Deck 24: Family Development and Family Nursing Assessment

Question 1

Which of the following has a higher rate of divorce?

A) Caucasians
B) Hispanics
C) Catholics
D) High school degree or less

Answer 1

High school degree or less

Question 2

Nurses face several challenges in meeting the healthcare needs of diverse and changing families. Which of the following statements is true? Nurses:

A) Need to be culturally competent given the immigration statistics
B) Must be vested in family dynamics
C) Realize that two-income parent households are less stressful
D) Must learn how to care for people in their homes

Answer 2

Need to be culturally competent given the immigration statistics

Question 3

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) Nurses must know the demographics of the areas they are servicing.
B) The safety of the public is important.
C) High-risk populations can be identified.
D) Households that contain children need special attention.

Answer 3

High-risk populations can be identified.

Question 4

The Outcome Present-State Testing Model is a dynamic, systematic, clinical reasoning process that emphasizes outcomes of care. There are several steps in the process. The family story step provides:

A) Essential information about individual family members and the family as a whole
B) Meaningful clusters of evidence
C) Present state and desired outcomes
D) Clinical judgment

Question 5

Many barriers exist that affect the practice of family nursing in a community setting. Which of the following is a barrier?

A) The assessment cannot be done unless the extended family is present.
B) The hours of day that services are provided are not times of day when family members can accompany each other.
C) Nurses have limited time to do home visits.
D) Families are often scattered over a large area making access difficult.

Question 6

A nurse makes a home visit 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 how they are related to him or her
B) Ask each nuclear member to identify his or her health needs
C) Tell the client that since the people are not related they are not considered family
D) Accept the client's definition of family

Question 7

Nurses are accountable for participating in the development of legislation and family policy. The Family Leave legislation passed in 1993:

A) Allows a person to resign from his job and retain his health insurance
B) Prevents nurses from discussing family information with colleagues
C) Gives Medicaid to families that cannot afford health insurance
D) Allows a family member to take a defined about of tine off for family events

Question 8

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

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

Question 9

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 10

Developing a child development program for families at risk for child abuse would be:

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion

Question 11

A nurse who looks at family interactions is using which of the following theories?

A) Structural-functional
B) Systems
C) Developmental
D) Interactionist

Question 12

The theory that views the family as a whole with boundaries that are affected by the environment is:

A) Developmental theory
B) Structural-functional theory
C) Role theory
D) Systems theory

Question 13

When talking about the support networks within a family, the nurse refers to which of the following theories?

A) Structural-functional
B) Systems
C) Developmental
D) Interactionist

Question 14

One of the major outcomes in single-mother, single-parent households is:

A) Poverty
B) Role confusion
C) Childcare
D) Increased high school dropout rates

Question 15

The American family is declining because of:

A) Working mothers
B) Divorce
C) Lower fertility
D) Ignoring the needs of children

Question 16

In assessing family structure, it is 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 only appropriate family structure
D) Although there is great variation among family structures, there is little variation within particular family structures

Question 17

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

A) Allows nurses to diagnose disease patterns
B) Brings the family together to do a mutual task
C) Shows family history and patterns of health-related information
D) Provides a visual diagram of the family unit in relation to other subsystems

Question 18

The study of family and household structures and events that alter that structure is called family:

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

Question 19

Which of the following serves as the basic social unit of society, within which health care decisions are made?

A) Individual
B) Family
C) Neighborhood
D) Community

Question 20

Throughout history a number of functions traditionally have been performed by families. Which of the following is correct about family function? Families:

A) Provide financial survival for all members
B) Educate and socialize the young
C) Have all the same characteristics
D) Must be educated together for learning to occur

Question 21

When asking the question, "Where does this family place on the continuum of the family cycle?" the nurse would use which of the following theories?

A) Structural-functional
B) Systems
C) Developmental
D) Interactionist

Question 22

A strategy the nurse would use in the termination component of the nurse-family relationship is:

A) Increasing sessions with the nurse
B) Making referrals when appropriate
C) A formative evaluation meeting to make formal closure
D) Refusing invitations to the family for follow-up

Question 23

Families are viewed as an open social system in which the family's structure and functions and the family's relationship to other social systems are the focus of which of the following family assessment models?

A) Family Assessment Intervention Model
B) Friedman Family Assessment Model
C) Genogram
D) Ecomap

Question 24

A nurse focusing of the effectiveness of communication among members is using which of the following theories?

A) Structural and functional framework
B) Systems approach
C) Developmental theory
D) Interactionist theory

Question 25

Families are subject to the tensions produced when stressors (family problems) penetrate their defense system. The family assessment model that uses this systems approach is called:

A) Family Assessment Intervention Model
B) Friedman Family Assessment Model
C) Genogram
D) Ecomap

Question 26

One of the most dramatic changes in family structure is cohabitation. Which of the following are cited as reasons for cohabitation? Select all that apply.

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

Question 27

Which of the following characteristics is present in the Friedman Family Assessment Model?

A) Useful for viewing families in their communities
B) Measures very specific dimensions of stressors and the family
C) Gives a microscopic view of family health
D) More extensive and specific model

Question 28

A visual diagram of the family unit in relation to other units or subsystems in their community is a:

A) Family Assessment Intervention Model
B) Friedman Family Assessment Model
C) Genogram
D) Ecomap

Question 29

Pertinent family information is displayed in a multigenerational family tree format. This family assessment component is called:

A) Family Assessment Intervention Model
B) Friedman Family Assessment Model
C) Genogram
D) Ecomap

Question 30

The theory that focuses on common tasks of family life and provides a longitudinal view of the family life cycle is:

A) Systems
B) Structural-functional
C) Developmental
D) Interactionist

Question 31

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

A) Choosing the nurse's territory will provide the nurse with power
B) Choosing a less personal setting may be necessary for the family to begin discussion of emotionally charged issues
C) The nurse will feel more comfortable
D) The everyday environment of the family can be assessed

Question 32

Government actions that have a direct or indirect effect on families are called:

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