Deck 1: Family Assessment and Intervention: an Overview

Question 1

The nurse is including the family of a 32-year-old client in her interview. What is the rationale for including the family of this adult in the interview?

A) The client will become debilitated and need the family to provide care.
B) The client's illness impacts the entire family.
C) The family will need to support the client as he heals.
D) The family has information the nurse practitioner needs about the client.

Answer 1

The client's illness impacts the entire family.

Question 2

The nurse is explaining the focus of family nursing assessment and intervention to the family members. She explains that which are the interacting parts of reciprocity?

A) Parents, children, and health-care providers
B) Nurses, physicians, and clients
C) Health, illness, and family
D) Men, women, and children

Answer 2

Health, illness, and family

Question 3

The nursing instructor is explaining family systems nursing. Which of these theories is not synthesized into family systems nursing?

A) Cybernetics
B) Change
C) Family therapy
D) Informatics

Answer 3

Informatics

Question 4

Nurses collaborate with many professionals to care for their clients. Which professional would be most concerned with the emotional ties within the family?

A) An economist
B) A sociologist
C) A psychologist
D) A psychiatrist

Question 5

The nurse has just graduated with a bachelor's degree in nursing (BSN). Which is the least accurate about her scope of practice?

A) She primarily views the family as a client rather than a context.
B) She is considered a nurse generalist.
C) She focuses on family interaction and reciprocity.
D) She predominately conceptualizes the family as a unit of care.

Question 6

The Calgary Family Assessment Model (CFAM) is a multidimensional framework consisting of three major categories. Which is not one of these categories?

A) Developmental
B) Functional
C) Foundational
D) Structural

Question 7

Based on what the nurse knows about the Calgary Family Intervention Model (CFIM), which of these would be the best response to the family?

A) "Let's let the client begin first."
B) "I have much experience in handling family matters of this type."
C) "That appears to be a great strength in this family."
D) "This method is rooted in modernism."

Question 8

The client asks the nurse why the nurse uses the term intervention, yet the physician always uses the term diagnosis. Which is the best explanation of the difference?

A) "Interventions are interactional in nature. They occur in a relationship."
B) "Intervention is a nursing term, whereas diagnosis is reserved for medicine."
C) "We are from different disciplines, so we use different vocabulary."
D) "They mean the same thing."

Question 9

The nurse decides to visit the family of a client with attention deficit-hyperactivity disorder (ADHD). This intervention is most important for families with children with this diagnosis for which reason?

A) They are more prone to have cluttered and messy homes.
B) They are more likely to abuse their children.
C) There is more interpersonal conflict in these homes.
D) There are more safety risks in these homes.

Question 10

The nurse is preparing to transition an elderly client to another level of care. Which is the least important priority?

A) Providing timely communication to the family and caregiving team
B) Involving the client and caregiver in establishing goals
C) Educating the family about resources and levels of care
D) Notifying the insurance company of the change

Question 11

The nurse finds that more of her clients are asking for applications and Web sites to promote health. What would be a barrier to the use of applications and Web sites for most clients?

A) Electronic accessibility
B) Culture and literacy needs
C) Available at all times
D) Web site flexibility

Question 12

The nurse is bringing the family session to a close. What is the best way to determine when the next appointment should be scheduled?

A) Ask the family members how many meetings they believe it will take to resolve the problem.
B) Schedule the next session and determine after each session how many more are needed.
C) The insurance company will determine a reasonable amount.
D) Offer the same time on the same day of the week each week to develop a habit.

Question 13

The nurse is determining the need for a family intervention. Which would be the lowest priority?

A) A child being bullied on social media
B) An elderly client receiving a terminal diagnosis
C) The birth of a child
D) A child making the soccer team

Question 14

The nurse is surprised that the family does not want an intervention. Which would be an unusual reason for a family not to want an intervention?

A) The nurse works for the state department of social services.
B) The nurse once dated a member of the family.
C) The nurse works at the hospital where one of the family members is being admitted.
D) The client is moving to another state.

Question 15

The nurse is reviewing charts to determine which family needs a family intervention. Which would be the least appropriate?

A) A family member dies after a long, terminal disease.
B) An adolescent strives to make the cheerleading team to please her sick mother.
C) A child begins doing poorly in school.
D) A young adult returns home after a long stay in a drug rehabilitation facility.