Deck 9: The Family

Question 1

Which functions are considered universal to all effective families? Select all that apply.

A) Providing economically for its members
B) Providing new members for the family
C) Teaching its members to behave in a socially accepted manner
D) Providing for the physical health of its members
E) Demonstrating similar behaviors as it moves through its life cycle

Answer 1

Providing economically for its members
Providing new members for the family
Teaching its members to behave in a socially accepted manner
Providing for the physical health of its members

Question 2

An adult client exhibits behaviors that have been attributed to ineffective parenting and the resulting low self-esteem. Which nursing interventions are directed toward addressing these behaviors? Select all that apply.

A) Managing a client's substance withdrawal treatment program
B) Placing a depressed client on suicidal precautions
C) Arranging for a client to attend Alcoholics Anonymous (AA) meetings
D) Conducting an admission's assessment on a cognitively impaired client
E) Providing IV fluid replacement for a severely dehydrated anorexic client

Answer 2

Managing a client's substance withdrawal treatment program
Placing a depressed client on suicidal precautions
Arranging for a client to attend Alcoholics Anonymous (AA) meetings
Providing IV fluid replacement for a severely dehydrated anorexic client

Question 3

The nurse is working with the parents of two small children. Which activities engaged in by the parents demonstrate effective methods of developing appropriate parenting skills? Select all that apply.

A) Joining a single parents support group
B) Attending a lecture series on managing the behaviors of a 3-year-old
C) Discussing the details of one's own childhood with parents or siblings
D) Establishing and enforcing a rigid set of rules to govern behaviors
E) Consulting books on parenting and child development

Answer 3

Discussing the details of one's own childhood with parents or siblings

Question 4

During a family assessment interview, which question asked by the nurse is focused on exploring the relationship between siblings? Select all that apply.

A) "Did the family you grew up in have both a mother and father figure?"
B) "Where are you in the birth order of your siblings?"
C) "How many years separate the births of your siblings?"
D) "How old where your parents when the first child was born?"
E) "Growing up, did your family include grandparents, aunts and uncles?"

Question 5

The nurse is confident that the family is meeting the physiologic needs of its members when they engage in which activity?

A) The older child helps their younger sibling with homework each night
B) Taking the children shopping for winter coats, gloves and hats.
C) Scheduling an eye examination for the oldest son when he reports, "I can't see the writing on the blackboard."
D) Encouraging the older sibling to shovel snow for the older neighbors next door.

Question 6

What is the most familiar family form?

A) Single adult household
B) Nuclear family
C) Dual worker families
D) Commuter family

Question 7

The client tells the nurse that she is married and lives with her husband and has no children. How would the nurse correctly document this type of family?

A) Nuclear family
B) Nuclear dyad
C) Commuter family
D) Extended family

Question 8

Which client statement indicates the family is entering the post-parenting phase of family life?

A) "It's scary but I'm really excited about getting a place of my own."
B) "Our life is so different now that the baby has arrived."
C) "Our youngest child just left for college last week."
D) "We are getting married soon and have just rented our first apartment together."

Question 9

Which is the most likely characteristic of a communal family?

A) Several people living together and sharing work
B) Unmarried individuals living together
C) Intimate partners of the same sex living together
D) Children living with paid caregivers temporarily

Question 10

What is the most important task for those adults in the post-parenting phase of a family's lifecycle?

A) Adjusting to retirement from full time employment
B) Being financially able to avoid dependency on children
C) Maintaining healthy relationships with their grown children
D) Getting involved in activities they enjoy

Question 11

What is the biggest challenge facing a family that is established by individuals with different cultural backgrounds?

A) Determining which customs will be introduced to the children
B) Acknowledging and accepting differences in religion and belief systems.
C) Deciding how family decision making will be managed
D) Assigning roles and responsibilities with the family

Question 12

What is the primary reason the nurse should encourage the older client to have regular health check-ups?

A) To detect minor problems before they become more serious
B) To enable the client to maintain an active lifestyle
C) To ensure that their end-of-life wishes are followed
D) To foster an effective relationship with a healthcare provider

Question 13

What is the most damaging long-term effect of child abuse?

A) The child may develop chronic depression as an adult.
B) The abuse can cause permanent physical injuries.
C) The children may have difficulties developing healthy adult relationships.
D) The cycle of violence is continued for generations.

Question 14

Who is considered members of one's extended family?

A) Grandparents, aunts, uncles, cousins
B) Parents and spouse
C) Children who no longer live at home
D) Close family friends

Question 15

The nurse is preparing to present an educational program to newly divorced parents. Which topics concerning the problems children face when their family faces a divorce should be included? Select all that apply.

A) Adjusting to a stepparent
B) Assuming responsibility for the divorce
C) Adjusting to life in two different households
D) Competing for their parent's attention
E) Assuming new responsibilities

Question 16

The nurse is teaching families to avoid possible development of a future health issue. Which family's risk factor is the priority when considering who needs education?

A) The nuclear family has recently expanded to include an ailing grandparent
B) There is a history of cardiovascular disease in the family
C) The primary wage earner has recently lost their job
D) The family leads a sedentary lifestyle and watches television 4 to 5 hours per day.

Question 17

The nurse is collecting data about the impact of a child's diagnosis of cancer. Which assessment question will assist the nurse in collecting the most relevant data about at this time?

A) "When did you first notice that your child was ill?"
B) "How has your child's illness affected your family?"
C) "What has the family done to cope with the illness?"
D) "Are there other families in the community who have a child with cancer?"

Question 18

The nurse documents that the family is in the adjustment phase of dealing with the mother's diagnosis of Alzheimer disease. What would be the most likely coping strategy that would be employed by the family at this time?

A) The family realizes that regaining stability will involve changes in the family structure.
B) Friends and religious community provide assistance with the problem-solving process during the stressful period.
C) Roles, rules, boundaries, and patterns of behavior within the family are altered, as needed, to regain stability.
D) The family tries to maintain the status quo with minimal disruption to the family unit.

Question 19

The client asks the nurse about ways to promote their school-age children's self-esteem and independence. What strategy should the nurse review with the client? Select all that apply.

A) Spending quantity time with children, including playtime and instruction.
B) Allowing the child to determine and set bedtimes, awaking times, and bedtime rituals.
C) Communicate with children using eye contact and listening attentively to the questions and responses.
D) Offering constructive criticism to help with creating realistic expectations and a good work ethic.
E) Encouraging the child to express their feelings and opinions.

Question 20

The nurse collecting data about the impact of their mother's diagnosis of dementia documents that the family is in the adaptation phase of dealing with the mother's diagnosis of dementia. What data supports this conclusion?

A) The children describe their mother as always having a "bad" memory.
B) The children are planning to meet to discuss how to address their concerns.
C) The son denies that his mother has a cognitive problem.
D) A daughter has moved in to care for the mother.

Question 21

The nurse communicates during the sign-off report that the new admission is in the transitional stage of the family life cycle. Based on this information, what is an associated developmental task that the nurse would most likely expect to be occurring for this client?

A) Developing intimate relationships
B) Building a mutually satisfying relationship
C) Incorporating spouse/partner into relationships with extended family
D) Setting up a household and delineating household responsibilities for each partner