Deck 2: Theoretical Foundations of the Calgary Family Assessment and Intervention Models

Question 1

The nurse is speaking with a client regarding his new diagnosis of diabetes mellitus type 2. Which of the following is not an example of nonverbal communication?

A) The client shakes his head as the nurse asks about his understanding of the new medication.
B) The client looks at the wall as the nurse prepares to give him an injection of insulin.
C) The client says, "I do not want to do this" as the nurse begins to teach him how to give a self-injection.
D) The client shrugs his shoulders when the nurse asks if he understands his treatment plan.

Answer 1

The client says, "I do not want to do this" as the nurse begins to teach him how to give a self-injection.

Question 2

The nurse is caring for a client following an acute exacerbation of chronic obstructive pulmonary disease. The nurse understands that nonverbal communication includes specific behaviors. As the nurse explains the treatment plan to the client, what nonverbal communication cue may the nurse be conscious of when speaking with her?

A) The client faces the nurse as the nurse speaks.
B) The client asks about the side effects of the new medication she will be taking.
C) The client begins to cry as she talks about all the things that she wants to do with her life.
D) The client asks the nurse to come back when the client's daughter is present.

Answer 2

The client faces the nurse as the nurse speaks.

Question 3

The nurse is reflecting on her conversation with a client who was admitted for a fractured femur. Given this situation, which of the following is true concerning communication theory?

A) Most nonverbal communication is not meaningful.
B) Relationships have varying degrees of support, giving, and receiving.
C) Analog is the major channel used for communication.
D) Communication occurs only at the relationship level.

Answer 3

Relationships have varying degrees of support, giving, and receiving.

Question 4

The client's family members are constantly present at the client's bedside, and they communicate with one another frequently. The nurse recognizes that all of the following are functions of communication within the family, except which one?

A) Assisting family members to clarify expectations of behavior with one another
B) Conflict resolution
C) Assisting family members to learn about their environment
D) Developing self-doubt

Question 5

The nurse is working with a 10-year-old client who is a victim of sexual abuse. What is a form of digital communication the nurse can use with the client?

A) Talking about the client's feelings
B) Playing the piano
C) Drawing a picture
D) Writing a story

Question 6

The nurse is caring for a child with an autism spectrum disorder. The nurse is careful to include both parents and the child's two older siblings in conversations about caretaking and treatment plans. Which statement is true regarding the postmodernist approach to nursing practice?

A) Postmodernism focuses on the singularity of the client experience.
B) Postmodernism emphasizes multiple views, multiple possibilities, and multiple lives.
C) Postmodernism supports nurses as the expert.
D) Postmodernism does not consider differences.

Question 7

A client has been a smoker for 18 years. The client's 5-year-old daughter was recently diagnosed with asthma. What is a component of change theory that should be carefully considered in this situation?

A) Change is dependent on static goals.
B) Understanding will lead to change.
C) Change is dependent on the perception of the problem.
D) Change occurs equally in all family members.

Question 8

One component of change theory is that understanding alone does not always result in a change. Which of the following demonstrates this principle?

A) A client with congestive heart failure follows a low-sodium diet after receiving teaching.
B) A client is diagnosed with breast cancer and opts to begin treatment immediately after receiving teaching.
C) A client is anemic and begins taking iron supplements after receiving teaching.
D) A client with diabetes refuses to check his blood glucose levels after receiving teaching.

Question 9

The client has received military deployment orders. Which of the following most likely reflects acceptance of the change?

A) The client prepares for deployment.
B) The client suffers from extreme homesickness following his deployment.
C) The client's 14-year-old son begins smoking following his father's deployment.
D) The client's wife cries every night following her husband's deployment.

Question 10

The nurse is caring for a client following her diagnosis with terminal cancer. The client has been referred for palliative care. One component of change theory is that it must be based on co-evolving goals for treatment. Which of the following scenarios demonstrates this component?

A) The nurse provides the family with treatment goals.
B) The nurse listens as the family discusses placement options for the client.
C) The family tells the nurse they are planning a vacation this month and will discuss the prognosis in the coming months.
D) The family is looking forward to a family reunion next year where the client can make her famous chili one last time.

Question 11

Biologically speaking, what shapes understanding?

A) Environment alone shapes understanding.
B) Experience alone shapes understanding.
C) Culture and socioeconomic status alone shape understanding.
D) All the events and experiences of living shape understanding.

Question 12

The nurse is caring for an 89-year-old widower who recently had a stroke. Before his stroke, the client was living independently at home. He is now being admitted to a long-term care facility with unilateral neglect of the left side. What does the nurse realize about change?

A) Change is often easy for most.
B) Change is a rare phenomenon.
C) Change is often influenced by only one variable.
D) Change is often influenced by multiple variables.

Question 13

The nurse is planning care for a family. Which of the following is not an important consideration for the nurse when deciding on family interventions?

A) Sexual orientation
B) The nurse's professional opinion
C) Ethnicity and race
D) Socioeconomic status

Question 14

The nurse is caring for a family, following the grandmother's diagnosis of stroke. The grandmother is currently recovering in a rehab facility and has developed close relationships with many of the staff. Which of the following questions, if asked by the nurse, reflects an understanding of the nurse's responsibility?

A) "What role does the therapist play in your family?"
B) "How is the role of the family influenced by the rehab setting?"
C) "What are your plans for your grandmother after rehab?"
D) "How has your grandmother's role in the family changed since her stroke?"

Question 15

Change in families is constantly evolving and transforming. Which of the following can precipitate a major change in an entire family system?

A) Loss of electricity during a thunderstorm
B) The main breadwinner receiving an annual inflation-adjusted pay increase
C) A member of the family suffering from the flu and missing a day of work
D) A member of the family using cocaine regularly