Deck 14: The Family

Question 1

According to Maslow's Hierarchy of Needs, which is the nurse's primary focus in caring for a homeless family?
1)Food and shelter
2)Access to healthcare
3)Strengthening family relationships
4)Decreasing social isolation

Answer 1

1

Question 2

The graduate nurse tells the preceptor that the newly admitted patient has a strange living arrangement. The patient lives in a household that consists of two aunts, a grandparent, a niece, a nephew, and her best friend. Which response by the preceptor is best?
1)"You are correct. That is a different type of household."
2)"That is an example of a family defined by a different culture."
3)"This is considered an extended family, which is not unusual."
4)"This type of blended family is statistically shown to be increasing."

Answer 2

3

Question 3

To prevent a reduction in herd immunity, which information does the nurse teach in a class of pregnant women?
1)"You should increase your intake of milk to meet your growing calcium needs."
2)"It is important to take prenatal vitamins daily to provide the essential vitamins and minerals your body needs."
3)"You should ensure your child gets immunizations at the recommended scheduled times."
4)"You should limit the time your child is in crowded environments for the first 6 months of life."

Answer 3

3

Question 4

The nurse is aware a family assessment includes which areas? Select all that apply.
1)Coping patterns
2)Health beliefs
3)Medical history
4)Physical examination
5)Medication information

Question 5

A nurse is providing care for a patient newly diagnosed with type 1 diabetes mellitus. The patient's spouse states, "We are a family of diabetics." The nurse advises attendance to the free nutrition, cooking, and exercise classes at the health center near their neighborhood. The nurse also provides the name of the public health nurse for their area. Which perspective of family nursing is the nurse practicing?
1)Family as a unit of care
2)Family as a system
3)Family as the context of care
4)Family as a resource and stressor

Question 6

The nurse is providing care for a patient diagnosed with lung cancer. The patient and the spouse are 2 years from retirement. The nurse is aware that a variety of developmental stages among families can exist due to delayed childbearing. However, which typical stage of family development is this couple likely experiencing?
1)Family launching young adults
2)Postparental family
3)Family with frail elderly
4)Family with teenagers and young adults

Question 7

The nurse is participating in a family conference regarding one of the patients on the geriatric unit. During the conference, each family member is asked about their role in the family, communication style, coping strategies, and relationship with other family members. This type of family conference best illustrates the use of which theory related to family care?
1)General systems theory
2)Structural-functional theory
3)Family interactional theory
4)Developmental theory

Question 8

An older adult patient is admitted to the hospital with heart failure. The patient's best friend is present during admission. The couple has shared a home since each were widowed 3 years ago. Both have grown children who live out of state. Which family nursing approach does the nurse use?
1)Involve the friend and patient's children in the care, discharge planning, and home care.
2)Encourage the friend to wait until discharge to provide care for the patient at home.
3)Explain to the friend an inability to be involved in patient care for confidentiality reasons.
4)Encourage liberal visiting hours by the friend and the patient's children.

Question 9

The grown child of an older adult patient tells the nurse, "I'm starting to worry about my father's eating habits. He lives alone and has been able to cook, but now he doesn't want to cook and says he is too tired to go to the store." Which is the most appropriate response by the nurse?
1)"We may need to contact the physician for a nutritional assessment."
2)"Your family members will need to get together and bring him meals."
3)"It may be time for you to think about nursing home placement."
4)"What are your feelings on using some community resources for meals?"

Question 10

The nurse schedules a meeting with a family to assess and assist with improving the family's communication patterns. Which is of primary importance for the nurse to focus on during the assessment?
1)Identifying how family decisions are made
2)Documenting the number of family members attending the meeting
3)Assessing for the most frequently used means of communication among family members
4)Making careful observations of body language and nonverbal expressions during the meeting

Question 11

For which patient in the emergency room is it most important that the nurse conduct a thorough assessment for abuse and neglect?
1)A 6-year-old African American male with complaints of abdominal pain
2)A 2-year-old Caucasian male with injuries from a fall
3)A 7-year-old Caucasian female with a broken arm from a motor vehicle accident
4)A 4-year-old Hispanic female who complains of an earache

Question 12

The nurse is aware of which situation best depicting a mid-life crisis?
1)A college graduate moves in with parents because of an inability to find employment.
2)Parents enroll their two toddlers in day care because two incomes are needed meet the household's financial demands.
3)After the couple's daughter leaves for college, the husband quits his job and decides to "see the world."
4)An older adult widower rejects the children's advice to move into an assisted living facility.

Question 13

The nurse is developing a teaching plan about coping strategies for an extended family of a severely disabled 11-year-old child. Which step does the nurse take first in developing this plan?
1)Assess the current coping patterns.
2)Establish each member's role.
3)Assign specific tasks and deadlines for each member.
4)Identify the family member with the most ineffective coping patterns.

Question 14

Which family functions are outlined in the structural-functional family theory? Select all that apply.
1)Meeting the emotional needs of family members
2)Reinforcing ethical and moral values
3)Promoting joint decision making among parents and children
4)Being productive members of society
5)Possessing certain features common to small groups

Question 15

The Americans with Disabilities Act (ADA) defines a disability as a physical or mental impairment that substantially interferes with a person's ability to engage in major life activities. Among the various disabilities in the United States, which is the most prevalent?
1)Vision
2)Hearing
3)Ambulation
4)Learning

Question 16

The nurse is conducting a family assessment. Which assessment findings suggest a family health problem may exist? Select all that apply.
1)Family members respect each other's need for privacy.
2)Family members enact decisions made by the most powerful member.
3)Family members consider a conflict resolved when everyone agrees.
4)Family members set boundaries between family members.
5)Family members seem unaffected by an unkempt environment.

Question 17

The nurse is providing care for a seriously ill child on the pediatric unit. Many family members are present, including parents, aunts, and uncles. The nurse tells the nurse manager, "Every time I go into the room, everyone is shouting at each other, they shout at me, and they ask me the same questions over and over." Which is the most appropriate response by the nurse?
1)"This is unacceptable and disruptive behavior. Tell them if the behavior continues, we may need to call security."
2)"Families experience a range of emotions when caring for an ill member, and these can be normal reactions. Don't take it personally."
3)"There may be too many people in the room. You might consider limiting the number of visitors at a time."
4)"I know about this family's culture and expect this behavior. Don't worry about it; it is just the way they are."

Question 18

The parents of three children, aged 3, 6, and 8 years, comment that although the children are close in age, they each seem to have different needs. The nurse teaches the parents what tasks the children should accomplish based on the different age groups and provide strategies to help meet the children's needs. Which theory best explains the nurse's teaching plan?
1)General systems theory
2)Family interactional theory
3)Family as a context theory
4)Developmental theory

Question 19

The nurse is working with a spouse who is caring for a chronically ill patient who requires around-the-clock care. The nurse notices the spouse often speaks to the patient sharply. The bed linens are soiled with food and the patient has a strong body odor. Both the house and the spouse are unkempt. When encouraged to talk, the spouse says, "I just drag around. I can't make myself do anything. I'm so tired of it all." Which nursing diagnosis best fits these defining characteristics?
1)Dysfunctional Family Processes
2)Caregiver Role Strain
3)Defensive Coping
4)Impaired Verbal Communication

Question 20

The nurse on a medical-surgical unit is providing care for a patient with diabetes mellitus. During a teaching session with the patient and the family, the nurse asks questions regarding care at home, ability to perform blood glucose testing, and administering insulin. Which perspective of family nursing is the nurse providing?
1)Family as context for care
2)Family as unit of care
3)Family as a system
4)A blend of all of the above

Question 21

The nurse is aware the study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care. In which manner are genomics and the use of a genogram helpful to the nurse in personalizing a patient plan of care? Select all that apply.
1)Assists in development of better preventive care by identifying at-risk individuals
2)Helps to more accurately detect illness, even before symptoms appear
3)Provides insight to how people respond differently to specific drugs and treatments
4)Increases the trust a patient and family have in the healthcare professionals
5)Prevents a disease-related crisis from developing for patients and families

Question 22

The nurse is aware that homelessness is a growing problem in the United States. The nurse is aware of which primary causes of homelessness? Select all that apply.
1)Lack of job skills
2)Lack of social skills
3)Underlying mental illness
4)Substance abuse
5)Loss of a job