Deck 13: Family Assessment

Question 1

The nurse is meeting with a parent who is learning how to manage the care of the 8-year-old child who has been diagnosed with muscular dystrophy. Which action by the nurse will best portray the parent's ability to provide the best care for this family?

A) Follow the same guidelines which have been appropriate in the past
B) Encourage the parent to continue the appropriate care
C) Ensure the parent is aware of what mistakes he or she is making
D) Conference with the supervisor after each visit

Answer 1

Encourage the parent to continue the appropriate care

Question 2

The community health nurse meets with families of all types. With each family, the nurse takes the time to discover each member's place and function within the family structure. Which concept is the nurse utilizing with this action?

A) Determining how well the family functions
B) Predicting the type of family structure
C) Evaluating how the family has progressed through the various stages
D) Exploring how the family is influenced by the community

Answer 2

Predicting the type of family structure

Question 3

The community health nurse has noted an increase in delay of developmental tasks within younger children in the community. Which factor would the nurse most likely anticipate to be contributing to this delay?

A) Lack of parenting skills
B) Increase in divorces among the families
C) More children being born outside marriage
D) Lack of adequate preschools and daycare facilities

Answer 3

Increase in divorces among the families

Question 4

The community health nurse has limited time for family assessments because of demanding caseloads or staffing shortages. Which activity should the nurse prioritize that will acknowledge the family's strengths?

A) Ask family members if they see an area that could be changed
B) Allow everyone present to voice observations, insights, or concerns before offering how they could change the situation
C) Share any genograms and ecomaps that illustrate relationships with family members
D) Collaborate with the family to set priorities, plan care, and evaluate goals

Question 5

The community health nurse is reviewing guidelines for the 15-minute assessment to keep the interview focused and family centered. Which questions and considerations for the family assessment can be asked for the question "Who is part of the family?" (Select all that apply.)

A) "What is the nature of individuals' connections to one another?"
B) "Does the individual live alone or have no living family members?"
C) "What influences from the family of origin are present in daily life?"
D) "Do members speak independently or is an interpreter present?"
E) "What observations can be made about the interpersonal dynamics between members?"

Question 6

The community health nurse is responsible for meeting with several young mothers and their infants to ensure they are remaining healthy. Which goal of the Nurse-Family Partnership Program is the nurse fulfilling with this action?

A) Provide education for the parent which can be used to find employment
B) Ensure there is not a substance or alcohol use disorder by the parents
C) Improve child health and development by helping parents
D) Ensure the child will be ready for preschool

Question 7

The nurse has been provided with information concerning a new family and notes they consist of a nuclear family. Which family structure will the nurse anticipate finding when arriving for the first visit?

A) First-degree relatives who live together
B) First- and second-degree relatives who live together
C) First- and second-degree relatives who live in the same neighborhood
D) Individuals who are not blood relatives but share a common locale of origin or culture

Question 8

The nurse has noted an increase in the number of blended families in the community. Which reasons might the nurse attribute to this increase? (Select all that apply.)

A) People who remarry following a divorce
B) People who remain single after being widowed
C) Recognized gay and lesbian relationships
D) Married couples having children
E) Couples cohabiting with children from prior relationships

Question 9

The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships should the nurse include in the genogram?

A) Influence of other systems on families
B) Influence of groups on families
C) Family relationships and their vital connections
D) Relationships across two or more generations

Question 10

The community health nurse is meeting with a client and caregiver, the eldest son. The nurse notes the son is spending approximately 15 hours a week at the parent's home to take care of various tasks. The son lives about 12 blocks away and has two older adolescent children. Which action should the nurse prioritize in this situation?

A) Assist the client with locating a home health aide
B) Monitor the son for signs of stress and frustration
C) Suggest the mother move to an assisted-living care facility
D) Ensure the client remains safe in the home

Question 11

The nurse is conducting a 15-minute interview with a family. Which actions should the nurse prioritize during this interview? (Select all that apply.)

A) Have family members share their family history going back several generations
B) Listen actively as the family members speak
C) Construct an ecomap of the family
D) Ask family members to prioritize their needs and to express their expectations regarding nursing care
E) Point out the strong relationships they enjoy in their family and explaining how they will help them cope with the health issue of concern

Question 12

In a 15-minute family interview, after asking a question, the nurse pauses and remains silent while the grandmother, whose English is limited, replies to the question. The nurse makes eye contact with her and nods while she talks. When she is finished, the nurse asks a few follow-up questions. Which principle is the nurse utilizing in this session?

A) Appropriate manners
B) Therapeutic conversation
C) Therapeutic questions
D) Acknowledgment of family strengths

Question 13

The nurse conducts a functional assessment on a family. Which actions by the family would exemplify health routines? (Select all that apply.)

A) Siblings all brushing their teeth together before bed every night
B) Parents taking their 9-month-old child to the health clinic when he has a fever
C) Entering a 5K run/walk charity event each year as a family
D) Taking a walk together around the neighborhood after dinner each evening
E) The mother having a mammogram performed every year

Question 14

The nurse provides care to several clients who live in a low-income apartment complex. When utilizing the family structural-functional theory, which factors would the nurse most likely anticipate witnessing in these family units? (Select all that apply)

A) Children growing and developing into responsible adults
B) The individual members constantly interacting with a suprasystem
C) Individuals representing each of the stages of development
D) Adding new family members by adoption
E) Families attempting to provide the basic needs

Question 15

The community health nurse spends time appraising each case to determine if perhaps there may be a better or different method to use with each family to ensure top quality care. Which action is the nurse prioritizing?

A) Ensuring the nursing actions are based on the company's approved policies
B) Practicing self-reflection to ensure his or her actions are most appropriate
C) Ensuring documentation is up-to-date
D) Reporting any concerns to the family's healthcare provider

Question 16

A group of public health nurses are providing maternal care to various members of the community. Which actions by the nurses have a positive effect on the families and should improve the outcomes of these visits? (Select all that apply.)

A) Remain friendly and approachable
B) Encourage mother to lead the visit
C) Dictate what the mother should be doing
D) Ensure each visit follows the prescribed standards
E) Remain flexible and let the families' needs dictate the visit

Question 17

The home health nurse is working with an older adult client and the family caregiver. Which resources can the nurse point out, which are available to assist this family in the care of this client? (Select all that apply.)

A) Adult day care program
B) Grocery delivery services
C) Caregiver support group
D) Support animal
E) Companions

Question 18

The community health nurse is meeting with an older adult client whose adult grandchild has recently moved in to help provide daily care. Which actions should the nurse prioritize with this grandchild to help adjust to providing care? (Select all that apply.)

A) Suggest ways to improve the safety in the home
B) Congratulate the grandchild when a new skill is learned
C) Demonstrate better methods for completing basic care as needed
D) Employ therapeutic communication with the grandchild
E) Offer to teach the grandchild the skills needed for becoming a certified nursing assistant

Question 19

The community health nurse strives to respect all family structures when providing care and interacting with family members. Which concept should the nurse conclude will be a constant factor in the family structure? (Select all that apply.)

A) It is always changing in structure
B) There will be five basic stages all families progress through
C) Economic factors can affect the structure of the family
D) Developing intergenerational relationships is a focus of a later stage
E) The basic stages are predictable within the family structure

Question 20

The public health nurse works closely with the school nurse to locate at-risk pregnant adolescents to include them in the Nurse-Family Partnership Program. The nurse points out that which benefit can result from being included in the program?

A) Better prepared for the next pregnancy
B) Monitor intrafamily conflict which can occur
C) Improve relationship with father of infant
D) Improved pregnancy outcomes

Question 21

The nurse assesses a 77-year-old woman who has been caring for her husband who has Alzheimer's disease in their home for the past 8 years. The client complains of exhaustion and depression. Which stressors should the nurse most suspect as the cause of this client's symptoms?

A) Marital strain
B) Caregiver burden
C) Spillover
D) Interfamily strain