Question 1

A nurse is performing an assessment on a family with a father and mother who both work. What type of family does she record this family as being?

Accepted Answer

A dual-career/dual-earner family is a type of family in which both parents work outside the home. The other options, such as a traditional nuclear family, do not provide information about the parents' work status. An extended family involves multiple generations living together, and an extended kin family includes extended family members beyond relatives.

Question 2

The nurse caring for several patients and their families knows that roles in each family are determined by:

Accepted Answer

A,B,C

Question 3

The nurse in the community should use a family assessment tool to obtain what type of information?

Accepted Answer

A family assessment tool is used to gather information about how a family functions and meets its members' needs, including nutritional needs and food procurement, which is essential for planning appropriate nursing interventions and support.

Question 4

In assessing a new family coming to the clinic, the nurse determines they are an extended kin family. Extended kin network family characteristics include:

Accepted Answer

The answer of In assessing a new family coming to...

Question 5

Why is it important for the nurse to understand the type of family that a client comes from? Standard Text:

Accepted Answer

Understanding the family structure is crucial for nurses as it can impact various aspects of care. Family structure can influence financial resources, affecting the ability to afford nutritious foods (A). Additionally, recognizing who holds power within the family is important for effective communication and decision-making (B). This knowledge helps in tailoring interventions and support to meet the specific needs and dynamics of each family.

Question 6

When working with families entering the childbearing years, the nurse knows that teaching will be needed regarding the challenges of:

Accepted Answer

Meeting the emotional needs of a newborn, exploring the couple's feelings about role transition, accessing resources in the community, and exploring ways of dealing with family conflict are all relevant challenges for families entering the childbearing years. These aspects cover emotional, practical, and interpersonal challenges that new parents may face. Raising the infant in formal traditions of the grandparents may not be a universal challenge for all families entering the childbearing years, as it highly depends on individual family values and cultural practices.

Question 7

The nurse is preparing a community presentation on family development. Which statement should the nurse include?

Accepted Answer

The stages of family development describe the family's progression over time, including transitions and challenges that occur along the way. It is not determined by the youngest child, nor does it necessarily end when the youngest child leaves home. Families may experience overlapping of stages as well.

Question 8

The nurse is performing a cultural assessment using the Transcultural Assessment Model. What aspect of communication should the nurse keep in mind when planning the assessment?

Accepted Answer

It is important for the nurse to understand that the use of silence can differ among different cultural groups. In some cultures, silence is valued as a way to show respect and listening skills, while in others, it may be considered disrespectful or uncomfortable. Understanding these differences in communication styles can help the nurse to build rapport and provide effective care to individuals from diverse backgrounds. The other options provided are not accurate statements about communication variations among cultures.

Question 9

A couple who came to the United States two years ago with their two children are seeing the nurse in the community clinic. The nurse knows their family is acculturating when the mother makes which statement?

Accepted Answer

Acculturation refers to the process of adopting the cultural traits or social patterns of another group. The statement about including hamburgers and French fries in their diet indicates that the family is incorporating aspects of American culture into their lives, which is a sign of acculturation.

Question 10

The nurse is caring for a postpartal patient of Hmong descent who immigrated to the United States 5 years ago. The patient asks for the regular hospital menu because American food tastes best. The nurse assesses this response to be related to which of the following cultural concepts?

Accepted Answer

Acculturation refers to the process of adapting to and acquiring the cultural traits or social patterns of another group, in this case, the patient's adoption of American food preferences.

Question 11

The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the primary use of a family assessment tool is to:

Accepted Answer

The primary use of a family assessment tool is to understand the physical, emotional, and spiritual needs of family members. The tool helps the nurse to identify family strengths and areas for improvement, as well as to develop a plan of care that addresses the unique needs of the family as a whole. It is not primarily used to obtain a comprehensive medical history, determine clinic referral, or predict family changes with the addition of children.

Question 12

The pregnant patient reports to the nurse that she is eating dirt on a weekly basis and was told to do this by her grandmother to have a healthy pregnancy. How should the nurse respond?

Accepted Answer

Eating dirt can expose the mother and baby to harmful contaminants that can be toxic and have adverse health effects. It is important for the nurse to educate the patient about the risks associated with this practice and encourage her to stop immediately.

Question 13

In assessing a family, the community nurse uses a family assessment tool, which provides an organized framework to collect data concerning:

Accepted Answer

The answer of In assessing a family, the community nurse...

Question 14

In working with immigrants in an inner-city setting, the nurse recognizes that acculturation of immigrants often brings with it the benefit of:

Accepted Answer

The answer of In working with immigrants in an inner-city...

Question 15

The nurse is caring for a family in the community with a 2-month-old infant who is breastfed. The father helps by changing diapers and dressing and bathing the baby. The mother will return to work when the baby is 3 months old, and a child care provider has been arranged. Although the mother occasionally feels fatigued, the couple has resumed having sexual relations, although not as frequently as before the pregnancy. Which family model best describes this family?

Accepted Answer

This family fits the Model of the Childbearing Family, as they are adjusting to life with a new infant and managing roles and responsibilities related to child-rearing.

Question 16

The nurse teaching a group of students about trends that have affected the contemporary family includes:

Accepted Answer

A) The median age at the time of marriage has increased as individuals often pursue higher education and career goals before settling down. B) Divorce rates have risen over the past few decades, reflecting changes in societal attitudes towards marriage and divorce. E) There has been a growing acceptance of single women choosing to have children, reflecting broader shifts in societal norms around family structures and parenthood.

Question 17

The public health nurse is working with a student nurse. The student nurse asks which of the six groups of people they have seen today are considered to be families. The nurse responds:

Accepted Answer

In modern definitions, families can include a variety of structures beyond traditional norms. Married couples, whether heterosexual or homosexual, with or without children, as well as unmarried couples with children, are considered families. Additionally, extended family living situations, such as those including grandparents, are also recognized as families.

Question 18

A nurse is comparing several different families' developmental stages, using Duvall's eight-stage family life cycle. Which person serves as a marker for a family's developmental stage in this theory?

Accepted Answer

In Duvall's eight-stage family life cycle, the oldest child serves as the marker for a family's developmental stage. This is because the family's structure and functioning change as each child is born and reaches new developmental milestones. The oldest child's age and developmental stage often determine the family's stage in the life cycle.

Question 19

In learning about Duvall's life-cycle stages ascribed to traditional families, the nursing student recognizes that developmental tasks of each stage include:

Accepted Answer

The answer of In learning about Duvall's life-cycle stages ascribed...

Question 20

A 7-year-old patient tells you that "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as:

Accepted Answer

An extended family includes family members beyond the nuclear family, such as grandparents, aunts, uncles, and cousins, living together or in close proximity. In the given scenario, the presence of Grandpa in addition to the child's parents and sibling indicates an extended family type.

Quiz 2: Care of the Family in a Culturally Diverse Society