Question 1

The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?

Accepted Answer

The child's behavior of being "on guard" and not speaking in the presence of a parent may indicate fear or anxiety caused by potential violence or abuse. This finding should be of the most concern to the nurse. The other options do not necessarily indicate family violence. The baby having a cold could be due to other factors such as environmental factors or lack of access to healthcare. Children having dirt stains on their clothes could be a result of normal childhood play or lack of access to laundry facilities. The absence of a regular physician could be due to financial or other reasons.

Question 2

The nurse is confident that a family is functioning appropriately.What findings did the nurse use to make this determination?
Standard Text: Select all that apply.

Accepted Answer

A,C,D,E

Question 3

A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?

Accepted Answer

The client has listed several generations of family members, which fits the definition of an extended family. A nuclear family only includes parents and their children, while a blended family refers to a family with step-parents and step-siblings in addition to biological family members. Traditional isn't a recognized type of family structure.

Question 4

The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
Standard Text: Select all that apply.

Accepted Answer

The structural-functional theory focuses on the structures and functions of a family. This approach considers the relationships and interactions within the family, as well as how these interactions contribute to the family's overall functioning. Therefore, the nurse should include individuals in the family, the family's sense of purpose, relationships among family members, and the approach the family uses to socialize new family members when conducting the assessment. Strategies to restrict outside influences on the family are not necessarily relevant to the structural-functional theory.

Question 5

During a family assessment,the nurse asks "How,as a family,do you deal with disappointments or stressful changes that occur and affect the members of your family?" What is the nurse attempting to identify?

Accepted Answer

The nurse is attempting to identify the family's coping mechanisms when faced with disappointments or stressful changes. Understanding the family's coping mechanisms can help the nurse identify areas where the family may need additional support or resources.

Question 6

A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?

Accepted Answer

Family disorganization is a normal reaction to the sudden loss of a loved one. The family may experience changes in household responsibilities and roles, leading to disruption and disorganization. This can occur as the family adjusts to a new reality without their loved one. While family members may become detached from extended family and feel their place in the community has been eliminated during the grief process, this is not necessarily a "normal" reaction. Withdrawal into seclusion can also occur but is not always a typical reaction to this type of loss.

Question 7

A nurse is conducting a family assessment as part of the process for services provided through the community.Which part of the assessment should provide the nurse with the best information in identifying existing or potential health problems?

Accepted Answer

The genogram, which provides a detailed family tree, can help the nurse identify patterns of health problems within the family. It can also reveal potential genetic predispositions for certain illnesses. The ecomap focuses on the family's social environment and support network, the cultural assessment examines the family's cultural beliefs and practices, and family communication patterns assess how the family interacts with each other. While all of these assessments are important, the genogram is the best for identifying existing or potential health problems.

Question 8

A nurse is conducting a family assessment and is focusing,for the moment,on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?

Accepted Answer

Ignoring disagreements instead of addressing them can lead to unresolved issues and potential misunderstandings. This can inhibit effective communication within the family.

Question 9

Two nursing students,both single parents,have decided to move into a larger house.Part of their rationale includes providing support for studying and sharing the responsibilities of parenting.Which type of living arrangement are these students implementing?

Accepted Answer

The nursing students are not in a romantic relationship or married, and are moving in together to provide support for studying and sharing responsibilities of parenting, indicating that they are a cohabiting family. Blended family refers to a family that includes children from previous relationships, foster family refers to a family that provides a temporary home for children in foster care, and intragenerational family refers to a family that includes multiple generations living together. None of these options fit the living arrangement of the nursing students.

Question 10

The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
Standard Text: Select all that apply.

Accepted Answer

The nurse should assess the family's understanding of the seriousness of the disorder, as well as their previous experience with chronic illness. The financial impact of the illness on the family should also be taken into account. The age of the affected member and the number of members in the family may be relevant but are not as important as the other factors listed.

Question 11

The nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire.What should the nurse identify as this family's external support systems?
Standard Text: Select all that apply.

Accepted Answer

External support systems are individuals or agencies outside of the immediate family who can provide emotional, financial, or practical support. In this case, the grandparents and parent's siblings may be able to provide emotional and practical support, such as temporary housing or help with moving and storage. Local social services agencies may be able to provide financial aid, counseling, or assistance with finding new housing. The family's religious leader may also offer emotional and spiritual support during this difficult time. Option E, the family's communication skills, is not an external support system but rather an internal factor that may impact their ability to cope.

Question 12

The nurse is planning to complete a family assessment.For which reasons is the nurse completing this assessment?
Standard Text: Select all that apply.

Accepted Answer

The nurse is completing this assessment to determine the level of family functioning, identify family strengths and weaknesses, clarify family interaction patterns, and describe the health status of individual members.

Question 13

During a previous family assessment,the nurse realized that the mother did most of the talking and was quick to make decisions,which appeared to be acceptable to the father.When one of their children is hospitalized,the nurse should

Accepted Answer

The nurse should include both parents in decision making but respect the family dynamics where the mother may naturally take the lead, as long as it is acceptable to all parties involved.

Question 14

A family struggles with clear communication,and members of the family often seek the help of other systems for personal validation and gratification.What should the nurse identify as an appropriate nursing diagnosis for this family?

Accepted Answer

The family's struggle with clear communication and members seeking help from outside sources suggest a problem with communication patterns within the family. Altered Family Processes is an appropriate nursing diagnosis for this situation.

Question 15

A nurse is working with a particular cultural group in which it is not uncommon for grandparents to live with their married children and to assist with child-rearing and discipline issues.For which type of family should the nurse plan care for these clients?

Accepted Answer

An intragenerational family includes multiple generations living together, such as grandparents living with their married children and assisting with child-rearing.

Question 16

During a family assessment,the nurse determines that a family functions according to the systems theory.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.

Accepted Answer

Systems theory in family assessment focuses on how family members work together towards goals, interact with community systems, use community resources, and maintain healthy boundaries to regulate external influences.

Question 17

The nurse is performing a family risk assessment.Which factor should the nurse identify that indicates this family is at risk of developing health problems?

Accepted Answer

The answer of The nurse is performing a family risk...

Question 18

A family member is hospitalized with an illness.What should the nurse assess to determine the impact this illness will have on the family?

Accepted Answer

The answer of A family member is hospitalized with an...

Quiz 24: Promoting Family Health

The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?

The nurse is confident that a family is functioning appropriately.What findings did the nurse use to make this determination? Standard Text: Select all that apply.

A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?

The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment? Standard Text: Select all that apply.