Question 1

The nurse is meeting with the family of a 16-year-old patient who was recently diagnosed with depression. His younger sister states that she finds the patient's behavior distressing, as well as the way in which her parents respond to the behavior. She also states that she is tired from doing many of her brother's chores for him because he can't or won't do them himself. What type of family burden is the patient's sister experiencing?

Accepted Answer

A)Subjective burden refers to a family member's perception of what is burdensome. In this case, the sister feels that the brother's behavior, the parents' response, and her need to complete his chores is highly burdensome. Objective burdens are those that are measurable, such as cost of care; none of the burdens the sister feels are measurable.
B)Subjective burden refers to a family member's perception of what is burdensome. In this case, the sister feels that the brother's behavior, the parents' response, and her need to complete his chores is highly burdensome. Objective burdens are those that are measurable, such as cost of care; none of the burdens the sister feels are measurable.
C)Subjective burden refers to a family member's perception of what is burdensome. In this case, the sister feels that the brother's behavior, the parents' response, and her need to complete his chores is highly burdensome. Objective burdens are those that are measurable, such as cost of care; none of the burdens the sister feels are measurable.
D)Subjective burden refers to a family member's perception of what is burdensome. In this case, the sister feels that the brother's behavior, the parents' response, and her need to complete his chores is highly burdensome. Objective burdens are those that are measurable, such as cost of care; none of the burdens the sister feels are measurable.

Question 2

The community nurse identifies that a family new to the community needs assistance with family dynamics and material resources. Which of the following 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 3

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)Compromised 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)Compromised 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)Compromised 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)Compromised 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 4

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 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

The nurse is evaluating the success of wellness care provided to a new family in the community. Which observations by the nurse 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 doughnuts 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 doughnuts 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 doughnuts 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 doughnuts 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 doughnuts 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 7

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 8

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.

Question 9

A pediatric home healthcare nurse is making an initial visit to assess the parenting style of a family preparing to treat a child with medications 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 10

The nurse is caring for a client who is hospitalized with pneumonia. Which of the following 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 11

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 of the following 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 12

A nuclear family has three children-an infant who is 18 months old, a preschooler who is 4 years old, and a first grader who is 7 years old. According to Duvall's eight-stage family life cycle, what is this family's current stage?

Accepted Answer

A)The oldest child serves as a marker for the family's developmental stage. In this case, the family is in stage IV, which is characterized by having school-aged children. Stage I is a couple that does not yet have children, stage II is a family whose oldest child is up to 30 months of age, and stage III is a family whose oldest child is in preschool.
B)The oldest child serves as a marker for the family's developmental stage. In this case, the family is in stage IV, which is characterized by having school-aged children. Stage I is a couple that does not yet have children, stage II is a family whose oldest child is up to 30 months of age, and stage III is a family whose oldest child is in preschool.
C)The oldest child serves as a marker for the family's developmental stage. In this case, the family is in stage IV, which is characterized by having school-aged children. Stage I is a couple that does not yet have children, stage II is a family whose oldest child is up to 30 months of age, and stage III is a family whose oldest child is in preschool.
D)The oldest child serves as a marker for the family's developmental stage. In this case, the family is in stage IV, which is characterized by having school-aged children. Stage I is a couple that does not yet have children, stage II is a family whose oldest child is up to 30 months of age, and stage III is a family whose oldest child is in preschool.

Question 13

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 of the following types 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 nuclear 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 nuclear 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 nuclear 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 nuclear family is viewed as an autonomous unit in which both parents reside in the home.

Question 14

The nurse overhears a school-age client tearfully telling his mother about an incident on the playground in which another child pushed him down and threw dirt at him. The boy's mother takes him on her lap, hugs him, and explains that if it happens again he should firmly but politely ask the child to stop. If that does not work, he should walk away from the child. If the child continues to pursue him, he should find an adult to intervene. Which of the following family roles is the boy's mother assuming in this interaction?

Accepted Answer

A)Caring, nurturing and educating children involves teaching children how to get along in the world; by sharing conflict resolution strategies with her son, the mother is doing just that. While the interaction also shows the mother expressing love for her child by taking him on her lap and hugging him, that is not its primary focus. Maintaining continuity of society involves the transmission of customs and traditions on a cultural level. Protection and economic support involve meeting physical needs for shelter and nutrition.
B)Caring, nurturing and educating children involves teaching children how to get along in the world; by sharing conflict resolution strategies with her son, the mother is doing just that. While the interaction also shows the mother expressing love for her child by taking him on her lap and hugging him, that is not its primary focus. Maintaining continuity of society involves the transmission of customs and traditions on a cultural level. Protection and economic support involve meeting physical needs for shelter and nutrition.
C)Caring, nurturing and educating children involves teaching children how to get along in the world; by sharing conflict resolution strategies with her son, the mother is doing just that. While the interaction also shows the mother expressing love for her child by taking him on her lap and hugging him, that is not its primary focus. Maintaining continuity of society involves the transmission of customs and traditions on a cultural level. Protection and economic support involve meeting physical needs for shelter and nutrition.
D)Caring, nurturing and educating children involves teaching children how to get along in the world; by sharing conflict resolution strategies with her son, the mother is doing just that. While the interaction also shows the mother expressing love for her child by taking him on her lap and hugging him, that is not its primary focus. Maintaining continuity of society involves the transmission of customs and traditions on a cultural level. Protection and economic support involve meeting physical needs for shelter and nutrition.

Question 15

A cohesive nuclear family has one kindergarten-aged child. The mother works from home and is the primary caregiver for the child. The father is required to travel a lot for work. Currently, the father is on an out-of-town project that will last for 6 months. He is home on the weekends, but gone the rest of the week. The nurse understands that family cohesion in this family is likely to become:

Accepted Answer

A)The family relationship is already cohesive and will likely remain so. However, with the father absent, the dynamics will likely become dyadic (two-person)between the mother and child as they come to depend on each other more. The mother and child will become less dependent on the father, making triadic (three-person)dynamics less likely. Similarly, the mother is less likely to have a strong dyadic relationship with the father during this time.
B)The family relationship is already cohesive and will likely remain so. However, with the father absent, the dynamics will likely become dyadic (two-person)between the mother and child as they come to depend on each other more. The mother and child will become less dependent on the father, making triadic (three-person)dynamics less likely. Similarly, the mother is less likely to have a strong dyadic relationship with the father during this time.
C)The family relationship is already cohesive and will likely remain so. However, with the father absent, the dynamics will likely become dyadic (two-person)between the mother and child as they come to depend on each other more. The mother and child will become less dependent on the father, making triadic (three-person)dynamics less likely. Similarly, the mother is less likely to have a strong dyadic relationship with the father during this time.
D)The family relationship is already cohesive and will likely remain so. However, with the father absent, the dynamics will likely become dyadic (two-person)between the mother and child as they come to depend on each other more. The mother and child will become less dependent on the father, making triadic (three-person)dynamics less likely. Similarly, the mother is less likely to have a strong dyadic relationship with the father during this time.

Question 16

A nurse in an 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 healthcare 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 healthcare 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 healthcare 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 healthcare 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 observations by the nurse indicate 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 nurse is creating a plan of care for the family of a client with a terminal illness. Which aspects of this family's care should the nurse emphasize when creating this plan? Select all that apply.

Accepted Answer

A)Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and using support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the client and need to be addressed by the nurse.
B)Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and using support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the client and need to be addressed by the nurse.
C)Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and using support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the client and need to be addressed by the nurse.
D)Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and using support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the client and need to be addressed by the nurse.
E)Nursing care includes assisting the family with planning realistic goals/outcomes and strategies that enhance family functioning, such as improving communication skills, and identifying and using support systems. Teaching medication administration is an intervention that would support the assimilation of the ill client back into the home and family environment. This action may or may not be needed at this time. The nursing care should incorporate cultural practices and not minimize them. The family's needs are as important as those of the client and need to be addressed by the nurse.

Question 19

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)Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss 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 because it is treatment for acute illness.
B)Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss 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 because it is treatment for acute illness.
C)Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss 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 because it is treatment for acute illness.
D)Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss 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 because it is treatment for acute illness.
E)Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss 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 because it is treatment for acute illness.

Question 20

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 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 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 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 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.

Quiz 26: Family