Deck 2: Family-Centered Care: Theory and Applications

Question 1

As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:

A)Provides information about the family structure including family life events, health, and illness.
B)Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities.
C)Is a short questionnaire of five questions that measures family growth, affection, and resolve.
D)Is a family assessment that consists of three categories of information about the family's strengths and problems.

Answer 1

Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities.

Question 2

The community health nurse is assessing several families for various strengths and needs in regard to afterschool and backup child care arrangements. The family type that typically will benefit most from this assessment and subsequent interventions is the:

A)Traditional nuclear family.
B)Extended family.
C)Binuclear family.
D)Single-parent family.

Answer 2

Single-parent family.

Question 3

During assessment of a child's biological family history, it is especially important that the nurse asking the mother for information uses the term "child's father" instead of "your husband" in the situation of a:

A)Traditional nuclear family.
B)Two-income nuclear family.
C)Traditional extended family.
D)Heterosexual cohabitating family.

Answer 3

Heterosexual cohabitating family.

Question 4

The nurse is working with a mother of three children on parenting skills. The nurse demonstrates a strategy that uses reward to increase positive behavior. This strategy is called:

A)Time-out.
B)Experiencing consequences of misbehavior.
C)Reasoning.
D)Behavior modification.

Question 5

A pediatric clinic serves several children who were adopted. The clinic nurse recognizes that the adopted child who is most likely to blame himself for being "given away" by the biologic parents is the:

A)Adopted child entering high school.
B)Child under three who was adopted as an infant.
C)Preschooler whose skin color is different from the adopted parents.
D)Child entering kindergarten.

Question 6

Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:

A)The non-biologic one from the heterosexual cohabitating family.
B)The divorced one from the binuclear family.
C)The divorced one when the single-parent mother has custody.
D)The stepfather from the blended or reconstituted family.

Question 7

A seven-year-old client tells you, "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as a(n):

A)Extended family.
B)Traditional nuclear family.
C)Binuclear family.
D)Heterosexual cohabitating family.

Question 8

The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and that the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is:

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

Question 9

The community health nurse is making an initial visit to a family. The most effective and efficient way for the nurse to assess the parenting style in use is to:

A)Ask the parents, "What rule is hardest for your child to obey?"
B)Ask the children what happens when they break the rules.
C)Ask the parents, "How often do you hug or kiss your children?"
D)Observe the parent interacting with the child for five minutes.

Question 10

The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent?

A)Authoritarian
B)Permissive
C)Indifferent
D)Authoritative

Question 11

While performing a family assessment, the nurse identifies which symptoms associated with dysfunctional family coping strategies? Standard Text: Select all that apply.

A)Father acknowledges an addiction to alcohol.
B)The mother is a stay-at-home mother, and the father works two jobs to make ends meet.
C)The family has deep religious beliefs.
D)The father makes all of the decisions for the family, and the mother is compliant with the father's decisions.
E)Direct, open communication among family members is observed.

Question 12

The camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?

A)The child whose parents divorced recently
B)The child recently placed into foster care
C)The child whose mother remarried and who gained a stepparent recently
D)The child adopted as an infant

Question 13

A nurse is working with the family of a pediatric client. The nurse is planning to obtain an accurate family assessment. The initial step would be to:

A)Select the most relevant family assessment tool.
B)Establish a trusting relationship with the family.
C)Focus primarily on the mother, learning her greatest concern.
D)Observe the family in the home setting, since this step always proves indispensable.

Question 14

A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The best example of a nursing action in the family-centered care approach would be when the nurse:

A)Assumes the role of an expert professional to direct the health care.
B)Encourages the parents to stay with and comfort the child during an invasive procedure.
C)Assumes the role of a healthcare authority and intervenes for the child and family as a unit.
D)Tells the family what must be done for the family's health.