Question 1

A married couple takes four children to an immunization clinic.The nurse notes that the children's permission slips include three children with one last name and one child with a different last name.On questioning the parents the nurse discovers that this family group is an example of a(n)_____ family.

Accepted Answer

The blended family is formed when parents bring unrelated children from prior or foster parenting relationships into a new,joint living situation.A nuclear family consists of husband and wife (and perhaps one or more children).The extended family includes relatives (aunts,uncles,grandparents,and cousins)in addition to the nuclear family.The single-parent family is formed when one parent leaves the nuclear family because of death,divorce,or desertion or when a single person decides to have or adopt a child.

Question 2

The student nurse is talking to her friends about holiday plans with their families.One friend described her family as her mother,brother,and sister-in-law.Another stated her family consisted of her mother,father,grandmother,and her aunt.The student nurse's family is her mother,stepfather,sister,and stepsister.The uniqueness of these families is known as which of the following?

Accepted Answer

Family diversity is the uniqueness of each family.Family resiliency is the ability of the family to cope with expected and unexpected stressors.Family durability is the intrafamilial system of support and structure that extends beyond the walls of the household.A nuclear family consists of a husband and wife (and perhaps one or more children).

Question 3

A nurse is attempting to complete the nursing admission data on a patient.To complete the admission and formulate a plan of care,the nurse needs to do which of the following?

Accepted Answer

Areas included in family assessment are the form,structure,and function of the family; its developmental stage; and its progress toward or accomplishment of developmental tasks.It is essential to assess the patient and family thoroughly.The family as a whole differs from individual members.The measure of family health is more than a summation of the health of all members.Begin assessment by considering the views of the patient toward the family.

Question 4

A nurse is caring for a patient.Visitors at the bedside include the patient's life partner,widowed mother,sister,and nephew.The nurse acknowledges that current trends in American families include which of the following?

Accepted Answer

Families are constantly changing.People may marry later,delay childbirth,and couples choose to have fewer children or none at all.The number of people living alone is expanding and accounts for approximately 26% of households.Divorce rates have tripled since the 1950s,and although the rate appears to have stabilized,it is estimated that 54% of all marriages will end in divorce.

Question 5

What should the nurse do when planning goals for a family?

Accepted Answer

Families are continually changing.As a result,the need for family support changes over time,and it is important for you to understand that the family is more complex than simply a combination of individual members.Family nursing practice has three levels of approaches: (1)family as context,(2)family as patient,and (3)family as system.The goals need to be concrete,realistic,compatible with the family's developmental stage and expectations,and acceptable to the family.Although families are far from identical to one another,they have a basic pattern and similarity in experiences,resulting in predictable stages.Each of these developmental stages has its own challenges,needs,and resources and includes tasks that need to be completed before the family is able to successfully move on to the next stage.

Question 6

A student nurse is working on a community health project with her peers.One of the concerns in her community is the rise in homelessness resulting from the economy.The student nurse understands that which of the following is true?

Accepted Answer

The fastest growing segment of the homeless population is families with children.This includes complete nuclear families and single-parent families.More than 794,000 homeless are enrolled in the public school systems.Children of homeless families are often in fair or poor health and have higher rates of asthma,ear infections,stomach problems,mental illness,and have poor immunization documentation.As a result,usually the only access to health care for these children is through the emergency department.

Question 7

The nurse is caring for a family within an impoverished community.What is it important for the nurse to understand about families?

Accepted Answer

A family is a set of interacting individuals related by blood,marriage,or adoption who usually live together and fulfill functions of socialization,division of labor,economic provisions,and cooperatively meet affective and emotional needs of the individuals within the family unit.In addition,individuals living together,regardless of their relationship or whether they fulfill common social functions,constitute a household.When you provide individualized family care,understand that families take many forms and have diverse cultural and ethnic orientations.In addition,no two families are alike.Each has its own strengths,weaknesses,resources,and challenges.

Question 8

The family is the primary social context in which health promotion and disease prevention take place.Placed in this context,it is reasonable for the nurse to assume which of the following is true?

Accepted Answer

The family's beliefs,values,culture,and practices strongly influence the health-promoting behaviors of its members.When the family satisfactorily meets its goals through adequate functioning,its members tend to feel positive about themselves and their family.Conversely,when they do not meet goals,families view themselves as ineffective.Good health is not always highly valued; in fact,harmful practices are acceptable in some families.Some of these practices might include poor dietary habits,such as high-calorie,high-fat diets.A long-term illness in one of the family members affects the well-being and health of the entire family.In addition,long-term habits such as smoking also influence the health of members in the family unit.

Question 9

When providing care for families,of what should the nurse be aware? (Select all that apply.)

Accepted Answer

Family hardiness is the internal strengths and durability of the family unit.A sense of control over the outcome of life,a view of change as beneficial and growth producing,and an active rather than passive orientation in adapting to stressful events characterize family hardiness.Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events.Resources and techniques a family or individuals within the family use to maintain a balance or level of health assist in understanding a family's level of resiliency.Good health is not always highly valued; in fact,harmful practices are acceptable in some families.Some of these practices might include poor dietary habits,such as high caloric,high fat diets.A long-term illness in one of the family members affects the well-being and health of the entire family.In addition,long term habits,such as smoking also influence the health of members in the family unit.Although illness strains relationships,research indicates that family members have the potential to be a primary force for coping.

Question 10

In regard to American families,the nurse understands that which of the following is true?

Accepted Answer

Although mothers head 83% of single-parent families,father-only families are on the rise.The number of single-parent families appears to be stabilizing at about 26% of all families with children.Forty-one percent of children are living with mothers who have never married; many of these children result from an adolescent pregnancy.

Question 11

The nurse is admitting a Hispanic patient to the oncology unit of the hospital.To provide culturally competent care,the nurse needs to determine the influence of culture on the patient's family.Which of the following questions would best accomplish this?

Accepted Answer

To determine the influence of culture on a family,you might want to ask the patient about his or her cultural background.Then ask questions concerning cultural practices.For example,"What type of foods do you eat?" "Who cares for sick family members?" Overgeneralizations in terms of racial and ethnic group characteristics do not lead to greater understanding of the culturally diverse family.

Question 12

A patient comes from a close-knit extended family.If the patient's family functions as context,what does the nurse need to evaluate?

Accepted Answer

When you view the family as context,your primary focus is on the health and development of an individual member existing within a specific environment (i.e.,the patient's family).When you view the family as patient,the family processes and relationships (e.g.,parenting or family caregiving)are your primary focus of care.Focus your nursing assessment on the family patterns versus individual member characteristics.When you care for the family as a system,you are caring for each family member (family as context)and the family unit (family as patient),using all community,social,and psychosocial resources.

Question 13

The nurse is caring for a 78-year-old patient with liver cancer.The patient and his wife live at home.In addition to caring for the patient,the nurse also assesses caregiver stress in the patient's wife.Which of the following indicates caregiver stress?

Accepted Answer

Assess for caregiver stress,such as tension in relationships with family and care recipient,changes in level of health,changes in mood,and anxiety and depression.Contracting pneumonia could be a sign of caregiver stress because it is a change in the level of health.Visits from church members and shopping with her daughter demonstrate good relationships with family and friends.

Question 14

A nurse is admitting a teen-aged woman to the Labor and Delivery unit to have her baby.She is not married but is holding hands with her boyfriend who is the baby's father.The nurse realizes that:

Accepted Answer

Teenage fathers also have stressors placed on them when their partner becomes pregnant.These young men have poorer support systems and fewer resources to teach them how to parent.As a result,both of these adolescent parents often struggle with the normal tasks of development and identity,but are also forced to accept a responsibility that they are not ready for physically,emotionally,socially,and/or financially.Adolescent pregnancy is an ever-increasing concern.The majority of these adolescents continue to live with their families.A teenage pregnancy tends to have long-term consequences for the mother and often severely stresses family relationships and resources.In addition,there is an increased risk for continued poverty for the family.

Question 15

When a family is in a transitional phase of the life cycle perspective (e.g.,birth of a first child),it is important for the nurse to do which of the following?

Accepted Answer

Your knowledge of stress and coping will assist in family care.When a family is in a transitional phase of the life cycle perspective (e.g.,birth of a first child)or there is an additional stressor to the family unit (e.g.,chronic illness),it creates considerable anxiety and stress within the family system.The health and functioning of each member in the family to some degree depends on the health of the family system as a whole.Family care draws on knowledge from growth and development,psychology,communication,family theories,sociology,and the family life cycle.

Question 16

The nurse is admitting a 45-year-old patient and asks about her family.The patient states that she lives with her daughter and son-in-law.The nurse knows that this is an example of which of the following family forms?

Accepted Answer

The extended family includes relatives (aunts,uncles,grandparents,and cousins)in addition to the nuclear family.The nuclear family consists of husband and wife (and perhaps one or more children).The blended family is formed when parents bring unrelated children from prior or foster parenting relationships into a new,joint living situation.Alternate pattern relationships include multi-adult households,"skip-generation" families (grandparents caring for grandchildren),and communal groups with children,"nonfamilies" (adults living alone),and cohabitating.

Question 17

The parents of an 18-year-old who joined the military and is being deployed overseas,discuss with him how they plan to stay in touch and purchase a laptop computer for him to take with him so they can e-mail and use the webcam to see each other.What approach to stress does this family exhibit?

Accepted Answer

Family hardiness is the internal strengths and durability of the family unit.A sense of control over the outcome of life,a view of change as beneficial and growth producing,and an active rather than passive orientation in adapting to stressful events characterize family hardiness.Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events.Resources and techniques a family or individuals within the family use to maintain a balance or level of health assist in understanding a family's level of resiliency.Genetic factors reflect a family's heredity or genetic susceptibility to a disease that may or may not result in actual development of the disease.

Question 18

A nursing instructor is raising her two granddaughters after her daughter and son-in-law were killed in a motor vehicle accident.How is this family form best described?

Accepted Answer

Alternate patterns of relationships include multi-adult households,"skip-generation" families (grandparents caring for grandchildren),communal groups with children,"nonfamilies" (adults living alone),and cohabitating partners.The extended family includes relatives (aunts,uncles,grandparents,and cousins)in addition to the nuclear family.The single-parent family is formed when one parent leaves the nuclear family because of death,divorce,or desertion or when a single person decides to have or adopt a child.The blended family is formed when parents bring unrelated children from prior or foster parenting relationships into a new,joint living situation.

Question 19

A student nurse is caring for a 4-year-old patient who has been admitted to the pediatric unit with acute asthma.As the student nurse admits the patient,he learns that both parents smoke in the home.The nurse plans to discuss with the parents the implications of smoking around the patient and to provide them with information on smoking cessation.This is an example of what approach to family nursing?

Accepted Answer

When you view the family as context,your primary focus is on the health and development of an individual member existing within a specific environment (i.e.,the patient).Although you focus the nursing process on the individual's health status,you will also assess the extent to which the family provides the individual's basic needs.When you view the family as patient,the family processes and relationships (e.g.,parenting or family caregiving)are your primary focus of care.When you care for the family as a system,you are caring for each family member (family as context)and the family unit (family as patient),using all community,social,and psychosocial resources.Families are continually changing.As a result,the need for family support changes over time,and it is important for you to understand that the family is more complex than simply a combination of individual members.

Question 20

A woman is making plans for her holiday dinner and shares with her butcher that she will be inviting her family.When the butcher asks who will be coming,she replies,"My two children and their spouses,my ex-son-in-law is bringing my grandson,and my ex-mother-in-law is coming." This is an example of which of the following?

Accepted Answer

Family durability is the intrafamilial system of support and structure that sometimes extends beyond the walls of the household.Through divorce,remarriages,or cohabitation new members are added to a family.In addition,an extended family also includes contact with former spouses or partners.Family diversity is the uniqueness of each family.Family resiliency is the ability of the family to cope with expected and unexpected stressors.A nuclear family consists of husband and wife (and perhaps one or more children).

Quiz 24: Family Context in Nursing