Deck 24: Promoting Family Health

Question 1

The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?

A)The baby always seems to have a cold.
B)One of the children never speaks and seems "on guard" when in the presence of a parent.
C)The family's clothes are relatively clean,but the children usually have some kind of dirt stain on their shirts or pants.
D)The family does not have a regular physician.

Answer 1

One of the children never speaks and seems "on guard" when in the presence of a parent.

Question 2

The nurse is confident that a family is functioning appropriately.What findings did the nurse use to make this determination?
Standard Text: Select all that apply.

A)The teenage son keeps the money he earns from cutting grass for his "car fund."
B)All the children are expected to excel in the sport of their choice.
C)A parent reads the preschool child a bedtime story each night.
D)All the children have household chores once they reach school age.
E)A young adult child moves back home after losing his job.

Answer 2

The teenage son keeps the money he earns from cutting grass for his "car fund."
A parent reads the preschool child a bedtime story each night.
All the children have household chores once they reach school age.
A young adult child moves back home after losing his job.

Question 3

A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?

A)Nuclear
B)Extended
C)Traditional
D)Blended

Answer 3

Extended

Question 4

The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
Standard Text: Select all that apply.

A)Individuals in the family
B)The family's sense of purpose
C)Relationships among family members
D)Strategies to restrict outside influences on the family
E)The approach the family uses to socialize new family members

Question 5

During a family assessment,the nurse asks "How,as a family,do you deal with disappointments or stressful changes that occur and affect the members of your family?" What is the nurse attempting to identify?

A)Family coping mechanisms
B)Whether the family experiences stress
C)Which family members are most stressed
D)Family dynamics

Question 6

A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?

A)Family disorganization may occur.
B)Family members become detached from extended family.
C)The family feels that their place in the community has been eliminated.
D)The family withdraws into seclusion during the grief process.

Question 7

A nurse is conducting a family assessment as part of the process for services provided through the community.Which part of the assessment should provide the nurse with the best information in identifying existing or potential health problems?

A)Ecomap
B)Genogram
C)Cultural assessment
D)Family communication patterns

Question 8

A nurse is conducting a family assessment and is focusing,for the moment,on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?

A)All members are participating in the discussion equally,some quite vocally.
B)The verbal communication is congruent with the nonverbal messages.
C)A few of the members just sit and listen.
D)Disagreements are not addressed among members;rather,they are ignored by the person who does the most talking.

Question 9

Two nursing students,both single parents,have decided to move into a larger house.Part of their rationale includes providing support for studying and sharing the responsibilities of parenting.Which type of living arrangement are these students implementing?

A)Cohabiting family
B)Blended family
C)Foster family
D)Intragenerational family

Question 10

The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
Standard Text: Select all that apply.

A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family

Question 11

The nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire.What should the nurse identify as this family's external support systems?
Standard Text: Select all that apply.

A)Grandparents
B)The parent's siblings
C)Local social services agencies
D)The family's religious leader
E)The family's communication skills

Question 12

The nurse is planning to complete a family assessment.For which reasons is the nurse completing this assessment?
Standard Text: Select all that apply.

A)Determine the level of family functioning.
B)Identify family strengths and weaknesses.
C)Provide legal guidelines for consent to health care.
D)Clarify family interaction patterns.
E)Describe the health status of individual members.

Question 13

During a previous family assessment,the nurse realized that the mother did most of the talking and was quick to make decisions,which appeared to be acceptable to the father.When one of their children is hospitalized,the nurse should

A)make sure that both parents are involved in all decision making.
B)allow the mother to make the decisions.
C)include both parents in the decision making,but be accepting if the mother retains control.
D)make sure that the physician understands the family dynamics so parental consent comes from the mother.

Question 14

A family struggles with clear communication,and members of the family often seek the help of other systems for personal validation and gratification.What should the nurse identify as an appropriate nursing diagnosis for this family?

A)Altered Family Processes related to communication patterns
B)Impaired Verbal Communication related to inability to communicate
C)Ineffective Family Coping evidenced by assistance from outside sources
D)Knowledge Deficiency (communication patterns)related to dysfunctional patterns of communication

Question 15

A nurse is working with a particular cultural group in which it is not uncommon for grandparents to live with their married children and to assist with child-rearing and discipline issues.For which type of family should the nurse plan care for these clients?

A)Two-career family
B)Blended family
C)Intragenerational family
D)Traditional family

Question 16

During a family assessment,the nurse determines that a family functions according to the systems theory.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.

A)Family members work together towards goals.
B)Family members seek out and use community resources.
C)Family members interact with other community systems.
D)Healthy boundaries are used to regulate influence by other systems.
E)Family members are encouraged to hold fast to beliefs and practices.

Question 17

The nurse is performing a family risk assessment.Which factor should the nurse identify that indicates this family is at risk of developing health problems?

A)The family is an elderly couple who are active in their retirement community.
B)The family is a teenage mother and child.The mother is enrolled in parenting classes at the high school.
C)The family belongs to the local synagogue and has family members still living in Germany.
D)The family depends on two incomes with a limit on their health insurance spending.

Question 18

A family member is hospitalized with an illness.What should the nurse assess to determine the impact this illness will have on the family?

A)Nature of the illness
B)Duration of the illness
C)Cause of the illness
D)Financial impact of the illness
E)Effect of the illness on future family functioning