Deck 12: Working With Families

Question 1

The CHN must conduct a family assessment for a family who live in a commune but is uncertain about how to proceed because the relationships do not appear to be clear. Which question should the CHN ask to determine the structure of a family comprising a mother and a child?

A) "How many children do you have, and who is the father of each of them?"
B) "Is there a register of families that are members of this commune?"
C) "Tell me about your significant other."
D) "Who are the members of your and your child's family?"

Answer 1

"Who are the members of your and your child's family?"

Question 2

A CHN is preparing to terminate a visit with teenage parents and their new baby. During this phase of the home visit, what action will the CHN want to take?

A) Determine the family's willingness for home visits.
B) Establish the purpose of the visit.
C) Review important points of teaching discussed during the visit.
D) Review the family record and reason for referral.

Answer 2

Review important points of teaching discussed during the visit.

Question 3

What is addressed by the developmental assessment aspect of the Calgary Family Assessment Model (CFAM)?

A) Family life-cycle stages
B) Instrumental and expressive functions
C) Activities of everyday living
D) Family strengths

Answer 3

Family life-cycle stages

Question 4

Historically, CHNs focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors. Which view of the family did this traditional conceptualization take?

A) Family as the client
B) Family as a component of society
C) Family as the context
D) Family as a system

Question 5

Which type of risk the most important predictor of health?

A) Biological risk
B) Economic risk
C) Life-event risk
D) Health values

Question 6

When drawing a genogram, which style of line drawing will the CHN use to demonstrate a marital relationship between two individuals?

A) A broken line
B) A dashed line
C) A solid line
D) Two parallel lines

Question 7

Which CHN action has the most potential to empower the family of a mother with newly diagnosed breast cancer?

A) Applying for emergency financial assistance on the family's behalf
B) Arranging for community members to assist with child care
C) Recommending that the mother join a cancer support group
D) Teaching the family how to navigate the health care system

Question 8

Family functions and structures create unique challenges in family nursing. What is the primary reason for the existence of these challenges?

A) The functions and structures of families continue to change over time.
B) Function and structure do not apply to all family units.
C) Some clients do not have families.
D) Traditional families are rare in today's society.

Question 9

A CHN researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours. Which type of family nursing theory would best address the purpose of the CHN's research?

A) Developmental theory
B) Interactional theory
C) Structure-function theory
D) Systems theory

Question 10

Which scenario provides an example of a normative event that can increase the risk for illness?

A) A family is involved in a motor vehicle accident.
B) A group of teens experiments with recreational drugs.
C) A woman is pregnant with her first child.
D) The family's only earning member is laid off from work.

Question 11

What does the CHN conducting a health risk appraisal assess?

A) Health promotion activities
B) Illness prevention activities
C) Risk reduction activities
D) Unhealthy events

Question 12

While taking a family history, the community health nurse (CHN) finds out that the husband is a stepfather to the eldest child. This information should be documented in which category?

A) Family demography
B) Family dynamics
C) Family function
D) Family system

Question 13

Documentation takes place during which phase of the home visit?

A) Engagement phase
B) In-home phase
C) Termination phase
D) Postvisit phase

Question 14

Which nursing function to identify family problems and strengths is the foundation for family nursing interventions?

A) Assessment
B) Plan
C) Implementation
D) Evaluation