Question 1

While providing care for a family, the nurse reviews the common reactions of siblings to a diabetes diagnosis. Which statement is true regarding siblings of individuals with diabetes? Select all that apply.

Accepted Answer

A,C,D,E

Question 2

The parents of a child with muscular dystrophy have a negative view of the child's future and feel hopeless about future care needs. Which view of the child is the family demonstrating?

Accepted Answer

The family is demonstrating a view of floundering, which is characterized by a negative outlook and feeling overwhelmed. This view can limit the family's ability to provide effective care and support for the child.

Question 3

The mother of a child with a chronic illness is exhausted and does not feel supported by other family members when providing the child with care. Which instrumental support should the nurse recommend for thismother and family? Select all that apply.

Accepted Answer

Instrumental support involves providing tangible assistance. Creating a schedule for meal preparation (B), assigning chores for laundry and groceries (C), and taking turns providing the child with physical care (E) are all forms of practical help that can alleviate the mother's burden.

Question 4

The nurse notes that a family with a child newly diagnosed with a chronic illness has no experience with the disease. Therefore, required routines and family life are disorganized. Which need is this family experiencing?

Accepted Answer

The family is experiencing a need for reeducation as they have no prior knowledge about the chronic illness and require guidance on how to manage the required routines and adjust their family life accordingly.

Question 5

The nurse notes that a family including a member with end-stage renal disease is feeling emotionally drained. On what should the nurse focus when assessing this core process? Select all that apply.

Accepted Answer

The answer of The nurse notes that a family including...

Question 6

During a family conference, the nurse practitioner is leading a discussion with a family, which includes a 15-year-old adolescent who often "forgets" to check his morning blood glucose levels. Which questions would be the most appropriate for the nurse to ask?

Accepted Answer

This question acknowledges the family's concern and opens up a dialogue, making it more likely for the adolescent to engage in the conversation without feeling judged or defensive.

Question 7

According to Knafl and colleagues' theory of normalization, families including a child with a chronic illness must perform which action to adopt a "normalcy lens"?

Accepted Answer

According to Knafl and colleagues' theory of normalization, families including a child with a chronic illness must recognize the ongoing processes of actively adapting to the child's evolving physical, emotional, and social needs and establishing new family routines to adopt a "normalcy lens". This means that families must adopt a new sense of what is normal for their family and adapt to the needs of the child with the chronic illness in order to feel a sense of normalcy. Option A, actively denying aspects of the illness, goes against the theory of normalization and may lead to negative outcomes for the child and family. Option B, focusing attention equally on "normal" siblings and the child with the chronic illness, is important for ensuring all children in the family feel valued and supported, but it does not necessarily help the family adopt a "normalcy lens". Option D, advocating for the child's mainstreaming, may be helpful for the child's development, but it does not necessarily facilitate the family's adoption of a "normalcy lens".

Question 8

The nurse plans to assess routines that the family performs together. Which information should the nurse collect from the family during this assessment? Select all that apply.

Accepted Answer

The answer of The nurse plans to assess routines that...

Question 9

When planning interventions for a family with rheumatoid arthritis, it is essential that the nurse include which family member in the discussions regarding treatment options?

Accepted Answer

It is important to involve all available family members in the discussion regarding treatment options for rheumatoid arthritis. This ensures that everyone understands the disease and its effects and can provide support for the affected family member. Additionally, involving all family members promotes shared decision-making and can improve adherence to the treatment plan.

Question 10

The nurse plans to use an empowerment model to plan care for a family who has a member with a chronic illness. Which type of care will the nurse use to support this family? Select all that apply.

Accepted Answer

The answer of The nurse plans to use an empowerment...

Question 11

The nurse prepares to assess a family with a member who has a chronic illness. On what should the nurse focus during this assessment? Select all that apply.

Accepted Answer

The answer of The nurse prepares to assess a family...

Question 12

The nurse is preparing a presentation about the needs of family caregivers for a senate hearing on caring for people with chronic health problems. What should the nurse suggest as positive actions to improve the economic status of these caregivers? Select all that apply.

Accepted Answer

Implementing flextime would allow family caregivers to work around their caregiving responsibilities, which could improve their economic status. Providing a tax credit for caregiving would also help financially support family caregivers, as would expanding funding for programs such as the National Family Caregiver Program. Including the care of extended family members through the Family and Medical Leave Act would also help alleviate some financial burdens of caregiving. However, reducing the fees for placing chronically ill family members into skilled facilities would not directly improve the economic status of family caregivers.

Quiz 9: Families Living With Chronic Illness