Deck 12: Working With Family

Question 1

Which one of the following is the most important predictor of health?

A)Biological risk
B)Economic risk
C)Life-event risk
D)Health values

Answer 1

Economic risk

Question 2

In a predominantly poor community, where eating clay ( pica ) is a common practice, through which of the following actions can the CHN intervene at the tertiary prevention level?

A)Helping the clients obtain extra welfare money, after explaining that clay, although filling, does not provide necessary nutrients
B)Initiating early intervention in the school system through education programs designed to focus on healthy food choices
C)Conducting laboratory testing and physical assessments to identify nutritional deficits resulting from pica and the lack of regular food intake
D)Surveying families to determine the presence and extent of pica

Answer 2

Helping the clients obtain extra welfare money, after explaining that clay, although filling, does not provide necessary nutrients

Question 3

Which one of the following nursing functions that identify family problems and strengths is the foundation for family nursing interventions?

A)Assessment
B)Plan
C)Implementation
D)Evaluation

Answer 3

Assessment

Question 4

A CHN is preparing to terminate a visit with teenage parents and their new baby.During this phase of the home visit, which of the following actions will the CHN want to take?

A)Determine the family's willingness for home visits.
B)Establish the purpose of the visit.
C)Review important points of teaching discussed during the visit.
D)Review the family record and reason for referral.

Question 5

The CHN needs to conduct a family assessment for a family that lives in a commune, but is uncertain about how to proceed because family lines appear blurred.Which one of the following questions should the CHN ask to determine the structure of a family comprising a mother and a child?

A)"How many children do you have, and who is the father of each of them?"
B)"Is there a register of families that are members of this commune?"
C)"Tell me about your significant other."
D)"Who are the members of your and your child's family?"

Question 6

When drawing a genogram, which one of the following will the CHN use to demonstrate a marital relationship between two individuals?

A)A broken line
B)A dashed line
C)A solid line
D)Two parallel lines

Question 7

Family functions and structures create unique challenges in family nursing.Which of the following is the primary reason for the existence of these challenges?

A)The function and structure of families continue to change over time.
B)Function and structure do not apply to all family units.
C)Some clients do not have families.
D)Traditional families are rare in today's society.

Question 8

Which of the following actions by the CHN has the most potential to empower the family of a mother with newly diagnosed breast cancer?

A)Applying for emergency financial assistance on the family's behalf
B)Arranging for community members to assist with child care
C)Recommending that the mother join a cancer support group
D)Teaching the family how to navigate the health care system

Question 9

The CHN conducting a health risk appraisal assesses which one of the following?

A)Health promotion activities
B)Illness prevention activities
C)Risk reduction activities
D)Unhealthy events

Question 10

During which of the following phases should documentation of home visits take place?

A)Engagement phase
B)In-home phase
C)Termination phase
D)Postvisit phase

Question 11

Which of the following scenarios is an example of a normative event that can increase the risk for illness?

A)A family is involved in a motor vehicle accident.
B)A group of teens experiments with recreational drugs.
C)A woman is pregnant with her first child.
D)The family's only earning member is laid off from work.

Question 12

While taking a family history, the community health nurse (CHN) finds out that the husband is a stepfather to the eldest child.This information should be documented as falling into which category?

A)Family demographics
B)Family dynamics
C)Family function
D)Family system

Question 13

Historically, CHNs focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors.Which view of the family did this traditional conceptualization take?

A)Family as the client
B)Family as a component of society
C)Family as context
D)Family as a system

Question 14

A CHN researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours.Which of the following types of family nursing theory would best address the purpose of the CHN's research?

A)Developmental theory
B)Interactional theory
C)Structure-function theory
D)Systems theory

Question 15

A CHN has just signed as a witness to an agreement between a couple, in which they pledge not to yell at each other in the presence of their children.What is this approach to improving family health called?

A)Contracting
B)Crisis intervention
C)Empowerment
D)Strategic planning

Question 16

Which of the following categories is addressed by the developmental assessment aspect of the Calgary Family Assessment Model (CFAM)?

A)Family life-cycle stages
B)Instrumental and expressive functions
C)Activities of everyday living
D)Family strengths