Deck 25: Family Dynamics

Question 1

Which example demonstrates hardiness of the family unit?

A) Three of the children in the family were born with fetal alcohol syndrome due to alcohol abuse during pregnancy.
B) The mother and two of her four children were born with congenital cardiac defects that required open-heart surgery.
C) The children clean the house and make dinner every night so that the mother can care for the terminally ill father.
D) The mother has primary custody so that the children see their father every other weekend and during the summer.

Answer 1

The children clean the house and make dinner every night so that the mother can care for the terminally ill father.

Question 2

Which example best demonstrates family durability?

A) Four generations of family have lived at the same address.
B) Two of the couple's children were adopted because of infertility.
C) The grandparents watch the children while the parents are at work.
D) The mother works full time while the father stays home with the children.

Answer 2

The grandparents watch the children while the parents are at work.

Question 3

The nurse is caring for a patient who will require assistance with colostomy care after discharge.Which is the initial action of the nurse?

A) Plan to teach the patient's spouse about colostomy care during her next visit.
B) Begin preparations to transfer the patient to an inpatient rehabilitation agency.
C) Inform the patient that discharge is not possible until colostomy care is taught.
D) Determine if a member of the patient's family will be able to assist the patient.

Answer 3

Determine if a member of the patient's family will be able to assist the patient.

Question 4

Which is the priority nursing diagnosis for a homeless family?

A) Risk for trauma related to lack of protection from crime and weather
B) Caregiver role strain related to meeting needs of children without a home
C) Unilateral neglect related to failure to maintain a safe home for the family
D) Powerlessness related to dependence on charitable organizations for shelter

Question 5

The nurse includes decisional conflict related to adoption versus abortion in the care plan for a pregnant adolescent.Which is the priority outcome for the patient?

A) The patient will express satisfaction with the decision once it is made.
B) The patient will communicate life goals,values,and beliefs to the nurse.
C) The patient will utilize support from social worker when making the decision.
D) The patient will make an informed choice in accordance with beliefs and morals.

Question 6

Which example best demonstrates family resiliency?

A) The grandmother uses native healing herbs to treat illnesses.
B) The family consists of two fathers and their three adopted children.
C) The adult children take turns providing care for their dying mother.
D) The children spend summers and weekends with their divorced father.

Question 7

Which outcome is most important for the family with the nursing diagnosis interrupted family processes related to terminally ill father?

A) Family members will verbalize their feelings when sharing the evening meal.
B) Family members will feel fulfilled when meeting the dying wishes of the father.
C) Family members will cooperate to support the father's needs during his last days.
D) Family members will find spiritual meaning and peace through the dying process.

Question 8

The nurse includes ineffective role performance related to inability to work following stroke to the patient's care plan.Which is the priority outcome for the patient?

A) The patient will make a list of strengths that can be used to fulfill new role.
B) The patient will demonstrate ways to fulfill responsibilities of new family role.
C) The patient will identify ways to compensate for physical and mental disabilities.
D) The patient will participate in support group activities to facilitate role adjustment.

Question 9

Which is the appropriate action of the nurse when the patient's daughter offers to assist with the morning bath?

A) Accept the daughter's offer if the patient agrees.
B) Accept the daughter's offer and encourage her to assist.
C) Politely decline the daughter's offer of assistance.
D) Decline the daughter's offer as it will not be needed.

Question 10

Which is the highest priority intervention for a family with the nursing diagnosis risk for other-directed violence related to drug and alcohol abuse?

A) Teach the family about the use of relaxation techniques to release frustration.
B) Assess the family members' ability to protect themselves from injury or harm.
C) Help family members to pray for continued abstinence from drugs and alcohol.
D) Use therapeutic massage and calming music to help decrease agitation and anxiety.

Question 11

Which is an example of a blended family?

A) Three generations of family live together under the same roof.
B) A divorced couple share custody of their three small children.
C) Grandparents babysit the children while the parents are at work.
D) A widower with two children marries a widow with three children.

Question 12

Which interventions are appropriate for the nursing diagnosis risk for caregiver role strain related to inadequate support for caregiver?

A) Monitor the caregiver for signs of physical and/or emotional fatigue.
B) Observe both the patient and caregiver for any signs of neglect or abuse.
C) Encourage placement of the patient in a residential skilled nursing facility.
D) Help the caregiver to schedule time to meet needs for rest and personal care.
E) Identify resources for the caregiver in the family,church,and local community.

Question 13

Which questions should the nurse ask to assess family patterns?

A) "How does your family cope?"
B) "How does your family make day-to-day decisions?"
C) "Which family members work outside the home?"
D) "Does your family have any goals for childrearing?"
E) "How does your family divide household cleaning chores?"

Question 14

Which assessment finding leads the nurse to include caregiver role strain related to overwhelming responsibilities in the patient's care plan?

A) The patient refuses to take any of his prescribed blood pressure medications.
B) The patient's spouse switched to a part-time job to spend more time at home.
C) The patient's spouse cannot sleep and has lost 10 pounds in the last 2 months.
D) The patient can feed himself using adaptive utensils and cups with large handles.

Question 15

Which is the priority nursing diagnosis for a family without health insurance?

A) Ineffective health maintenance related to lack of access to medical care
B) Risk-prone health behavior related to nonacceptance of health status
C) Readiness for enhanced immunization status related to annual flu shots
D) Health-seeking behavior related to use of emergency room for medical care

Question 16

Every time the nurse asks the patient a question,the patient's spouse interrupts and answers instead.Which nursing diagnosis is most appropriate for this patient?

A) Impaired social interaction related to patient's refusal to answer questions
B) Interrupted family processes related to situational crisis and patient illness
C) Impaired verbal communication related to spouse's answers to all questions
D) Readiness for enhanced communication related to interpretation of nonverbal cues

Question 17

Which family members are considered to be part of the nuclear family?

A) Mother and father
B) Grandparents
C) Adopted children
D) Aunts and uncles
E) Nieces and nephews

Question 18

Which is an example of a skip generation family?

A) A military family moves frequently from state to state due to deployments.
B) A couple provides foster care for infants while their mothers are incarcerated.
C) A divorced mother moves far away from the child's father to prevent visitation.
D) Grandparents raise the grandchildren after their parents are jailed for drug abuse.

Question 19

The nurse is caring for a terminally ill patient whose spouse and children will not acknowledge or speak about his impending death.Which nursing diagnosis is most appropriate?

A) Readiness for enhanced knowledge related to signs and symptoms of impending death
B) Impaired social interaction related to communication barriers and disturbed thought processes
C) Ineffective individual coping related to patient's frustration with other family members
D) Compromised family coping related to inability to accept and discuss impending death

Question 20

Which nursing diagnosis is most appropriate for an adult patient who is raising young children while caring for elderly parents?

A) Risk for unilateral neglect related to inability to care for both generations
B) Ineffective protection related to inability to constantly supervise elderly parents
C) Risk for caregiver role strain related to responsibilities for parents and children
D) Readiness for enhanced parenting related to realistic expectations of development

Question 21

Which assessments are appropriate when caring for a stroke patient living with a spouse and two children using the family as context?

A) Assess the stroke patient for self-care abilities.
B) Assess the ability of the spouse and two children to help feed and bathe the patient.
C) Assess communication processes among family members.
D) Assess the spouse's ability to emotionally comfort the patient.
E) Assess how the spouse is dealing with parenting issues of the two children.