Question 1

A nurse is caring for a preschool-age client who was admitted for dehydration.The child lives with the parents and maternal grandparents.In which type of family does this child reside?

Accepted Answer

A) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.
B) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.
C) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.
D) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.

Question 2

A client with a bipolar disorder arrives at the emergency department disheveled,arguing with family members.The nurse recognizes that the family is suffering from an objective family burden.To which is this burden related?

Accepted Answer

A) The objective family burden is related to the actual, identifiable family problems associated with an individual's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved ones-such as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior-can be of great concern to families. Intrusive or acting-out behaviors-such as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outbursts-are very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.
B) The objective family burden is related to the actual, identifiable family problems associated with an individual's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved ones-such as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior-can be of great concern to families. Intrusive or acting-out behaviors-such as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outbursts-are very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.
C) The objective family burden is related to the actual, identifiable family problems associated with an individual's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved ones-such as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior-can be of great concern to families. Intrusive or acting-out behaviors-such as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outbursts-are very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.
D) The objective family burden is related to the actual, identifiable family problems associated with an individual's mental illness. One burden the family must manage relates to symptomatic behaviors. Deficit behaviors of their loved ones-such as lack of motivation, difficulty in completing tasks, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior-can be of great concern to families. Intrusive or acting-out behaviors-such as lack of consideration for others, excessive arguing, conflicts with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, substance abuse, and violent outbursts-are very disturbing to family members. The family may be experiencing caregiving problems, fear, or family conflict, but these arise from the client's symptomatic behaviors.

Question 3

A client being treated for newly diagnosed schizophrenia will be discharged to the family home.The family is developing an image of the disease process and expectations of mental health professionals and has reached Stage 2 of family recovery.Which concepts are included in this stage of recovery? Select all that apply.

Accepted Answer

A) Stage 2 of family recovery is one of recognition and acceptance. As it becomes more evident that there is a significant problem, the family begins to search for reasons and solutions by gathering available information. Families begin to develop their own image of the disease process and expectations of mental health professionals. Many families also hope for what was in the past and for what might be in the future. Personal and political advocacy occurs in the final stage of recovery. Coping and competence occur in Stage 3.
B) Stage 2 of family recovery is one of recognition and acceptance. As it becomes more evident that there is a significant problem, the family begins to search for reasons and solutions by gathering available information. Families begin to develop their own image of the disease process and expectations of mental health professionals. Many families also hope for what was in the past and for what might be in the future. Personal and political advocacy occurs in the final stage of recovery. Coping and competence occur in Stage 3.
C) Stage 2 of family recovery is one of recognition and acceptance. As it becomes more evident that there is a significant problem, the family begins to search for reasons and solutions by gathering available information. Families begin to develop their own image of the disease process and expectations of mental health professionals. Many families also hope for what was in the past and for what might be in the future. Personal and political advocacy occurs in the final stage of recovery. Coping and competence occur in Stage 3.
D) Stage 2 of family recovery is one of recognition and acceptance. As it becomes more evident that there is a significant problem, the family begins to search for reasons and solutions by gathering available information. Families begin to develop their own image of the disease process and expectations of mental health professionals. Many families also hope for what was in the past and for what might be in the future. Personal and political advocacy occurs in the final stage of recovery. Coping and competence occur in Stage 3.
E) Stage 2 of family recovery is one of recognition and acceptance. As it becomes more evident that there is a significant problem, the family begins to search for reasons and solutions by gathering available information. Families begin to develop their own image of the disease process and expectations of mental health professionals. Many families also hope for what was in the past and for what might be in the future. Personal and political advocacy occurs in the final stage of recovery. Coping and competence occur in Stage 3.

Question 4

The nurse is caring for a client who was involved in a car accident.The client's spouse was killed in the accident.The couple has two teenage children.Which statement explains how this tragedy will be approached by the family?

Accepted Answer

A) The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.
B) The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.
C) The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.
D) The death of a family member often has a profound effect on the whole family-especially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.

Question 5

The nurse is determining psychosocial risk factors for a family prior to planning care.Which assessment tool should the nurse use when initially screening families for these health risks?

Accepted Answer

A) The Family APGAR is a quick five-item questionnaire that may be used as an initial screening tool for family assessment. All other choices are family assessment tools but are not appropriate for initial family assessments.
B) The Family APGAR is a quick five-item questionnaire that may be used as an initial screening tool for family assessment. All other choices are family assessment tools but are not appropriate for initial family assessments.
C) The Family APGAR is a quick five-item questionnaire that may be used as an initial screening tool for family assessment. All other choices are family assessment tools but are not appropriate for initial family assessments.
D) The Family APGAR is a quick five-item questionnaire that may be used as an initial screening tool for family assessment. All other choices are family assessment tools but are not appropriate for initial family assessments.

Question 6

A pediatric home health care nurse is making an initial visit to assess the parenting style for a family in preparation for treating a child with drugs to reduce hyperactivity.Which approach should the nurse use for this assessment?

Accepted Answer

A) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.
B) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.
C) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.
D) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.

Question 7

A nurse is caring for family members who have recently lost their home and belongings in a fire.The family is staying with extended family in the area.Which is the most appropriate nursing diagnosis for this family?

Accepted Answer

A) The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that any family member is experiencing ineffective coping.
B) The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that any family member is experiencing ineffective coping.
C) The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that any family member is experiencing ineffective coping.
D) The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that any family member is experiencing ineffective coping.

Question 8

While attending a community health fair,the nurse observes the children of one family walking quietly behind the father with their mother and periodically shyly asking the father questions.The father responds gruffly and continues walking while the children and mother scurry behind to keep up.What does this observation indicate to the nurse? Select all that apply.

Accepted Answer

A) This observation indicates a paternal family structure where the father makes the decisions for the family. The children appear fearful to ask the father a question, which is supported by the father's gruff response and the father's brisk walking. The mother is behind the father with the children, which could indicate that her role is child care. There is no evidence that these children need discipline or that the father is in a hurry.
B) This observation indicates a paternal family structure where the father makes the decisions for the family. The children appear fearful to ask the father a question, which is supported by the father's gruff response and the father's brisk walking. The mother is behind the father with the children, which could indicate that her role is child care. There is no evidence that these children need discipline or that the father is in a hurry.
C) This observation indicates a paternal family structure where the father makes the decisions for the family. The children appear fearful to ask the father a question, which is supported by the father's gruff response and the father's brisk walking. The mother is behind the father with the children, which could indicate that her role is child care. There is no evidence that these children need discipline or that the father is in a hurry.
D) This observation indicates a paternal family structure where the father makes the decisions for the family. The children appear fearful to ask the father a question, which is supported by the father's gruff response and the father's brisk walking. The mother is behind the father with the children, which could indicate that her role is child care. There is no evidence that these children need discipline or that the father is in a hurry.
E) This observation indicates a paternal family structure where the father makes the decisions for the family. The children appear fearful to ask the father a question, which is supported by the father's gruff response and the father's brisk walking. The mother is behind the father with the children, which could indicate that her role is child care. There is no evidence that these children need discipline or that the father is in a hurry.

Question 9

The nurse is assigned to care for a child in a spica cast for a fractured femur suffered in an automobile accident.The child's father was driving the car,which was badly damaged.In assessing the family,the nurse learns that the father just recently lost his job and the mother has been working through a "temp" agency.Which nursing diagnosis is most appropriate for this family?

Accepted Answer

A) Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.
B) Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.
C) Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.
D) Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.

Question 10

The nurse is observing a family counseling session that is focusing on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?

Accepted Answer

A) An authoritarian setting is one in which one or more members set firm, nonnegotiable limits and other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others. Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues. Listening is an art, and not all members of a family need to speak in the same setting.
B) An authoritarian setting is one in which one or more members set firm, nonnegotiable limits and other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others. Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues. Listening is an art, and not all members of a family need to speak in the same setting.
C) An authoritarian setting is one in which one or more members set firm, nonnegotiable limits and other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others. Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues. Listening is an art, and not all members of a family need to speak in the same setting.
D) An authoritarian setting is one in which one or more members set firm, nonnegotiable limits and other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others. Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues. Listening is an art, and not all members of a family need to speak in the same setting.

Question 11

The nurse has completed a family assessment and is planning care for a newly blended family.The children are having trouble adapting to the new situation.Which is the primary goal for this family?

Accepted Answer

A) The primary nursing goal for this family is to improve family situations. The nurse listens to all family members, acknowledges their difficulties, and affirms the strengths and resources they bring to the situation. Self-evaluation, practicing life skills, and working with other families may be included, but they are not the primary goal.
B) The primary nursing goal for this family is to improve family situations. The nurse listens to all family members, acknowledges their difficulties, and affirms the strengths and resources they bring to the situation. Self-evaluation, practicing life skills, and working with other families may be included, but they are not the primary goal.
C) The primary nursing goal for this family is to improve family situations. The nurse listens to all family members, acknowledges their difficulties, and affirms the strengths and resources they bring to the situation. Self-evaluation, practicing life skills, and working with other families may be included, but they are not the primary goal.
D) The primary nursing goal for this family is to improve family situations. The nurse listens to all family members, acknowledges their difficulties, and affirms the strengths and resources they bring to the situation. Self-evaluation, practicing life skills, and working with other families may be included, but they are not the primary goal.

Question 12

The nurse educator is teaching a group of students about health promotion and disease prevention.Which nursing activities promote health and health maintenance? Select all that apply.

Accepted Answer

A) Administration of flu vaccines, feeding schedules, and instruction to adolescents on dental floss usage are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.
B) Administration of flu vaccines, feeding schedules, and instruction to adolescents on dental floss usage are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.
C) Administration of flu vaccines, feeding schedules, and instruction to adolescents on dental floss usage are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.
D) Administration of flu vaccines, feeding schedules, and instruction to adolescents on dental floss usage are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.
E) Administration of flu vaccines, feeding schedules, and instruction to adolescents on dental floss usage are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary drainage and cupping on their ill child is not considered health promotion and maintenance, as it is treating an acute illness.

Question 13

The nurse is evaluating the success of wellness care provided to a new family in the community.Which observations indicate that care has been successful? Select all that apply.

Accepted Answer

A) Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.
B) Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.
C) Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.
D) Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.
E) Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.

Question 14

During a home visit,the nurse determines that care interventions are needed to address alcohol and substance abuse by family members.Which interventions should the nurse consider when planning care for this family? Select all that apply.

Accepted Answer

A) For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
B) For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
C) For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
D) For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
E) For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.

Question 15

During a home visit,the nurse observes children acting out,shouting,and hitting each other when taking a small amount of food out of the refrigerator.The mother sits nearby yelling for the children to shut up while reaching for a cigarette.Which should the nurse consider as being helpful for this family situation? Select all that apply.

Accepted Answer

A) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
B) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
C) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
D) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
E) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.

Question 16

A nurse in a busy outpatient pediatric clinic notes that a preschool-aged child who was due to be seen is a no-show.The child is not up to date on vaccinations.Which action by the nurse is appropriate?

Accepted Answer

A) The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child. Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use. Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example. Discussing with the healthcare provider that the immunizations are not up to date is not necessary in an outpatient clinic. Immunizations are given per schedule.
B) The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child. Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use. Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example. Discussing with the healthcare provider that the immunizations are not up to date is not necessary in an outpatient clinic. Immunizations are given per schedule.
C) The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child. Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use. Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example. Discussing with the healthcare provider that the immunizations are not up to date is not necessary in an outpatient clinic. Immunizations are given per schedule.
D) The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child. Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use. Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example. Discussing with the healthcare provider that the immunizations are not up to date is not necessary in an outpatient clinic. Immunizations are given per schedule.

Question 17

During a follow-up home visit,the nurse is evaluating the success of a family's ability to use internal resources to cope with the illness of a family member.Which does the nurse observe that indicates that internal resources are being accessed? Select all that apply.

Accepted Answer

A) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
B) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
C) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
D) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
E) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.

Question 18

The community nurse identifies that a family new to the community needs assistance with family dynamics and material resources.What should the nurse consider offering to the parents of this family to support their needs? Select all that apply.

Accepted Answer

A) When working with families, nurses will often need to collaborate with other healthcare professionals. For families in need of counseling, financial assistance may be available. When making these recommendations, nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the potential benefits of these modes of care. Families facing economic challenges should be made aware of community resources, including wellness clinics and food banks. The hours for the library and the park would not help the family with the issues that the nurse observed.
B) When working with families, nurses will often need to collaborate with other healthcare professionals. For families in need of counseling, financial assistance may be available. When making these recommendations, nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the potential benefits of these modes of care. Families facing economic challenges should be made aware of community resources, including wellness clinics and food banks. The hours for the library and the park would not help the family with the issues that the nurse observed.
C) When working with families, nurses will often need to collaborate with other healthcare professionals. For families in need of counseling, financial assistance may be available. When making these recommendations, nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the potential benefits of these modes of care. Families facing economic challenges should be made aware of community resources, including wellness clinics and food banks. The hours for the library and the park would not help the family with the issues that the nurse observed.
D) When working with families, nurses will often need to collaborate with other healthcare professionals. For families in need of counseling, financial assistance may be available. When making these recommendations, nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the potential benefits of these modes of care. Families facing economic challenges should be made aware of community resources, including wellness clinics and food banks. The hours for the library and the park would not help the family with the issues that the nurse observed.
E) When working with families, nurses will often need to collaborate with other healthcare professionals. For families in need of counseling, financial assistance may be available. When making these recommendations, nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the potential benefits of these modes of care. Families facing economic challenges should be made aware of community resources, including wellness clinics and food banks. The hours for the library and the park would not help the family with the issues that the nurse observed.

Question 19

The nurse is caring for a client who is hospitalized with pneumonia.Which will the nurse assess when determining the impact of the illness on the family? Select all that apply.

Accepted Answer

A) The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.
B) The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.
C) The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.
D) The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.
E) The impact on the family is assessed by the duration of the illness as well as its effect on the family finances and functioning. Other factors include residual effects of the illness, meaning of the illness to the family, and its significance to family systems. The cause of the illness is not a factor that determines the impact on the family.

Question 20

The community nurse is planning a wellness seminar for families in an urban community.Which resources should the nurse consider obtaining to support these families' needs? Select all that apply.

Accepted Answer

A) Wellness promotion is an essential aspect of family health and focuses on increasing healthy behaviors and optimizing lifestyle choices. Educating clients and facilitating appropriate referrals to nutritionists and community service providers will not only improve the family's quality of life, but also reduce the risk of illness. Depending on the needs of the client, nurses may collaborate with a variety of healthcare providers and professionals, including physicians, counselors, social workers, and mental health specialists. Ambulance first responders and law enforcement personnel will not necessarily support the goal of the wellness program.
B) Wellness promotion is an essential aspect of family health and focuses on increasing healthy behaviors and optimizing lifestyle choices. Educating clients and facilitating appropriate referrals to nutritionists and community service providers will not only improve the family's quality of life, but also reduce the risk of illness. Depending on the needs of the client, nurses may collaborate with a variety of healthcare providers and professionals, including physicians, counselors, social workers, and mental health specialists. Ambulance first responders and law enforcement personnel will not necessarily support the goal of the wellness program.
C) Wellness promotion is an essential aspect of family health and focuses on increasing healthy behaviors and optimizing lifestyle choices. Educating clients and facilitating appropriate referrals to nutritionists and community service providers will not only improve the family's quality of life, but also reduce the risk of illness. Depending on the needs of the client, nurses may collaborate with a variety of healthcare providers and professionals, including physicians, counselors, social workers, and mental health specialists. Ambulance first responders and law enforcement personnel will not necessarily support the goal of the wellness program.
D) Wellness promotion is an essential aspect of family health and focuses on increasing healthy behaviors and optimizing lifestyle choices. Educating clients and facilitating appropriate referrals to nutritionists and community service providers will not only improve the family's quality of life, but also reduce the risk of illness. Depending on the needs of the client, nurses may collaborate with a variety of healthcare providers and professionals, including physicians, counselors, social workers, and mental health specialists. Ambulance first responders and law enforcement personnel will not necessarily support the goal of the wellness program.
E) Wellness promotion is an essential aspect of family health and focuses on increasing healthy behaviors and optimizing lifestyle choices. Educating clients and facilitating appropriate referrals to nutritionists and community service providers will not only improve the family's quality of life, but also reduce the risk of illness. Depending on the needs of the client, nurses may collaborate with a variety of healthcare providers and professionals, including physicians, counselors, social workers, and mental health specialists. Ambulance first responders and law enforcement personnel will not necessarily support the goal of the wellness program.

Quiz 26: Family