Deck 9: Family Presence in Family-Focused Care

Question 1

The nurse is beginning a shift of caring for a 38-year-old adult female who has just been admitted to the ICU of a hospital after being shot and critically wounded. The nurse is told that the patient's mother is anxiously waiting to see her daughter. Which of the following statements best reflect a nurse's understands of the mother's needs?

A) Tell her she can spend time with her after I am finished.
B) Tell her that her daughter will need to rest after I have made her comfortable.
C) Tell her that her daughter needs time alone to rest.
D) Tell her to come to the room and I will explain how I am caring for her daughter.

Answer 1

Tell her to come to the room and I will explain how I am caring for her daughter.

Question 2

Which of the following statements is most accurate concerning nursing presence? Nursing presence:

A) Is focused on the individual family member with an illness.
B) Begins with a nurse sharing advice with family members.
C) Is being with and being there for individuals and families.
D) Determines the most significant family member with whom to communicate.

Answer 2

Is being with and being there for individuals and families.

Question 3

Which of the following is specifically focused on measuring satisfaction in health-care systems?

A) Center for Medicare and Medicaid Services
B) Institute of Medicine
C) Press-Ganey Company
D) U.S. Health and Human Services

Answer 3

Press-Ganey Company

Question 4

An important family intervention to facilitate family health in the Nursing Intervention Classification system is:

A) Communicating frequently with every family member
B) Promoting family integrity
C) Contacting only the significant others for information
D) Questioning all family members

Question 5

Explain what is meant by this statement: Art is a path of inquiry and a way to generate understanding of the human experience.

Question 6

Nurse presence can assist a nurse to achieve which of the following desired outcomes?

A) Hospital readmission of dependent patients
B) An effective nurse-patient-family relationship
C) Increased participation of family members
D) Decrease in time spent communicating with families

Question 7

Finfgeld-Connet defined presence as an interpersonal process with five characteristics. Three of the five are ____________________, ____________________, and ____________________.

Question 8

Select all that apply. Family members as advocates are:

A) Proactive.
B) Vigilant.
C) Overprotective.
D) Questioning.
E) Powerful.

Question 9

Relate three examples of nursing presence to family presence.

Question 10

Monica is a 55-year-old woman who has recently experienced a colostomy for colon cancer. The nurse enters the room to check routine vital signs and sees tears in the eyes of Monica and her husband. Which of the following statements by the nurse reflect an accurate understanding of family presence.

A) I need to take Monica's vital signs. You (husband) can return when I am done.
B) I'm so pleased you are recovering from your surgery.
C) Has your surgeon talked with you about your future?
D) I will give you some more time to be alone. Let me know if you have questions.

Question 11

Which of the following is the best reason for a nurse to think family when providing care?

A) Less time will be required for effective care.
B) Outcomes important to the patient will likely be achieved.
C) Family satisfaction regarding care will be greater.
D) Nursing satisfaction with practice is more likely.

Question 12

Identify three underlying assumptions of nurse and family presence in family-focused care.

Question 13

Which of the following reflect family presence?
a. Family presence is a foundational family need.
b.Family members may choose not to be with the illfamily members during procedures.
c.Nurses need to have privacy for certain activities with clients.
d.Family presence has the potential to improve health outcomes.

A) a and d
B) b and c
C) a, b and d
D) All of the above

Question 14

Throughout the trajectory of a chronic illness, the family illness experience is filled with ____________________, ____________________, and ____________________.

Question 15

Which of the following does not encourage nursing presence?

A) Thinking family
B) Adequate nurse staffing
C) Time constraints
D) Human connections