Deck 16: Family Health

Question 1

A nurse is using Friedman's Family Assessment Model to collect data about family structure.What is the nurse assessing?

A) Family values and communication patterns
B) Associations with the community and role structure
C) Coping strategies and recreational activities
D) Family history and geographic mobility

Answer 1

Family values and communication patterns

Question 2

Mr.and Mrs.Johal live with their three children.Also living in the home are Mr.Johal's mother and brother and Mrs.Johal's youngest brother.What type of family is this?

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

Answer 2

Extended family

Question 3

A health nurse is assessing how a family's structure helps to meet its purpose.What theory is the nurse using?

A) Family health theory
B) Family developmental theory
C) Systems theory
D) Structural-functional theory

Answer 3

Structural-functional theory

Question 4

A nurse is providing culturally sensitive care to a family from Albania.What Canadian Community Health Nursing standard is the nurse attempting to meet?

A) Building relationships
B) Promoting health
C) Building capacity
D) Facilitating access and equity

Question 5

The Schimdt family's 13-year-old son recently became a paraplegic.The family uses a social networking site to keep friends and relatives informed.They openly talk about renovations to the house to allow their son wheelchair access.How would the nurse most accurately describe this family?

A) Family in crisis
B) Resilient family
C) Family in denial
D) Stigmatized family

Question 6

A nurse during a family assessment asks the question,"What is the greatest challenge facing your family right now?" What data is the nurse attempting to elicit?

A) Clarify the expectations of the family
B) Identify past difficulties and coping mechanisms
C) Identify stress,roles,values,and beliefs
D) Assess family strengths and resources

Question 7

What is an example of viewing the family as context to the client?

A) Helping a family following the death of child
B) Visiting a new mother and her baby at home
C) Giving care to a family following a motor vehicle accident
D) Visiting a new diabetic at home

Question 8

What is a characteristic of families who are launching children?

A) These often are three-generational families.
B) The children are referred to as baby boomers.
C) Children leave home at an earlier age than previously.
D) The children are more likely to marry.

Question 9

What is a universal characteristic of families?

A) Nurture each other
B) Has structure
C) Has similar values and rules
D) Socializes children

Question 10

What is the best strategy to make a family feel comfortable during the initial visit?

A) Introduce oneself and explain the purpose of the meeting
B) Set the interview at a time that works best for the family
C) Engage in small talk
D) Begin by asking questions that are less personal

Question 11

What is required for a nurse to practise from a family systems nursing perspective?

A) Has a community health nursing certificate
B) Has knowledge of family subsystems
C) Experienced in public health nursing
D) Has extensive knowledge of family dynamics and systems theory

Question 12

What is the primary role of the case manager in community health nursing?

A) Monitor the caseload for the nurses in the health unit
B) Assess and develop a care plan for the family
C) Assess clients and assign them to a nurse
D) Provide quality,cost-effective outcomes for clients

Question 13

An instructor is discussing the definition of a family with students.What example of a family given by a student indicates that more discussion is needed?

A) A senior living with her beloved cat
B) Two women living together
C) A common-law couple
D) A bachelor living alone

Question 14

Nicholas and Jacques are a gay couple who were recently married.They consider themselves to be a family.What is the status of their marriage in Canada?

A) Legal under the Civil Marriage Act
B) Recognized as a common-law couple
C) Illegal but would be recognized in the United States
D) Legal as long as they do not have children

Question 15

A nurse is using the Calgary Family Intervention Model.What would be the most effective family intervention?

A) Learned during the process in which health behaviours are acquired
B) Uses the strengths of individual members and the family as a unit
C) Determined by the nurse based on a family assessment
D) Congruent with the family's beliefs and values

Question 16

A nurse is using the McGill Model in working with a family who has two children with epilepsy.What can the nurse expect of the family during the implementation phase?

A) Comfortable in the supportive environment the nurse has created
B) Passive as they recognize the nurse is the expert
C) Active learners in collaboration with the nurse
D) Partners in deciding with the nurse which areas need to explored in depth

Question 17

What type of family is the most common today?

A) Same-sex couples
B) Blended family
C) Mother,father,and children
D) Couples with no children

Question 18

Which family life cycle developmental stage is connected to the correct developmental task for North American middle-class families?

A) Stage: aging parents
Task: committing to and establishing a new family
B) Stage: childbearing families
Task: adjusting to parenthood and new family members
C) Stage: forming partnerships and/or marriage
Task: adjusting to needs of young adults leaving and/or re-entering family
D) Stage: launching children

Question 19

A nurse has spent one hour interviewing the Petrovic family.What is the best way to terminate the interview?

A) Ask the family if they agree that it is time to terminate
B) Share the assessment of the situation with the family
C) Tell the family that another appointment is needed
D) Commend the family for their participation

Question 20

What term is defined by "a social group whose members share common values and interact with each other over time"?

A) Community
B) Couple
C) Population
D) Family

Question 21

Case 1 Oliver and Mary Smith live in their own home with their biological young children.Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.
(Refer to Case 1 above. )A nurse,during an assessment of the Smith family,asks,"Who do you believe is suffering the most in your family right now?" What data is the nurse attempting to gain?

A) Identify alliances,resources,and conflictual relationships
B) Identify the family member who has the greatest need
C) Assess family strengths and resources
D) Increase collaboration

Question 22

A nurse and the LeBlanc family are meeting to start a family assessment process.The LeBlancs' son,10 years old,has just been diagnosed with severe allergies.Describe three important features of the nurse's comprehensive family assessment.What are two purposes of the assessment process? What are two advantages to the assessment occurring in the LeBlancs' family home?

Question 23

Discuss the findings of the Sword,Krueger,and Watt (2006)study of postpartum home visits and outline the predictors of acceptance of the visit and recommendations for future studies.

Question 24

Case 1 Oliver and Mary Smith live in their own home with their biological young children.Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.
(Refer to Case 1 above. )Considering the family developmental theory,what task is the Smith family working on?

A) Adjusting to changes in the partner relationship.
B) Adjustments to parenthood and new family members
C) Commitment to and establishing a new family
D) Maintenance of supportive relationships with children

Question 25

Discuss three criticisms of case management as it relates to service delivery in community health nursing in Canada.What would improve case management in the future?

Question 26

Which statement is correct about family assessment models?

A) The Developmental Model of Health and Nursing emphasizes health as a process and the nurse as an empowering partner.
B) Family systems theory focuses on the stages and tasks of family structure.
C) The Calgary Family Assessment Model fully describes the multifaceted nature of family relationships.
D) The McGill Model has health as the sole focus of working with a family.

Question 27

Case 1 Oliver and Mary Smith live in their own home with their biological young children.Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.
(Refer to Case 1 above. )What type of family are the Smiths?

A) Extended family
B) Romanticized family
C) Blended family
D) Stigmatized family

Question 28

What is a demographic change of the Canadian family?

A) There has been an increase in married couples with children.
B) Couples with children exceed those without children.
C) Married couples are a majority.
D) One-third of couples in Quebec are now common-law.

Question 29

A nurse is facilitating an assessment of a Sudanese family who has come recently to Canada to work in a large meat-packing plant.The family has been referred to the nurse by the occupational health nurse from the plant as the mother is expecting her fourth child.The family is very unfamiliar with the Canadian health care system.Select four areas from the Friedman Family Assessment Model.Develop an appropriate question for the nurse to ask during the assessment from each of the selected areas.