Question 1

In creating a context for change, what is the role of the nurse?

Accepted Answer

A.This is correct. The nurse should act as a relational bridge.
B.This is incorrect. Collecting information does not create a context for change.
C.This is incorrect. Mediating arguments does not create a context for change.
D.This is incorrect. Educating the family does not create a context for change.

Question 2

The nurse knows that the ingredients for the healing context do not include which of the following?

Accepted Answer

A.This is incorrect. Empathy is needed for a healing context.
B.This is incorrect. Empathetic responding is needed for a healing context.
C.This is incorrect. Mindfulness is needed for a healing context.
D.This is correct. Ethnic congruence between the client and caregiver is not necessary for healing.

Question 3

The nurse knows that according to the research of Bell and Wright, which action creates negative impressions in clients' families?

Accepted Answer

A.This is incorrect. The families involved in this research viewed nurse curiosity as a positive aspect.
B.This is incorrect. A context for change was considered to be positive in this research.
C.This is incorrect. The nurse asking if interventions were useful was considered helpful by the families involved in this research.
D.This is correct. If the nurse avoided asking probing questions, the families involved in this research thought the nurse lacked curiosity.

Question 4

The nurse knows that Whiting, Bradford, and Davis found which factor to be the most important in the healing process?

Accepted Answer

A.This is correct. The "who" of the intervention was found to be the most important factor in the healing process.
B.This is incorrect. The type of therapy was found to be not as important as its fit for the family.
C.This is incorrect. Although important, environment is not the most important part of the healing process.
D.This is incorrect. The number of sessions is not the most important part of the healing process.

Question 5

The nurse wants to create a context for change. Which would be a barrier to creating an effective context for change?

Accepted Answer

A.This is incorrect. Prioritizing concerns is not a barrier.
B.This is incorrect. Asking about effects on the family is not a barrier.
C.This is correct. The nurse should acknowledge that the client and family are both suffering.
D.This is incorrect. The nurse should ask for each member's perspective.

Question 6

The nurse has aligned with one family member over others. What is this known as?

Accepted Answer

A.This is incorrect. This action does not build healthy relationships.
B.This is correct. The nurse is taking sides.
C.This is incorrect. This action is not forming alliances but jeopardizing them.
D.This is incorrect. This action is not collaborating.

Question 7

Between scheduled family meetings, one family members calls the nurse to report the behaviors of other family members. What is the best response?

Accepted Answer

A.This is correct. It is respectful to discuss issues between family members when the involved parties are able to be present.
B.This is incorrect. The nurse can offer mediation but should not encourage family members to confront each other.
C.This is incorrect. The family is collaborating with the nurse, and the nurse should assume some responsibility to resolve issues.
D.This is incorrect. This cuts the person being discussed out of the conversation and does not build healthy relationships.

Question 8

When should the nurse offer advice to the family?

Accepted Answer

A.This is incorrect. The family may not know what to ask for.
B.This is incorrect. It is too early in the interview to give advice.
C.This is correct. After a thorough assessment, advice may be offered.
D.This is incorrect. The nurse can offer advice and then ask the family members how they feel about it.

Question 9

The nurse is working with a family in which the parents frequently fight loudly with each other. The nurse asks the children, "How do you feel when your parents are fighting?" What is the rationale for this question?

Accepted Answer

A.This is incorrect. The nurse's role is not to shame the family.
B.This is incorrect. Fighting should not be portrayed as normal.
C.This is correct. The nurse should encourage the family members to share their feelings and reflect on how the fighting affects them.
D.This is incorrect. There is no evidence in the case study that child abuse is occurring.

Question 10

The nurse asks the family members, "Who is suffering the most in this family?" What is the purpose of this question?

Accepted Answer

A.This is incorrect. This question does not measure levels of suffering.
B.This is correct. This question will give all family members a circular view of the problem.
C.This is incorrect. This question is not meant to determine who the client is.
D.This is incorrect. This question does not identify the types of pain.

Question 11

The nurse is giving advice to the family. Which statement is not therapeutic?

Accepted Answer

A.This is correct. It does not matter what the other clients think; the therapy should be a good fit for this family.
B.This is incorrect. It is therapeutic to ask the family what would be a good fit for them.
C.This is incorrect. After assessing the family, the nurse can make recommendations.
D.This is incorrect. After discussing several ideas, the nurse can advise the best choice.

Question 12

The nurse is meeting with a family composed of two adult women and a young child. What is the best question the nurse can ask to help to understand their relationships?

Accepted Answer

A.This is incorrect. The child could have two Mommies.
B.This is incorrect. It is an abrupt way to introduce the topic.
C.This is correct. It is best for the family to describe their relationships.
D.This is incorrect. Neither may be the biological mother.

Question 13

The family has just experienced a disaster. How does the nurse modify the usual interview process to accommodate this?

Accepted Answer

A.This is incorrect. The nurse can care for a family in crisis.
B.This is correct. After a disaster, the nurse may give clear, concise advice earlier in the encounter because the family may be unable to process a long interview.
C.This is incorrect. The nurse will never take sides in an encounter.
D.This is incorrect. The nurse will ask for family collaboration, especially after a disaster.

Question 14

Which are aspects of nurse curiosity? Select all that apply.

Accepted Answer

A.This is correct. Wanting to know about the family's problems is an aspect of nurse curiosity.
B.This is correct. Being open to an alternate view of the situation is an aspect of nurse curiosity.
C.This is incorrect. Although it is important to apply research to practice, it is not an aspect of nurse curiosity.
D.This is incorrect. Researching the family genogram is good practice, but it is not an aspect of nurse curiosity.

Question 15

Before interviewing, the nurse reviews the errors most often committed in relational family nursing. Which are they? Select all that apply.

Accepted Answer

A.This is correct. Taking sides is one of the errors most often committed in relational family nursing.
B.This is correct. Giving too much advice prematurely is one of the errors most often committed in relational family nursing.
C.This is incorrect. Failing to create a context for change is one of the errors most often committed in relational family nursing.
D.This is incorrect. Failing to introduce everyone is not one of the errors most often committed in relational family nursing.

Quiz 11: How to Avoid the Three Most Common Errors in Family Nursing