Deck 27: Family Development and Family Nursing Assessment

Question 1

Which nursing action best illustrates how a public health nurse works with families and communities?

A) Learning about the core competencies for public health professionals
B) Facilitating a client discharge from an inpatient facility
C) Assessing the structure of a family
D) Assisting clients who are uninsured in finding resources and services

Answer 1

Assisting clients who are uninsured in finding resources and services

Question 2

A nurse considers how the environment outside of the family influences the development of a child is using which theory?

A) Bioecological systems theory
B) Family systems approach
C) Family developmental theory
D) Interactionist theory

Answer 2

Bioecological systems theory

Question 3

A nurse makes a visit to a home where there are a number of people.The client says that several people are in her family who are not related.The nurse should:

A) Ask the client why they are living in her home.
B) Ask each member to identify his or her health needs.
C) Tell the client that these people are not considered family.
D) Accept the client's definition of family.

Answer 3

Accept the client's definition of family.

Question 4

When asking,"What has changed between you and your spouse since your child's head injury?" the nurse is using the focus of family as:

A) The context
B) The client
C) A system
D) A component of society

Question 5

Which theory is being applied by a nurse who examines family interactions?

A) Structural-functional
B) Family systems
C) Family developmental
D) Interactionist

Question 6

A nurse is making an appointment with a family for a nursing visit.A barrier that may occur when scheduling this appointment is:

A) The assessment cannot be done unless the extended family is present.
B) It may be difficult to find a convenient time for all family members to be present.
C) Nurses have limited time to do home visits.
D) Families are often scattered over a large area making access difficult.

Question 7

The nurse visits a household that consists of an elderly person living with non-relatives.This type of household is classified as a:

A) Single-family household
B) Family household
C) Non-family household
D) Family demographic trend

Question 8

Why is it imperative that the nurse keep informed and up-to-date about demographic trends pertaining to families and all types of households?

A) To understand the demographics of the areas they are serving
B) To provide safe care to the public
C) To predict the needs of families within the community
D) To identify households where children may need special attention

Question 9

Which theory views the family as a whole with boundaries that are affected by the environment?

A) Family developmental theory
B) Structural-functional theory
C) Family role theory
D) Family systems theory

Question 10

When assessing family structure,it is most important for the nurse to recognize that:

A) An individual may experience many different family structures over a lifetime.
B) The variations in family structure are becoming less common.
C) The traditional nuclear family is the most common family structure.
D) There is great variation among family structures.

Question 11

How can a nurse best meet the health care needs of diverse and changing families?

A) By providing culturally competent care
B) By understanding family dynamics
C) By recognizing that two-income parent households are less stressful
D) By learning how to care for people in their homes

Question 12

The nurse chooses to interview a family in the clinic office.A rationale for this decision is the:

A) Nurse's territory will provide the nurse with power
B) More formal setting may allow for better discussion of family issues
C) Nurse will feel more comfortable
D) Environment of the family can be assessed

Question 13

Which strategy would the nurse use during the termination component of the nurse-family relationship?

A) Increasing sessions with the nurse
B) Making referrals when appropriate
C) Providing a formative evaluation of the relationship
D) Refusing additional communication with the family

Question 14

Which assessment instrument would be most appropriate for a nurse when demonstrating how a family relates to the other units in the community?

A) Family intervention
B) Family assessment
C) Genogram
D) Ecomap

Question 15

Which theory is being used when a nurse asks,"Where is this family on the continuum of the family cycle?"

A) Structural-functional
B) Family systems
C) Family developmental
D) Interactionist

Question 16

Nurses analyze family developmental changes and stressors when studying family:

A) Demographics
B) Functions
C) Structure
D) Nursing

Question 17

A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle.Which theory is being applied?

A) Family systems
B) Structural-functional
C) Family developmental
D) Interactionist

Question 18

A nurse recognizes that a barrier that may be experienced when providing family nursing care is health literacy.Which strategy should the nurse implement to reduce the occurrence of this problem?

A) Write down all necessary information for the family.
B) Use multiple colors of ink on written materials.
C) Print in upper- and lowercase letters.
D) Use as many descriptors as possible.

Question 19

A nurse displays pertinent family information in a multigenerational family tree format.This is called a(n):

A) Family intervention
B) Family assessment
C) Genogram
D) Ecomap

Question 20

Which statement about divorce rates is correct?

A) Caucasians have a higher divorce rate than African Americans.
B) Hispanics have a higher divorce rate than Caucasians.
C) Catholics have a higher divorce rate than Protestants.
D) Those with a high school degree or less have a higher divorce rate than those with a college degree.

Question 21

Government actions that have a direct or indirect effect on families are called _____ policy.

A) Social
B) Family
C) Public
D) Financial

Question 22

Why is it important for some families to construct a genogram?

A) It allows nurses to diagnose disease patterns.
B) It brings the family together to do a mutual task.
C) It shows family history and patterns of health-related information.
D) It provides a visual diagram of the family unit in relation to other subsystems.

Question 23

Which are reasons for cohabitation? Select all that apply.

A) Cohabitants would marry but do not for economic reasons.
B) Cohabitants are seeking a more equalitarian relationship.
C) Resources, such as food stamps and budget management, can be shared.
D) Cohabitants are using this as a trial period to assess whether to marry.

Question 24

What action would a nurse take when using the provisions of the Family Medical Leave legislation?

A) Resigning from employment, but retaining health insurance
B) Sharing family information with colleagues
C) Providing Medicaid to a family who cannot afford health insurance
D) Taking a defined time off of work for family events without fear of job loss