Question 1

A nurse is working with a family who is confronting major challenges to their health.Which of the following approaches would be most helpful for the nurse to use?&#10;A) Allowing the family to be noncompliant&#10;B) Building on the family's strengths and resilience&#10;C) Labeling the family as resistant&#10;D) Recognizing that the family is dysfunctional

Accepted Answer

Families are neither all good nor all bad; families have both strengths and difficulties and have seeds of resilience.Recognizing the family's strengths gives the nurse assets on which to draw in planning care.The labels of dysfunctional,noncompliant,resistant,or unmotivated all denote families who are not functioning well; however,such labels do not create an environment conducive for positive family change and intervention and should not be used.

Question 2

Which of the following statements best explains why family functions and structures create unique challenges in family nursing?&#10;A) Function and structure change over time.&#10;B) Function and structure do not apply to all family units.&#10;C) Some clients do not have families.&#10;D) Traditional families are rare in society.

Accepted Answer

The functions that families serve evolve and change over time.Some become more important and others less so.Family structures also change over time.The great speed with which changes in family structure,values,and relationships are occurring makes working with families at the beginning of the 21st century exciting and challenging.All familiy units have functions (activities and purposes)and structure (organization).These functions and structures many be very different among family members,but they do exist.All clients are part of a family,even if they define their family as only themselves.Nurses should be open-minded and recognize that all families are different and a "traditional" family structure may mean something different to different individuals.

Question 3

Which of the following theories views the family as a whole with boundaries that are affected by the environment?&#10;A) Family developmental&#10;B) Exosystems&#10;C) Bioecological systems&#10;D) Family systems

Accepted Answer

The theory that views the family as a whole with boundaries that are affected by the environment is the family systems theory.In this theory,the emphasis is on the whole rather than on individuals.Families are viewed from both a subsystem and suprasystem approach.The family developmental theory focuses on common tasks of family life and provides a longitudinal view of the family life cycle.The bioecological systems theory describes how environments and systems outside of the family influence the development of a child over time.The definition of exosystems is found within the bioecological systems theory; these are the external environments that have an indirect influence on the family.

Question 4

A nurse has just met a family and is completing their family assessment.Which of the following actions should the nurse take before engaging in self-disclosure?&#10;A) Confirm the reason for the appointment.&#10;B) Demonstrate cultural awareness.&#10;C) Take time to build trust.&#10;D) Understand the family dynamics.

Accepted Answer

The family assessment process is interactive.As the nurse is evaluating the family,the family is evaluating the nurse.Too much disclosure during the early contacts between the family and nurse may scare the family away.The nurse should slow the process down,and take time to build trust.Components of building trust with the family would include confirming the reason for the appointment so that the family knows the nature of the visit and demonstrating cultural awareness during interactions.As the nurse completes the family assessment,the nurse will note the dynamics of the family; understanding the family dynamics is not important before engaging in self-disclosure.

Question 5

Which of the following factors must be considered before deciding on an appropriate plan of action?&#10;A) Family agrees to the nurse's plan.&#10;B) Family is capable of the required actions.&#10;C) Family will learn better coping skills from the nurse's plan.&#10;D) Nurse has informed family how to complete the required actions.

Accepted Answer

Family theorists stress that any intervention plan must be developed in collaboration with the family,using and enhancing family strengths and increasing independence of family members.The family must have the skills and commitment necessary and to complete the developed plan.The plan cannot be the nurse's choice alone.Further,the plan must be within the information and skill level of the family,and the family must be committed to the plan and have adequate resources available to implement the plan.

Question 6

The following people enter the health clinic together: an unmarried man and his year-old son,an unmarried woman with a year-old daughter,and the man's married brother,who is separated from his wife.During the assessment it is determined that both men work and contribute to the household,where all of them live.Which of the following best describes the "family"?

A) The group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated.
B) There are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated.
C) There is no family here, only three adults sharing resources between themselves and two biologically related children.
D) The family includes whoever the adults state are family members.

Accepted Answer

Nurses working with families should ask an adult member to identify all those considered to be family members and then include those members in health care planning.A "family" may range from the traditional nuclear model with extended family to such "postmodern" family structures as single-parent families,stepfamilies,same-gender families,and families consisting of friends.The incorrect answers have the nurse determining who is and who is not part of a family.This is not an appropriate action for the nurse to take,rather the nurse should let the client describe and define his/her family.

Question 7

Which of the following terms refers to government actions that have a direct or indirect effect on families?&#10;A) Family funding&#10;B) Family legislation&#10;C) Family planning&#10;D) Family policy

Accepted Answer

Government actions that have a direct or indirect effect on families are called family policy.The range of social policy decisions that affect families is vast,such as health care access and coverage,low-income housing,Social Security,welfare,food stamps,pension plans,affirmative action,and education.Family planning is only one example of family policy that can have a direct or indirect effect on families.Family funding may occur through programs administered by the government,but these programs are developed from family policy.Family policy is broader than only addressing legislative action.

Question 8

The hospital-based nurse has worked with a client at some length regarding appropriate diet.Based on the family systems theory,which of the following will most likely occur when the client returns home?

A) The family member who prepares food will probably suggest the newly discharged member eat the meals everyone in the family enjoys.
B) The family member who prepares food will probably try to modify family meals without obvious change for the family as a whole.
C) The family member who prepares food will probably prepare meals based on the diet plan for all the family.
D) The family member who prepares food will probably prepare special meals for the newly discharged member.

Accepted Answer

Family systems typically maintain stable patterns,although families do change constantly in response to stresses.Change in one part of the family affects the total system.However,if family members are supportive,they will want to try to help the ill member.Therefore,the member who prepares the meals will probably compromise by trying to meet the ill member's needs without making drastic changes in the overall eating patterns of the family.It is not realistic to expect the whole family to change eating patterns immediately based on the needs of one family member.Because of the rapid change and stress in American society,preparing different sets of meals is not very realistic.If the family member who prepares the meals does not attempt to make some changes,this would not be therapeutic for the family member who is ill.

Question 9

The nurse is told that a healthy,functional family consisting of a 25-year-old man and a 24-year-old woman,who are expecting their first child,would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and their apartment for the baby.Based on that statement,which of the following assumptions can the nurse safely make about the family?

A) The family is lacking a strong support system.
B) The family's basic needs are being met.
C) The couple's in-laws are unavailable to share their expertise about child care.
D) The married couple is excited about their first baby.

Accepted Answer

In functional,healthy,or resilient families,the basic survival needs are met.Healthy families exist based on attachment and affection.There is nothing in the example to suggest that they are married,that their income is low,or that they lack other resources or support systems.

Question 10

A nurse asks a family member,&#34;What has changed between you and your spouse since your child's head injury?&#34; Which of the following focuses of the family is the nurse assessing?&#10;A) The context&#10;B) The client&#10;C) A system&#10;D) A component of society

Accepted Answer

When the focus is on the family as a system,the family is viewed as an interactional system in which the whole is more than the sum of its parts.The approach simultaneously focuses on individual members and the family as a whole at the same time.The interactions between family members are the target for nursing interventions.When family is the the client,the family is placed first,and individuals are second.The family is seen as the sum of individual family members.When the family is seen as a component of society,it is seen as one of many institutions of society,along with health,education,religious,or financial institutions.When family is the context,the individual is placed first and the family second.In the "family as context" concept,the family serves as either a resource or a stressor to individual health and illness.

Question 11

A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle.Which theory is being applied?&#10;A) Family systems&#10;B) Bioecological systems&#10;C) Family developmental&#10;D) Family nursing

Accepted Answer

The answer of A nurse organizes care for a family...

Question 12

A nurse is conducting a family assessment.Which of the following behaviors would the nurse recognize as suggestive of a family with problems?&#10;A) Before eating, the family prayed, expressing gratitude for their blessings.&#10;B) During family play, jokes and laughter were heard.&#10;C) Each person had a private room with a door for alone time.&#10;D) Most of the conversation was between the father and the eldest daughter.

Accepted Answer

The answer of A nurse is conducting a family assessment.Which...

Question 13

In taking a family history,the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child.For which of the following aspects of the family assessment is data being gathered?

A) Dynamics
B) Function
C) Structure
D) System

Accepted Answer

The answer of In taking a family history,the nurse in...

Question 14

A nurse considers how the environment outside of the family influences the development of a child when planning care for a family.Which of the following theories is being used by the nurse?&#10;A) Bioecological systems theory&#10;B) Family systems approach&#10;C) Family developmental theory&#10;D) Family nursing theory

Accepted Answer

The answer of A nurse considers how the environment outside...

Question 15

A nurse is using the provisions of the Family Medical Leave legislation.Which of the following actions is the nurse most likely to take?&#10;A) Resigning from employment, but retaining health insurance&#10;B) Sharing family information with colleagues&#10;C) Providing Medicaid to a family who cannot afford health insurance&#10;D) Taking a defined time off of work for family events without fear of job loss

Accepted Answer

The answer of A nurse is using the provisions of...

Question 16

A new mother is a full-time college student who lives with her parents,because the baby's father has been imprisoned related to theft and drug abuse.The infant's grandmother,although also employed,cares for the child while the young mother attends classes.Which of the following theoretical frameworks would be most helpful to the nurse when assessing this family's needs?

A) Developmental
B) Family nursing
C) Bioecological
D) Systems

Accepted Answer

The answer of A new mother is a full-time college...

Question 17

A nurse is in the termination phase of the nurse-family relationship.Which of the following strategies would the nurse most likely implement?&#10;A) Increasing sessions with the nurse&#10;B) Making referrals when appropriate&#10;C) Providing a formative evaluation of the relationship&#10;D) Refusing additional communication with the family

Accepted Answer

The answer of A nurse is in the termination phase...

Question 18

A nurse is making an appointment with a family for a nursing visit.Which of the following describes a potential barrier the nurse may encounter?&#10;A) The assessment cannot be done unless the extended family is present.&#10;B) It may be difficult to find a convenient time for all family members to be present.&#10;C) Nurses have limited time to do home visits.&#10;D) Families are often scattered over a large area, making access difficult.

Accepted Answer

The answer of A nurse is making an appointment with...

Question 19

A nurse focuses on the care of the individual while viewing the client's family as a background resource or possible stressor.Which of the following conceptualizations of family does this nurse's view represent?

A) Client
B) Component of society
C) Context
D) System

Accepted Answer

The answer of A nurse focuses on the care of...

Question 20

The nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred.The best way to determine the family of a mother and her child is to ask the woman which of the following questions?

A) "How many children do you have, and who is the father of each?"
B) "Is there a register of families who are members of this commune?"
C) "Tell me about your significant other."
D) "Who are the members of your and your child's family?"

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Accepted Answer

The answer of The nurse in community health needs to...

Question 21

A nurse requests to meet a newly referred family in their home.Which of the following best explains the rationale for this request?&#10;A) The nurse can assess the family environment.&#10;B) The family will feel more comfortable.&#10;C) Families typically welcome others into their home.&#10;D) More family members can typically be involved.

Accepted Answer

The answer of A nurse requests to meet a newly...

Question 22

A nurse is completing a tertiary prevention activity in a predominantly poor community,where eating clay (pica)is a common practice.Which of the following actions would the nurse most likely take?&#10;A) Assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients.&#10;B) Initiate early intervention in the school system through education programs designed to focus on healthy food choices.&#10;C) Provide laboratory testing and physical assessments to assess for nutritional deficits resulting from clay intake.&#10;D) Survey families in the community to determine whether they eat clay and how much clay they eat.

Accepted Answer

The answer of A nurse is completing a tertiary prevention...

Question 23

Which of the following must be firmly established before beginning a family assessment?&#10;A) Why the data are needed&#10;B) How best to interview each individual in the family&#10;C) The most convenient time for you to visit the family&#10;D) The rationale or purpose of the visit

Accepted Answer

The answer of Which of the following must be firmly...

Question 24

In comparison with traditional norms,which family functions have become increasingly important in modern American society?&#10;A) Conferring appropriate social status&#10;B) Educating the younger members&#10;C) Ensuring physical and mental health&#10;D) Fostering interpersonal relationships and support

Accepted Answer

The answer of In comparison with traditional norms,which family functions...

Deck 18: Family Development and Family Nursing Assessment