Exam 26: Family

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?

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.

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?

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.

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?

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.

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.

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:

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.

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?

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.

The nurse has been asked to review a hospital's written policies for the pediatric care unit. Hospital management is concerned that the current materials express an authoritarian attitude that is off-putting to families. The goal of the nurse's review is to recommend changes that promote openness and communicate appreciation for the role of families in the care of children. Which of the following statements meets this goal?

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?

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?

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.

Which of the following most accurately describes the family burden associated with mental illness?

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?

The nurse is reviewing the genogram for a patient recently diagnosed with mental illness. The genogram shows a history for mental health in the patient's parents' generation, but no history for mental health in previous generations. Which of the following should the nurse understand about this lack of history?

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.

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?