorical generalization.

Question 14

The nurse is caring for an older patient who apparently has no family.When questioned about his family and his definition of family,the patient states,"I have no family.They're all gone." When asked,"Who prepares your meals?" he states,"I do,or I go out." Given the three different approaches to family nursing practice,which would be most appropriate for this patient?

A)Family as context.
B)Family as patient.
C)Family as system.
D)Combination of "family as context" and "family as patient."

Question 15

When initiating the care of families,what is one factor that helps organize the family approach to the nursing process?

A)The view of all patients as unique individuals.
B)The realization that families have little effect on individuals.
C)The realization that individuals have little effect on families.
D)The realization that individuals have an effect on families.

Question 16

Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.Why does this have major implications in health care?

A)Maternal employment has been demonstrated to be harmful for children.
B)Maternal employment has shifted the majority of household tasks to the male.
C)Fathers now participate more fully in day-to-day parenting responsibilities.
D)The number of single-parent families has decreased since 1970.