Deck 10: Caring for Families

Question 1

A nurse is using the family as context approach to provide care to a patient. What should the nurse do next?

A) Assess family patterns versus individual characteristics.
B) Assess how much the family provides the patient's basic needs.
C) Use "family as patient" and "family as context" approaches simultaneously.
D) Plan care to meet not only the patient's needs but those of the family as well.

Answer 1

Assess how much the family provides the patient's basic needs.

Question 2

The nurse is caring for a patient in hospice. The nurse notes that the patient is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the patient and family and develops a plan of care with them using community resources. Which approach is the nurse using?

A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver

Answer 2

Family as system

Question 3

A nurse reviews the current trends affecting the family. Which trend will the nurse find?

A) Mothers are staying at home.
B) Adolescent mothers usually live on their own.
C) More grandparents are raising their grandchildren.
D) Teenage fathers usually have stronger support systems.

Answer 3

More grandparents are raising their grandchildren.

Question 4

A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene?

A) Tells the family not to leave the bedside
B) Offers the family a sandwich
C) Gives the family a blanket
D) Sits with the family

Question 5

A nurse is focusing on the interactive processes of family life and is asking the patient questions. Match the questions the nurse will ask to the interactive process.

How are house rules established?

A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing

Question 6

A nurse is assessing a child that lives in a car with family members who presents to the emergency department. Which area should the nurse assess closely?

A) Ears
B) Eyes
C) Head
D) Hands

Question 7

The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, "I have no family. They're all gone." When asked, "Who prepares your meals?" the patient states, "I do, or I go out." Which approach should the nurse use for this patient?

A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver

Question 8

A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family?

A) Nuclear
B) Blended
C) Extended
D) Alternative

Question 9

A nurse cares for the family's as well as the patient's needs using available resources. Which approach is the nurse using?

A) Family as context
B) Family as patient
C) Family as system
D) Family as caregivers

Question 10

A nurse is focusing on the interactive processes of family life and is asking the patient questions. Match the questions the nurse will ask to the interactive process.

How often does the family hug each other?

A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing

Question 11

A nurse is assessing threats concerning the family. Which areas will the nurse include in the assessment? (Select all that apply.)

A) Homelessness
B) Domestic violence
C) Presence of illness
D) Changing economic status
E) Rise of homosexual families

Question 12

A nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient's family. Which action should the nurse take to help relieve stress?

A) Encourage caregiver to do as much as possible.
B) Focus primarily on the patient.
C) Point out weaknesses.
D) Provide education.

Question 13

A nurse is focusing on the interactive processes of family life and is asking the patient questions. Match the questions the nurse will ask to the interactive process.

Who at your workplace is close to the family?

A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing

Question 14

The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing. Which statement by the nurse will most likely elicit a positive response from the patient and family?

A) "You're doing that all wrong. Let me show you how to do it."
B) "I don't know who showed you how to change a dressing, but you're not doing it right. Let me show you again."
C) "You're hesitant about changing the dressing like I was before I was shown an easier way; would you like to see?"
D) "I used to change the dressing the same way you are doing it: the wrong way. I'll show you the right way to do it."

Question 15

The nurse is providing discharge teaching for an older-adult patient who will need tube feedings at home. The spouse is the only source of care and states "I will not be able to perform the feedings due to arthritis." Which action should the nurse take?

A) Obtain extra feeding supplies.
B) Arrange for home care.
C) Cancel the discharge.
D) Teach the spouse.

Question 16

The nurse is interviewing a patient who is being admitted to the hospital. The patient's family went home before the nurse's interview. The nurse asks the patient, "Who decides when to come to the hospital?" What is the rationale for the nurse's action?

A) To assess the family form
B) To assess the family function
C) To assess the family structure
D) To assess the family generalization

Question 17

A nurse is focusing on the interactive processes of family life and is asking the patient questions. Match the questions the nurse will ask to the interactive process.

Who is the "peacekeeper" of the family?

A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing

Question 18

A spouse brings the children in to visit their mother in the hospital. The nurse asks how the family is doing. The husband states, "None of her jobs are getting done, and I don't do those jobs, so the house and the kids are falling apart." How will the nurse interpret this finding?

A) The family structure is resilient.
B) The family structure is flexible.
C) The family structure is hardy.
D) The family structure is rigid.

Question 19

A nurse is assessing the realms of family life. Which processes will the nurse assess? (Select all that apply.)

A) Developmental
B) Interactive
C) Integrity
D) Coping
E) Life

Question 20

A nurse is assessing the family unit to determine the family's ability to adapt to the change of a member having surgery. Which area is the nurse monitoring?

A) Family durability
B) Family resiliency
C) Family diversity
D) Family forms