Question 1

The nurse educator knows that the nursing student has grasped the concept of self-evaluation when the nursing student makes which statement?

Accepted Answer

Self-evaluation is important for the nurse's growth and effectiveness as a community health nurse. Self-evaluation is referring to the nurse's growth and not the family's. Sometimes, we cannot see our own strengths or flaws, and evaluations by others are helpful.

Question 2

The community health nurse is completing an initial home visit for a family and will need to include a visual that depicts the dynamic family-environment interactions. Which diagram would the nurse use to depict this information?

Accepted Answer

The eco-map shows the connections between a family and the other systems in the ecologic environment. The eco-map visually depicts dynamic family-environment interactions. The genogram graphically displays family information in a way that provides a quick view of complex family patterns. A Gedcom file is a saved computer file to depict ancestry. A GPS satellite map would be used to locate the family's home for the initial visit.

Question 3

The nurse is completing an initial in-home assessment and concludes that the family needs additional outside resources to meet their needs. Which would be beneficial for the nurse to provide to the family about available resources?

Accepted Answer

The nurse's knowledge of other resources can mean the difference between the family having and not having access to additional services. Therefore, nurses must have information available to them about the eligibility requirements and availability of services provided by a multitude of official, voluntary, religious, and neighborhood organizations.

Question 4

The home health nurse is completing a genogram depicting three generations of family history. Which object would the nurse use to demonstrate a marriage relationship between two individuals?

Accepted Answer

When completing a genogram depicting three generations of family history the nurse will use a solid line to demonstrates a marriage. A square represents a male, a circle represents a female, a triangle represents an infant, and a broken line indicates not married.

Question 5

The home health nurse is completing a genogram depicting three generations of family history. Which object would the nurse use to demonstrate two male siblings?

Accepted Answer

When completing a genogram depicting three generations of family history the nurse will use a square to represent the males, a circle to represent a female, a triangle to represent an infant, a solid line to demonstrates a marriage, and a broken line to indicate not married.

Question 6

The home health nurse is completing a genogram depicting three generations of family history. Which object would the nurse use to demonstrate a union without marriage?

Accepted Answer

When completing a genogram depicting three generations of family history the nurse will use a broken line to indicate not married, a square to represent a male, a circle to represent a female, a triangle to represent an infant, and a solid line to demonstrate a marriage.

Question 7

A nurse is caring for a parent and child who are homeless. Which statement is true regarding this family?

Accepted Answer

Nurses who care for homeless persons should have a solid understanding of the challenges affecting them. Families who are homeless are not necessarily incomeless. They may include working parents who are not making enough money to pay for housing. On average, a homeless family household consists of three people. The family is in crisis and often not able to provide for their most basic needs. When families are unable to meet these needs, they are unable to address other concerns such as medical appointments, healthy eating, exercise, and other preventative actions. Children who experience homelessness have higher risks of emotional and behavioral problems, serious health problems, school mobility, repeating a grade, being expelled or dropping out of school, and lower academic performance.

Question 8

A nurse is caring for a family that has two adults, ages 55 and 57, living together. Upon interviewing the couple, the nurse determines that the couple has two biological children that have grown and are living outside the home. Which best describes the type of family the nurse should document?

Accepted Answer

A nuclear dyad family consists of two adults living together who have no children or who have grown children living outside the family. The nuclear family is typically a husband, wife, and children living together in the same household. A single adult family is one in which one adult is living alone by choice or because of separation from a spouse or children or both. An extended family is a family that extends beyond the nuclear family, consisting of parents like father, mother, and their children, aunts, uncles, grandparents, and cousins, all living in the same household.

Question 9

A nurse is caring for an 11-year-old child whose parents recently divorced. Which are questions the nurse should ask about coping with the recent change? Select all that apply.

Accepted Answer

In addition to normal growth and development changes, children of divorce should be assessed for the absent of father or mother ("Can you tell me about your relationship with your mom and dad?"), interparental conflict, economic distress ("Do you have enough money for things?"), parental adjustment ("Who do you live with and how is that going?"), multiple life stressors ("Do you have anything stressing you right now?"), and short-term crisis ("How is school going?").

Quiz 14: Family As Client