Deck 26: Family

Question 1

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?

A)A low level of subjective burden
B)A high level of subjective burden
C)A low level of objective burden
D)A high level of objective burden

Answer 1

A high level of subjective burden

Question 2

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)A list of free counseling services to assist with parental stress
B)Hours of the local health clinic
C)Location of the community library
D)Location of the community co-op food bank
E)Hours when the park is open

Answer 2

A list of free counseling services to assist with parental stress
Hours of the local health clinic
Location of the community co-op food bank

Question 3

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?

A)Compromised Family Coping related to the effects of multiple simultaneous stressors
B)Interrupted Family Processes related to child with a significant disability requiring alteration in family functioning
C)Caregiver Role Strain related to a child with a disability and the associated financial burden
D)Impaired Social Interaction (parent and child)related to the lack of family or respite support

Answer 3

Compromised Family Coping related to the effects of multiple simultaneous stressors

Question 4

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.

A)Suggest grief counseling.
B)Evaluate family members' potential for being a danger to self or others.
C)Suggest engaging in educational activities.
D)Be alert to behaviors that indicate sibling jealousy.
E)Recommend community resources to assist with substance abuse behavior.

Question 5

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?

A)The Friedman Family Assessment Tool
B)The Family Ecomap
C)The Home Observation for Measurement of the Environment (HOME)
D)The Family APGAR

Question 6

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.

A)The children are observed eating doughnuts for breakfast.
B)All family members have up-to-date immunizations.
C)The family spends every Saturday afternoon participating in physical activities.
D)The youngest child squints when reading school work.
E)The oldest child does not wash his hands before eating.

Question 7

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?

A)All members are participating in the discussion equally.
B)A few of the members just sit and listen.
C)Disagreements are ignored by the family leader.
D)The verbal communication is congruent with the nonverbal messages.

Question 8

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.

A)Emergency first responder personnel
B)Information about community healthcare providers
C)Individuals who provide mental health services
D)Law enforcement officials
E)Nutritionists

Question 9

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?

A)Ask the parents, "How do you handle situations that require limit setting?"
B)Ask the child, "What rule is hardest for you to obey?"
C)Observe the parent interacting with the child for 5 minutes.
D)Ask the parents, "What are the house rules?"

Question 10

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.

A)The duration of the illness
B)The effect of the illness on future family functioning
C)The cause of the illness
D)The meaning of the illness to the family
E)The financial impact of the illness

Question 11

A client with a bipolar disorder arrives at the emergency department disheveled, arguing with family members. The nurse recognizes that the family is suffering from an objective family burden. To which of the following is this burden related?

A)The client's symptomatic behaviors
B)Family conflict
C)Anger
D)Caregiving problems

Question 12

A nuclear family has three children-an infant who is 18 months old, a preschooler who is 4 years old, and a first grader who is 7 years old. According to Duvall's eight-stage family life cycle, what is this family's current stage?

A)Stage I
B)Stage II
C)Stage III
D)Stage IV

Question 13

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?

A)Blended family
B)Extended family
C)Two-career family
D)Nuclear family

Question 14

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?

A)Maintaining the continuity of society by transmitting knowledge and beliefs to children
B)Caring, nurturing, and educating children
C)Receiving and giving love
D)Meeting the protection and economic support needs of family members

Question 15

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:

A)disengaged triadic between all three members.
B)cohesive dyadic between the mother and father.
C)cohesive dyadic between the mother and child.
D)cohesive triadic between all three members.

Question 16

A nurse in an outpatient pediatric clinic notes that a preschool-aged child who was due to be seen is a no-show. The child is not up to date on vaccinations. Which action by the nurse is appropriate?

A)Call the parents and encourage them to bring the child for recommended care.
B)Speak firmly with the parents about the importance of being compliant.
C)Notify the healthcare provider that the child's immunizations are no longer up to date.
D)Plan to discuss the principles of health supervision at the next scheduled visit.

Question 17

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.

A)Next-door neighbor helping with family chores
B)Effective communication pattern
C)Skill in providing care to the ill family member
D)Church members stopping by with groceries
E)Center for Aging picking up the family member to take her to a physician's appointment

Question 18

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)Instructing on medication administration
B)Guiding to determine realistic goals
C)Identifying strategies to enhance family functioning
D)Suggesting that cultural practices be minimized at this time
E)Focusing on the client's health needs as a priority

Question 19

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.

A)Helping a mother determine a daily feeding schedule for her infant
B)Teaching a school-age child how to use dental floss
C)Teaching parents how to perform pulmonary drainage and cupping on their ill child
D)Treating a child diagnosed with pneumonia
E)Administering the flu vaccine for an infant who is 9 months of age

Question 20

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?

A)The family feels that their place in the community has been eliminated.
B)Family members may become detached from extended family.
C)Family disorganization may occur.
D)The family may withdraw into seclusion during the grief process.

Question 21

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?

A)Information from previous generations is not relevant to mental health.
B)Older generations may not willingly volunteer mental health information.
C)Mental illness was uncommon three or more generations ago.
D)Only information from a patient's parents and siblings is included in a genogram.

Question 22

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

A)It is the overall level of distress experienced as a result of the mental illness.
B)It is the pattern of negative attitudes that lead people to fear individuals with mental illness.
C)It is the measurable or quantifiable impacts of mental illness on the family.
D)It is the assessment that visualizes the way the family interacts with the community.

Question 23

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)"Parents are welcome to remain in their child's room overnight if they wish."
B)"Hospital policies require that patients eat food prepared onsite."
C)"Sibling visits are allowed between the hours of 8 a.m. and 6 p.m."
D)"Comfort items from home are not permitted without the approval of the nursing staff."

Question 24

The nurse at a gerontologist's office works with many older adult clients who are cared for by family members. Which care provider is best described as belonging to the "sandwich generation?"

A)A 72-year-old retired man who cares for his wife and the couple's pets
B)A 21-year-old man who cares for two grandparents between college classes
C)A 55-year-old single man who cares for his mother and maintains her home
D)A 40-year-old married woman who cares for her mother and her two teenage children