Deck 14: The Family

Question 1

Which of the following suggest that a family health problem may exist? Select all that apply.

A) Family members respect each other's need for privacy.
B) Family members enact decisions made by the most powerful member.
C) Family members do not consider that a conflict has been resolved until everyone agrees.
D) Family members set boundaries between family members.

Answer 1

Family members enact decisions made by the most powerful member.
Family members do not consider that a conflict has been resolved until everyone agrees.

Question 2

The son of an 80-year-old 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." What is the most appropriate response by the nurse?

A) "We may need to contact the physician for a nutritional assessment."
B) "Your family members will need to get together and bring him meals."
C) "It may be time for you to think about nursing home placement."
D) "What are your feelings on using some community resources such as Meals on Wheels?"

Answer 2

"What are your feelings on using some community resources such as Meals on Wheels?"

Question 3

The nurse is working with a wife who is caring for her chronically ill husband who requires around-the-clock care.The nurse notices that the wife often speaks to her husband sharply.The bed linens are soiled with food and the patient has a strong body odor.Both the house and the wife are unkempt.When encouraged to talk,the wife says,"I just drag around.I can't make myself do anything.I'm so tired of it all." What nursing diagnosis best fits these defining characteristics?

A) Dysfunctional Family Processes
B) Caregiver Role Strain
C) Defensive coping
D) Impaired Verbal Communication

Answer 3

Caregiver Role Strain

Question 4

The graduate nurse tells her preceptor that the newly admitted patient has a strange living arrangement,because she lives in a household that consists of two aunts,a grandparent,a niece,a nephew,and her best friend.What is the preceptor's best response?

A) "You are correct. That is a different type of household."
B) "That is an example of a family as defined by a different type of culture."
C) "This is considered an extended family and is not unusual."
D) "This is a type of blended family and statistics show an increase in these types of living arrangements."

Question 5

For which patient in the emergency room is it most important that the nurse conduct a thorough assessment for abuse and neglect?

A) 6-year-old African American male with complaints of abdominal pain
B) 2-year-old Caucasian male with injuries from a fall
C) 7-year-old Caucasian female with a broken arm from a motor vehicle accident
D) 4-year-old Hispanic female who complains of an earache.

Question 6

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?

A) General systems theory
B) Family interactional theory
C) Family as a context theory
D) Developmental theory

Question 7

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 of the following is the most prevalent?

A) Vision
B) Hearing
C) Ambulation
D) Learning

Question 8

The nurse is developing a teaching plan on coping strategies for an extended family of a severely disabled 11-year-old child.What step should the nurse take first in developing this plan?

A) Assess the current coping patterns.
B) Establish each member's role.
C) Assign specific tasks and deadlines for each member.
D) Assess which family member has the most ineffective coping patterns.

Question 9

The nursing student is caring for a seriously ill child on the pediatric unit.There are many family members present,including parents,aunts,and uncles.The student tells the primary nurse,"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." What is the most appropriate response by the nurse?

A) "This is unacceptable and disruptive behavior. Let them know that if this behavior continues, we may need to call security."
B) "Families experience a range of emotions when caring for an ill member. Sometimes these are normal reactions, so you need not take it personally."
C) "There may be too many people in the room. You might consider limiting their visiting time."
D) "I believe this family is of Italian descent. Don't worry about it; it may just be their culture."

Question 10

The nurse has scheduled a meeting with a family to assess and assist with improving the family's communication patterns.What is of primary importance for the nurse to focus on during the assessment?

A) Identifying how family decisions are made
B) Documenting the number of family members attending the meeting
C) Assessing for the most frequently used means of communication between family members
D) Making careful observations of body language and nonverbal expressions during the meeting

Question 11

According to Maslow's Hierarchy of Needs,the nurse's primary focus in caring for a homeless family is:

A) Food and shelter
B) Access to healthcare
C) Strengthening family relationships
D) Decreasing social isolation

Question 12

To prevent a reduction in herd immunity,what should the nurse teach a class of pregnant women?

A) "You should increase your intake of milk to meet your growing calcium needs."
B) "It is important to take your prenatal vitamins daily to provide the essential vitamins and minerals your body needs."
C) "You should ensure your child gets his or her immunizations at the recommended scheduled times."
D) "You should limit the time your child is in crowded environments for the first 6 months of his or her life."

Question 13

A 65-year-old patient is admitted to the hospital with heart failure.The patient's best friend accompanies her on admission.They have been sharing a home since they each were widowed 3 years ago.Both women have grown children who live out of state.Using the family nursing approach,how can the nurse best intervene?

A) Involve the friend and children in the patient's care, discharge planning, and home care.
B) Encourage the friend to wait until discharge to provide care for the patient at home.
C) Explain to the friend that for confidentiality reasons she cannot be involved in the patient's care.
D) Encourage liberal visiting hours by the friend and the patient's children.

Question 14

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 his 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?

A) General systems theory
B) Structural-functional theory
C) Family interactional theory
D) Developmental theory

Question 15

A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer.Although with delayed childbearing,developmental stages can vary among families,which typical stage of family development is this couple likely experiencing?

A) Family launching young adults
B) Postparental family
C) Family with frail elderly
D) Family with teenagers and young adults

Question 16

Which family function(s)is/are outlined in the structural-functional family theory? Select all that apply.

A) Meeting the emotional needs of family members
B) Reinforcing ethical and moral values
C) Promoting joint decision making among parents and children
D) Being productive members of society

Question 17

The nursing student is caring for a patient with diabetes on a medical-surgical unit.During a teaching session with the patient and family,she asks them questions regarding care at home,ability to perform blood glucose testing,and administering insulin.The student is providing family care using which perspective of family nursing?

A) Family as context for care
B) Family as unit of care
C) Family as a system
D) A blend of all of the above

Question 18

A family assessment should include which areas? Select all that apply.

A) Coping patterns
B) Health beliefs
C) Medical history
D) Physical examination

Question 19

Which situation below best depicts a mid-life crisis?

A) A 22-year-old college graduate moves in with her parents because she cannot find employment.
B) The parents enroll their two toddlers in day care because two incomes are needed to meet the household's financial demands.
C) After the couple's daughter leaves for college, the husband quits his job and decides to "see the world."
D) A 70-year-old widower rejects the children's advice to move into an assisted living facility.

Question 20

A nurse is caring for a patient who was newly diagnosed with type 1 diabetes.The patient's wife states,"We are a family of diabetics." The nurse advises the couple to attend the free nutrition,cooking,and exercise classes at the health center near their neighborhood.She also gives them the name of the public health nurse for their area.Which perspective of family nursing is the nurse practicing?

A) Family as a unit of care
B) Family as a system
C) Family as the context of care
D) Family as a resource and stressor

Question 21

Homelessness is a growing problem in the United States.What are the primary causes of homelessness? Select all that apply.

A) Lack of job skills
B) Lack of social skills
C) Underlying mental illness
D) Substance abuse
E) None of the above

Question 22

A 24-year-old couple with two young children tell the nurse in the pediatric department that they have been struggling with raising them.They state,"We just don't know what we are doing sometimes and feel we are not always making good decisions for our children.It is time we sit down and figure this out." The nurse arrives at a nursing diagnosis of Family Processes: Readiness for Enhanced Parenting.Which nursing intervention(s)are most appropriate for this family? Select all that apply.

A) Collaborate with family in problem solving and decision making
B) Assign specific roles for each family member.
C) Encourage family members to verbalize concerns, fears, and perceptions.
D) Obtain a comprehensive family health assessment.

Question 23

The study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care.How are genomics and the use of a genogram helpful in personalizing a patient plan of care? Select all that apply.

A) Assists in identifying at-risk individuals for certain conditions enabling better preventative care
B) Helps to more accurately detect illness, even before symptoms appear
C) Provides understanding of how people may respond differently to certain drugs and treatments
D) Increases the trust a patient and family have in the healthcare professionals