Question 1

Which of the following would be better understood by the nurse after using a family map?&#10;A)Recognition of the communicator and leader who speaks for the family&#10;B)Description of the genogram or family tree of the family&#10;C)Identification of the geographic location of neighborhood resources for the family&#10;D)Roles and relationships within the family

Accepted Answer

A family map is used to diagram spatial and relationship qualities of a family system and to understand hierarchies and roles,as well as subsystems,their boundaries,and their interactions.

Question 2

After completing an assessment,the nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an incredible organizer.Which of the following goals is the nurse trying to achieve by making this statement?

A)Making the husband proud that he had married his wife
B)Making the wife feel very complimented and positive
C)Encouraging the wife to volunteer to follow through on all the needed actions
D)Reinforcing for the family some of the strengths of one of their family members

Accepted Answer

Although such positive comments may have made everyone feel better,the nurse was also validating the presence of a strength,which made the strength more evident and thereby helped the family perceive one of their strengths.

Question 3

The nurse is caring for a family who is very anxious and tense.Which of the following would be the most appropriate nursing intervention?&#10;A)Being supportive as the family debates what should be done about the problems&#10;B)Calmly discussing the family's perception of their problems and coping mechanisms&#10;C)Sharing with the family the interventions to be made and the goal of the interventions&#10;D)Telling the family what should be done to reduce their anxiety and fearfulness

Accepted Answer

When families are very anxious and tense,the nurse should remain very calm in order to thoughtfully relate to the family.Such an approach is more effective than trying to find a way to fix the family problems.

Question 4

Which of the following factors help families make the most healthful adjustment possible to a family crisis? (Select all that apply.)&#10;A)Appraising the crisis as a challenge that can be met&#10;B)Experiencing an emotional upheaval,including fear,anger,denial,and frustration&#10;C)Having developed effective problem-solving and coping behaviors&#10;D)Having limited prior experience in dealing with a crisis&#10;E)Having resources such as friends or a church available to help&#10;F)Using distancing as a coping mechanism

Accepted Answer

The family type or amount of resiliency,resources (including problem-solving and coping behaviors),and appraisal of the stress lead to adjustment.If the crisis is appraised as a challenge that can be managed,then family members will probably adjust fairly well.

Question 5

After completing an assessment and discussing the plan of care with the family,upon which member would the nurse focus effort?&#10;A)The adult patient with the acute flare-up of chronic illness&#10;B)The child who,being young,was energetic and enthusiastic&#10;C)The extended family,who had to learn to become a resource&#10;D)The spouse,who was flexible and able to cope

Accepted Answer

Change occurs most often when the member of the system who is most flexible and has some power in the family makes a change.Hence,the nurse will target intervention with the members in the system who have the strength and adaptability to carry out the intervention.

Question 6

In the midst of anxiety and concern over the new diagnosis,it seems that every family member was distancing himself or herself from the rest of the family.What mechanism would the nurse recognize that the family members are using?

A)Anger reduction strategies
B)Double-bind communication
C)Circumplex modeling
D)Triangling

Accepted Answer

People often try to maneuver into a distant position in a triangle to escape tension.Triangles are usually dynamic and changing as various family members engage in stressful situations.Although this strategy may be used to reduce anger,it is an example of triangling.Double-bind communication sends two conflicting messages.The Circumplex Model of family systems demonstrates how adaptability and cohesion interact within families.

Question 7

Which of the following actions should a community/public health nurse perform when providing care with the use of a family perspective?&#10;A)Assessing all individuals for necessary services and interventions&#10;B)Engaging in therapy on the basis of theories of communication and symbolic interaction&#10;C)Maximizing the health and well-being of all individuals within a family&#10;D)Suggesting appropriate roles for various family members during a crisis

Accepted Answer

All baccalaureate nursing graduates can conduct basic family assessments and interventions.Family nursing maximizes the health and well-being of all individuals within a family.This approach includes seeing the family as the unit of care and as the context of care.

Question 8

A community/public health nurse is working with a family who is having difficulty with communication.Which of the following behaviors would cause the nurse to be concerned?&#10;A)Family members communicate through behaviors and verbal statements.&#10;B)Family members use rules to regulate behaviors in the family.&#10;C)Family members use double-bind messages.&#10;D)Family members communicate through metacommunication.

Accepted Answer

Communication should be open,honest,direct,and congruent with internal feelings.Metacommunication occurs as messages have both a literal meaning and inform about feelings.All behavior communicates,but double-bind communication,in which two conflicting messages are sent,makes it impossible to respond appropriately because the messages are contradictory.

Question 9

Why would a family strenuously resist the nurse's efforts to be helpful?&#10;A)People have the tendency to want to stay the same.&#10;B)The family as a system operates on the principle of equifinality.&#10;C)The nurse crossed the family's coping boundary.&#10;D)The family system is trying to achieve entropy.

Accepted Answer

As a system,the family will want to stay the same (morphostasis)and will therefore resist change,even when a suggested change would be helpful.

Question 10

Which of the following nursing interventions can be implemented to assist families? (Select all that apply.)&#10;A)Providing anticipatory guidance for growth and development needs&#10;B)Assisting families with coping with illness or loss&#10;C)Explaining the family's situation so that other people may offer assistance&#10;D)Helping families cope with stressors or a crisis&#10;E)Referring families to sources of assistance or support&#10;F)Obtaining funds or supplies for the family in need

Accepted Answer

Nurses assist families dealing with growth and development or coping with illness,loss,or external stressors and often give referrals to families with inadequate resources or support.However,nurses do not share information about a family or directly give funds and supplies to a family.

Question 11

Which of the following actions would be the most appropriate method for the nurse to influence family communication? (Select all that apply.)&#10;A)Emphasizing the importance of listening to professional suggestions&#10;B)Pointing out when a family member communicates inappropriately&#10;C)Role-modeling appropriate communication patterns&#10;D)Stating very clearly and directly what should be done by family members&#10;E)Sharing what the nurse observes about family communication

Accepted Answer

The answer of Which of the following actions would be...

Question 12

When a home health nurse visits a family for the first time,what is the nurse's primary goal?&#10;A)Complete physical examinations on as many family members as time allows.&#10;B)Have the family complete as many assessment tools as time allows.&#10;C)Make sure all records,including third-party payer information,are accurate.&#10;D)Observe and interview the family to identify family strengths and needs.

Accepted Answer

The answer of When a home health nurse visits a...

Question 13

Upon what variable are Duvall's developmental stages based?&#10;A)Age of the oldest child&#10;B)Age of the parent or parents&#10;C)Family function&#10;D)Family structure

Accepted Answer

The answer of Upon what variable are Duvall's developmental stages...

Question 14

Which of the following information will a nurse need to assist a family trying to cope with developmental changes? (Select all that apply.)&#10;A)A list of credentialed family therapists available as resources&#10;B)Ages of the extended family members&#10;C)Examples of apparent success of the family's previous coping strategies&#10;D)Current family strategies to meet demands&#10;E)The family's knowledge of current developmental demands&#10;F)The family's pattern of using professional health care

Accepted Answer

The answer of Which of the following information will a...

Question 15

Which of the following variables makes some families more vulnerable to dysfunction than others in facing a particular crisis?&#10;A)A family member's moving away&#10;B)Addition of a new family member&#10;C)Additional stressful events&#10;D)Previous experience with stressful events

Accepted Answer

The answer of Which of the following variables makes some...

Question 16

What are the two phases that families experience after a major life event?&#10;A)Asking for help and accepting assistance&#10;B)Seeking assistance and relying on the family's own resources&#10;C)Temporary adjustment and long-term adaptation&#10;D)Reduction of stressors and adapting to reduce tensions

Accepted Answer

The answer of What are the two phases that families...

Question 17

A nurse has completed an assessment and diagnosed a family's problems.Which of the following actions should the nurse take next?&#10;A)Determining which problem should be addressed first&#10;B)Emphasizing the family's adaptability,strengths,and resources&#10;C)Sharing conclusions with the nurse's employing agency&#10;D)Writing the diagnoses in the order of their priority

Accepted Answer

The answer of A nurse has completed an assessment and...

Question 18

What are some reasons why community/public health nurses may choose to focus on the family as a unit of care? (Select all that apply.)&#10;A)A family perspective allows for a broader view than an individual perspective.&#10;B)A family perspective results in a better understanding of an individual who needs care.&#10;C)An individual's health depends on his or her family.&#10;D)An individual's ill health will affect the family.&#10;E)The family has always been the unit of focus of nursing care.&#10;F)The family perspective allows for higher reimbursement of nursing care.

Accepted Answer

The answer of What are some reasons why community/public health...

Question 19

According to the ABCX model,with which of the following feelings or behaviors will a typical family react after a crisis occurs?&#10;A)Disorganization,recovery,and then reorganization&#10;B)Grief,anger,denial,and then frustration&#10;C)Loss,confusion,and then seeking answers&#10;D)Shock,denial,and then acceptance

Accepted Answer

The answer of According to the ABCX model,with which of...

Question 20

Which of the following statements would be the most accurate description of symbolic interaction in a family?&#10;A)&#34;Behaviors of one person are the cause of behaviors in another family member.&#34;&#10;B)&#34;Behaviors of one person are the effect of behaviors in another family member.&#34;&#10;C)&#34;Behaviors of one person are both the cause and the effect of behaviors in another family member.&#34;&#10;D)&#34;Behavior within the family is consistent,patterned,and repetitious.&#34;

Accepted Answer

The answer of Which of the following statements would be...

Deck 12: A Family Perspective in Communitypublic Health Nursing