Deck 14: Family

Question 1

A client expresses dismay over the spouse trading in a car for a motorcycle after their last child got married.What should the nurse consider is occurring with the spouse?

A) Freedom
B) Self-doubt
C) Death wish
D) Midlife crisis

Answer 1

Midlife crisis

Question 2

A 13-year-old girl is admitted to the adolescent unit with acute leukemia.The patient has a support system that includes her brother,sister,mother,father,and grandmother as well as members of her local community.Which component of her support system is considered a suprasystem?

A) The community
B) The parents
C) Her mother
D) Her sister

Answer 2

The community

Question 3

An older client lives alone and is being discharged after surgery to repair a fractured hip.What should the nurse include when planning this client's discharge?

A) Activity status at home
B) Referral to social services
C) Date and time of follow-up appointment
D) Written prescriptions for pain medication

Answer 3

Referral to social services

Question 4

The nurse plans to construct a genogram for a client.What should the nurse keep in mind when creating this pictorial description of the client's family's health?

A) The client is the focus of the assessment.
B) The focus is on the immediate family members.
C) Treated health problems are not a priority.
D) Three generations of the family are represented.

Question 5

An adult child is concerned that the older parent who lives alone is losing weight.What should the nurse consider to be a cause of this client's weight loss?

A) Retirement
B) Forgetting to eat
C) High-risk behavior
D) Functional changes

Question 6

The spouse of an ill client is pacing the halls and speaks harshly to anyone who enters the room.What should the nurse do to help with the spouse's stress level?

A) Restrict visiting hours for the client.
B) Ask the spouse to walk somewhere else.
C) Encourage the spouse to go home and rest.
D) Remind the spouse that anger only upsets the client.

Question 7

The nurse develops a teaching plan for an older adult patient with Alzheimer disease and her family.Which point should the nurse include in the teaching plan before discharge?

A) Importance of quitting smoking
B) Availability of community resources
C) Adherence to a low-fat diet
D) Importance of physical exercise

Question 8

A client,2 years from retirement,lives with a spouse of the same age and is diagnosed with a terminal illness.Which stage of family development is this couple most likely experiencing?

A) Family launching young adults
B) Postparental family
C) Family with frail elderly
D) Family with teenagers and young adults

Question 9

A client reports being laid off from full-time employment.How might this situation affect the client's health status?

A) It would reduce stress.
B) It would mean a loss of health insurance.
C) It would create time to pursue other activities.
D) It would allow exposure to infectious diseases.

Question 10

The nurse notes that the spouse of a client with a chronic illness is listless and sits quietly while the client is being examined.What should the nurse consider the spouse is experiencing?

A) Boredom
B) Personal illness
C) Caregiver role strain
D) Distraction with personal issues

Question 11

The nurse is completing a family history.What should the nurse include concerning the family's environment?

A) Dietary habits
B) Social supports
C) Amount of nurturing
D) Age of family members

Question 12

The parents of an adolescent are distressed by their child's risk-taking behavior.What should the nurse suggest to the parents?

A) Control less and talk more.
B) Restrict the child from visiting friends.
C) Increase the level and amount of punishment.
D) Follow the child to see what he is doing.

Question 13

Which factor is related to the increased risk of acquiring polio in the United States after the disease was thought to have been eradicated?

A) Lack of health insurance
B) Bioterrorism
C) Reduced compliance with vaccinations
D) Drug resistance

Question 14

A middle-aged couple with no children attend a community health center.Which developmental task is this couple most likely needing to address?

A) Adjusting to aging
B) Planning for retirement
C) Rediscovering marriage
D) Reinforcing ethical and moral values

Question 15

A client is concerned about being ill because young children are at home and older parents need assistance several times a week.Which type of family structure should the nurse identify for this client?

A) Kith
B) Sandwich
C) Traditional
D) Grandparent

Question 16

A 12-year-old patient's mother recently married a man who has a 13-year-old daughter.To which type of family does the client belong?

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

Question 17

Which question helps the nurse to assess family structure?

A) "Where does your family live?"
B) "How are family decisions made?"
C) "With which religious affiliation is your family associated?"
D) "What is your ethnic background?"

Question 18

A client says that no one in the family has a chronic illness because food is viewed as medicine.How should the nurse document this client's statement?

A) Food tastes bad,like medicine.
B) Food is expensive,like medicine.
C) Food is really medicine to prevent obesity.
D) Foods are eaten strategically to maintain health.

Question 19

An older client with a chronic problem is accompanied to the hospital by a best friend who has lived with the client since becoming widowed and the client's children moved out of state.Using the family nursing approach,how can the nurse best intervene?

A) Involve the friend and children in the patient's care,discharge planning,and home care.
B) Encourage the friend to wait until discharge to provide care for the patient at home.
C) Explain to the friend that for confidentiality reasons she cannot be involved in the patient's care.
D) Encourage liberal visiting hours by the friend and the patient's children.

Question 20

The nurse questions the validity of information provided by the mother during an interview.What observation caused the nurse to have this reaction?

A) Oldest son rolling eyes
B) Daughter sitting forward
C) Spouse nodding head yes
D) Youngest son playing with a toy

Question 21

Which family member behavior suggests that a family health problem may exist? Select all that apply.

A) Respect each other's need for privacy
B) Enact decisions made by the most powerful member
C) Do not consider a conflict resolved until everyone agrees
D) Set boundaries between family members
E) Engage in positive communication

Question 22

While completing a health history the nurse becomes concerned that a client is at risk for homelessness.What assessment findings caused the nurse to have this concern? Select all that apply.

A) History of mental illness
B) Lives in an urban area
C) Cares for aging parents
D) Single mother
E) Works two part-time jobs

Question 23

A client informs the nurse of being in an abusive relationship for several years.What long-term health effects is this client at risk for developing? Select all that apply.

A) Suicide
B) Substance abuse
C) Low income potential
D) Low-birth-weight babies
E) Sexually transmitted infections (STIs)

Question 24

Which family function is outlined in the structural-functional family theory? Select all that apply.

A) Meeting the emotional needs of family members
B) Reinforcing ethical and moral values
C) Promoting joint decision making between parents and children
D) Being productive members of society
E) Maintaining support for young adults

Question 25

What should be included in a family assessment? Select all that apply.

A) Coping patterns
B) Health beliefs
C) Medical history
D) Physical exam
E) Family structure