Deck 11: Family-Focused Care With Chronic Illness

Question 1

List three assumptions of Hill's original stress model that relate to family-focused care.

Answer 1

Examples of assumptions:
1. Unplanned and unexpected events can be more stressful than those anticipated.
2. Severity of stress makes a difference.
3. Stressors that are ambiguous are more challenging than ones less ambiguous.
4. Stressors that occur within the family are more stressful than those outside the family.

Question 2

List three examples of how family-focused care differs between chronic illness and acute illness.
Chronic illness care Acute illness care

Answer 2

Examples:
1. Long-term family involvement necessary vs. short-term involvement
2. Necessary to budget for non-insurance covered expenses vs. likely insurance coverage of hospitalization
3. Family routines probably need to change vs. routines being disrupted temporarily
Multiple examples of differences are possible.

Question 3

Chronic diseases are health problems that require ____________________ over a period of ____________________, according to the World Health Organization.

Answer 3

ongoing management; years or decades
ongoing management; years
ongoing management; decades
The World Health Organization defines chronic diseases as health problems that require ongoing management over a period of years or decades.

Question 4

Which of the following is a unique family intervention that will facilitate family-focused care?

A) Communicating with every family member
B) Commending strengths of the family unit
C) Contacting only the significant others for information
D) Interviewing all family members

Question 5

Which of the following are family needs during chronic disease care coordination?

A) Vigilance
B) Knowledge
C) Self-care
D) Counseling
E) None of the above

Question 6

Explain what is meant by this statement: Children with severe chronic conditions have complex care needs with great family demands.

Question 7

Which of the following descriptions of the chronic illness experience is inaccurate?

A) Chronic illness may lead to a decreased life span.
B) Chronic illness modifies functional status.
C) Chronic illness often improves a family's quality of life.
D) Chronic illness makes use of family strengths.

Question 8

Monica is a 55-year-old woman who has suffered from diabetes mellitus for 30 years. The nurse enters the room to check routine vital signs and sees that both Monica and her husband appear upset; they tell the nurse to leave. Which of the following responses by the nurse reflect an accurate understanding of family-focused chronic illness care?

A) I need to take Monica's vital signs. You (husband) can return when I am done.
B) I'm so pleased you understand your disease, Monica.
C) Has your doctor talked with you about your future?
D) I will give you some more time to be alone. Let me know if you have questions.

Question 9

Which of the following statements about family-focused chronic illness case management is accurate?

A) Family-focused chronic illness case management focuses on the individual family member with the chronic illness.
B) Family-focused chronic illness case management begins with a nurse sharing advice with family members.
C) Family-focused chronic illness case management may lead to delayed or prevented complications.
D) Family-focused chronic illness case management determines certain family members with whom to communicate.

Question 10

Which of the following demonstrate family-focused chronic care management?

A) Evidence-based
B) Episodic care
C) Needs of family unit met
D) Preventive

Question 11

Which of the following discourages family-focused chronic illness care?

A) Thinking family
B) Adequate nurse staffing
C) Time constraints
D) Human connections

Question 12

When individuals have more than one chronic condition, it is called ____________________.

Question 13

Family-focused care can assist a nurse to help a family achieve which of the following desired outcomes?

A) Decreased hospitalizations of the chronically ill member
B) Support of family resilience
C) Ambiguous loss
D) Realization of courtesy stigma

Question 14

The nurse is beginning the care of a 38-year-old adult mother of two who has just come to the ER with an acute asthma attack. The nurse is told that the patient's family is anxiously waiting to see him. Which of the following responses by the nurse reflect his understanding of the family's needs?

A) I will go and answer the family's questions as soon as possible.
B) If your mom is hospitalized, what does this mean for your family?
C) Don't worry; your mom will be better soon.
D) I can see you are worried about your mother.

Question 15

Which of the following are needs of family members who have a chronically ill family member?

A) Care coordination
B) Constant supervision
C) Resilience
D) Some normalcy

Question 16

Explain what is meant by this statement: Family nurses can teach ways to plan for on-time and off-time transitions and milestones.