Deck 24: Family Context in Nursing

Question 1

A married couple takes four children to an immunization clinic.The nurse notes that the children's permission slips include three children with one last name and one child with a different last name.On questioning the parents the nurse discovers that this family group is an example of a(n)_____ family.

A) nuclear
B) blended
C) extended
D) single-parent

Answer 1

blended

Question 2

The student nurse is talking to her friends about holiday plans with their families.One friend described her family as her mother,brother,and sister-in-law.Another stated her family consisted of her mother,father,grandmother,and her aunt.The student nurse's family is her mother,stepfather,sister,and stepsister.The uniqueness of these families is known as which of the following?

A) Family resilience
B) Nuclear family
C) Family diversity
D) Family durability

Answer 2

Family diversity

Question 3

A nurse is attempting to complete the nursing admission data on a patient.To complete the admission and formulate a plan of care,the nurse needs to do which of the following?

A) Know that the individual is the same as the family as a whole.
B) Realize that family health is the summation of the health of all members.
C) Evaluate the form, structure, and function of the family.
D) Discount negative views by the patient toward the family.

Answer 3

Evaluate the form, structure, and function of the family.

Question 4

A nurse is caring for a patient.Visitors at the bedside include the patient's life partner,widowed mother,sister,and nephew.The nurse acknowledges that current trends in American families include which of the following?

A) Couples deciding to have many children
B) A declining divorce rate
C) Changing family patterns
D) Fewer people choosing to live alone

Question 5

What should the nurse do when planning goals for a family?

A) View the family as a group of individuals rather than a system.
B) Make the goals as vague as possible so that they are attainable.
C) Be flexible since families are continually changing.
D) Recognize that, although individuals go through developmental stages, families do not.

Question 6

A student nurse is working on a community health project with her peers.One of the concerns in her community is the rise in homelessness resulting from the economy.The student nurse understands that which of the following is true?

A) Almost all homeless families are made up of single-parent families.
B) Children in homeless families are usually in good health.
C) Families with children are the fastest growing segment of the homeless population.
D) Children in homeless families have no way to attend school so are illiterate.

Question 7

The nurse is caring for a family within an impoverished community.What is it important for the nurse to understand about families?

A) They are made up of a set of interacting individuals related by blood, marriage or adoption.
B) They are comprised of a group of individuals living together who may not be related.
C) They all have one unique form independent of cultural or ethnic orientations.
D) They all have the same strengths, weaknesses, resources and challenges.

Question 8

The family is the primary social context in which health promotion and disease prevention take place.Placed in this context,it is reasonable for the nurse to assume which of the following is true?

A) The family's beliefs, values, and culture strongly influence health behaviors.
B) Families function haphazardly without creating goals.
C) Good health is always highly valued in family settings.
D) The long-term habits of one family member has no effect on the others.

Question 9

When providing care for families,of what should the nurse be aware? (Select all that apply.)

A) Family hardiness is the internal strength and durability of the family.
B) Resiliency helps to evaluate healthy responses in stressful times.
C) Good health is always highly valued within the family unit.
D) Along-term illness in one family member affects the entire family
E) Family members may be a primary force for coping.

Question 10

In regard to American families,the nurse understands that which of the following is true?

A) The number of single-parent families is increasing.
B) Single fathers head most single-parent families.
C) Most single parent families are the result of the death of one parent.
D) Father-only families are on the rise.

Question 11

The nurse is admitting a Hispanic patient to the oncology unit of the hospital.To provide culturally competent care,the nurse needs to determine the influence of culture on the patient's family.Which of the following questions would best accomplish this?

A) "What types of foods do you eat?"
B) "Since you're Hispanic, would you like to order beans for supper?"
C) "I am assuming that you're Catholic. Do you want to see the priest?"
D) "Hispanics have large families. Do you have questions about visitation policies?"

Question 12

A patient comes from a close-knit extended family.If the patient's family functions as context,what does the nurse need to evaluate?

A) Attainment of health of an individual member in a specific environment
B) Family processes
C) Family relationships
D) The family member and unit

Question 13

The nurse is caring for a 78-year-old patient with liver cancer.The patient and his wife live at home.In addition to caring for the patient,the nurse also assesses caregiver stress in the patient's wife.Which of the following indicates caregiver stress?

A) Increased visits from church members
B) Asking her daughter for help with shopping
C) Remaining cheerful and without depression
D) Contracting pneumonia

Question 14

A nurse is admitting a teen-aged woman to the Labor and Delivery unit to have her baby.She is not married but is holding hands with her boyfriend who is the baby's father.The nurse realizes that:

A) adolescent pregnancy is a decreasing concern in modern society.
B) teenage pregnancies are little more than a temporary bump in the road of life.
C) increased numbers of children mean greater income and a way out of poverty.
D) teenage pregnancies affect teenage fathers as well as mothers.

Question 15

When a family is in a transitional phase of the life cycle perspective (e.g.,birth of a first child),it is important for the nurse to do which of the following?

A) Accept that this is usually a time of decreased stress and anxiety.
B) Use the knowledge of stress and coping to assist in family care.
C) Explain that the health of one family member does not depend on the family system.
D) Draw on psychological theory as the major basis for family care.

Question 16

The nurse is admitting a 45-year-old patient and asks about her family.The patient states that she lives with her daughter and son-in-law.The nurse knows that this is an example of which of the following family forms?

A) Nuclear
B) Extended
C) Blended
D) Alternate pattern relationship

Question 17

The parents of an 18-year-old who joined the military and is being deployed overseas,discuss with him how they plan to stay in touch and purchase a laptop computer for him to take with him so they can e-mail and use the webcam to see each other.What approach to stress does this family exhibit?

A) Resiliency
B) Hardiness
C) Heredity
D) Genetics

Question 18

A nursing instructor is raising her two granddaughters after her daughter and son-in-law were killed in a motor vehicle accident.How is this family form best described?

A) Extended family
B) Single-parent family
C) Blended family
D) Alternative pattern of relationship

Question 19

A student nurse is caring for a 4-year-old patient who has been admitted to the pediatric unit with acute asthma.As the student nurse admits the patient,he learns that both parents smoke in the home.The nurse plans to discuss with the parents the implications of smoking around the patient and to provide them with information on smoking cessation.This is an example of what approach to family nursing?

A) Family as context
B) Family as patient
C) Family as system
D) Family as a stagnated group

Question 20

A woman is making plans for her holiday dinner and shares with her butcher that she will be inviting her family.When the butcher asks who will be coming,she replies,"My two children and their spouses,my ex-son-in-law is bringing my grandson,and my ex-mother-in-law is coming." This is an example of which of the following?

A) Family durability
B) Family resiliency
C) Family diversity
D) Nuclear family

Question 21

The cause of family violence is complex and multidimensional.Factors associated with family violence include which of the following? (Select all that apply.)

A) Stress
B) Peer pressure
C) Psychopathology
D) Learned family behavior
E) Wealth

Question 22

The nurse is caring for a patient who gives indications of being a victim of abuse.The nurse understands that abuse is which of the following? (Select all that apply.)

A) Can be physical battering
B) Is sometimes manifested as sexual assault
C) Generally declines over a period of time
D) Is sometimes classified as emotional abuse
E) Can be psychological in nature

Question 23

Domestic violence includes which of the following? (Select all that apply.)

A) Only live-in partners
B) Dating relationships
C) Spouses
D) The elderly almost exclusively
E) Child abuse

Question 24

Homeless children are more likely to do which of the following? (Select all that apply.)

A) Drop out of school.
B) Develop risky behaviors.
C) Become more employable because of life experience.
D) Develop long-term health problems.
E) Be better supervised after school.