Deck 3: Medical-Surgical Patients: Individuals, Families, and Communities

Question 1

What is the basis for the roles children assume in families?

A) Obligation
B) Instinct
C) Observation
D) Rewards

Answer 1

Rewards

Question 2

What should be included in a patient's care plan in consideration of cultural similarities?

A) Family, educational background, and economic level should all be considered.
B) Subtle communication involving languages should be considered.
C) Families have strong patriarchal leaders.
D) Culture is learned, shared, and expressed similarly among members.

Answer 2

Culture is learned, shared, and expressed similarly among members.

Question 3

What does the manner in which a family unit adapts to stress affect?

A) Ability to communicate and function
B) Health and function
C) Level of affective communication
D) Ability to adapt and function

Answer 3

Health and function

Question 4

A patient confides that her husband shares only the incidental happenings of his day at work as he reads the paper, and he never tells her that he loves her anymore.She is beginning to wonder if their marriage is getting stale.What communication pattern should the nurse recognize?

A) Affective
B) Affectional
C) Functional
D) Dysfunctional

Question 5

Culture and social class usually set a precedent for different roles and responsibilities of each family member.Which example best demonstrates the healthiest family?

A) The father assumes the role as breadwinner.
B) The mother assumes the role as homemaker.
C) The father or mother shares the roles of breadwinner and homemaker.
D) The roles of breadwinner or homemaker can be shifted as needed.

Question 6

For the past three evenings, shortly after their arrival in the hospital unit, the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital.The patient begins to cry and complains about her abdominal pain.What role is the patient assuming?

A) Caretaker
B) Martyr
C) Blocker
D) Scapegoat

Question 7

What is the main role of the nurse when assessing families and their coping strategies?

A) Emotional support and reassurance
B) Information and reassurance
C) Emotional support and referral
D) Elimination of the stressor

Question 8

For what should functional patterns of communication in the family setting provide a means?

A) Nurturing
B) Information
C) Closeness
D) Openness

Question 9

A patient who was recently diagnosed with cancer tells the nurse that she is so grateful for her children and family because she does not know what she would do without them.Which coping response is being exhibited?

A) Internal family
B) External family
C) Family communication
D) Social support

Question 10

A nurse counsels a family regarding the stage of families with adolescents.Which developmental task is appropriate for the nurse to include?

A) Maintaining relationships with the extended family
B) Developing parental roles to meet the needs of children
C) Maintaining a satisfying marital relationship
D) Maintaining open communication between parent and children

Question 11

What should a nurse assess when a patient comes from an extended family?

A) Multiple wage earners
B) Three generations living together
C) Children from previous marriages
D) Parents of different ethnic origins

Question 12

During a family counseling session, a patient, a mother of a 5-year-old son, states, "I don't understand why my husband continually tries to get our son involved in T-ball.My son said the coach and his dad yelled at him and told him the game was lost because he couldn't catch the ball." What is the most important family interaction to maintain a healthy family unit?

A) Maintain open communication among all family members.
B) Encourage self-acceptance and self-esteem for all family members.
C) Encourage all family members to participate in community events.
D) Realize that not all family members may be able to fulfill assigned roles.

Question 13

What should a nurse consider when discussing the communication patterns of families with the patient?

A) Cultural aspects of the family
B) Age of the family members
C) Role adopted by each family member
D) Number of members in the family

Question 14

Which developmental task should families master in later life?

A) Becoming role models for their grandchildren
B) Making a significant contribution to society
C) Abandoning the parental role to grown children
D) Maintaining a satisfactory living arrangement

Question 15

What is the basis for the health-illness continuum?

A) Prevention of acute illness
B) Individual response to health or illness
C) Promotion of health and wellness
D) Variation in degree of health or illness

Question 16

A patient states that her 5-year-old daughter is always running up to relatives and friends and wants to give them a big hug and kiss.The patient asks if her daughter is appropriate in her actions.What is the most appropriate reply based on the concepts of functional communication?

A) "Your daughter's actions are definitely dysfunctional."
B) "Your daughter is just being a 'little girl' and will outgrow being so affectionate."
C) "Your daughter is going through a normal developmental phase."
D) "Does your mother-in-law show signs of affection toward your daughter?"

Question 17

A patient, a 36-year-old mother of four children, is crying.She relates to you that her best friend just told her, "You are a good mother and you do everything perfectly, but I don't think you enjoy it." What role is the patient assuming?

A) Caretaker
B) Martyr
C) Contributor
D) Harmonizer

Question 18

What is the current concern of the health care system?

A) Treating illness
B) Preventing illness
C) Promoting optimal function in the chronically ill
D) Caring for patients with acute and chronic illness

Question 19

A nurse is designing a home care plan for a child with a congenital disease and is assessing the family values regarding home care.What is the best resource for the nurse to use?

A) Current literature on congenital deformities
B) General knowledge of the culture
C) Patient's family
D) Written survey

Question 20

What is the primary reason that family is an important unit in society?

A) Offers unconditional love and acceptance.
B) Provides emotional support and security.
C) Is essential to life and society.
D) Promotes cultural values and attitudes.

Question 21

A nurse reminds a patient that communication in the family unit involves continual exchange of information.Which is the best example of this concept?

A) Determining the intent of the communication being sent
B) Determining whether the communication is functional or dysfunctional
C) Accepting individual differences
D) Excluding emotional responses

Question 22

What is the basis for the health-illness continuum?

A) Prevention of acute illness
B) Individual response to health or illness
C) Promotion of health and wellness
D) Variation in degree of health or illness

Question 23

A nurse congratulates a patient for successfully coping with a family crisis.The state of having used coping strategies effectively is classified as ______.

Question 24

The process in which children mature and take on the values of their families and their society is called ______.

Question 25

Which behavior is not characteristic of a young adult's developmental task?

A) Living in his or her own apartment
B) Accepting a place on the board of a community agency
C) Interacting with a large group of friends
D) Dating many different young women

Question 26

What should a nurse take into consideration regarding developmental tasks when planning patient care?

A) All of the activities performed throughout life.
B) Activities learned primarily in the middle years of life.
C) Things to be learned and accomplished in each stage of life.
D) All actions taken when confronted with specific problems.

Question 27

A nurse makes a patient referral to a community resource.What benefit(s)will this referral provide? (Select all that apply.)

A) Provision of helpful literature
B) Ongoing and consistent assistance
C) Reassurance to the family members that they are not alone
D) A variety of free services
E) Organization of a support group

Question 28

The nurse includes the family in patient care to maintain the family's ______.

Question 29

What is included in the functional communication styles in a family? (Select all that apply.)

A) Openness
B) Subtlety
C) Chitchat
D) Spontaneity
E) Self-disclosure

Question 30

What is the best description of the current view of the family as a unit?

A) Functioning together to provide security and support to its members
B) Functioning to meet the needs of society and support its members
C) A unit of two or more that shares common goals and mutual support
D) A unit of two or more joined together by mutual bonds and identity