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Chapter 18 - Family Development and Assessment
Terms in this set (34)
The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man's married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the "family"?
a. The group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated.
b. There are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated.
c. There is no family here, only three adults sharing resources between themselves and two biologically related children.
d. The family includes whoever the adults state are family members.
The nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred. The best way to determine the family of a mother and her child is to ask the woman which of the following questions?
a. "How many children do you have, and who is the father of each?"
b. "Is there a register of families who are members of this commune?"
c. "Tell me about your significant other."
d. "Who are the members of your and your child's family?"
In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessment is data being gathered?
Which of the following statements best explains why family functions and structures create unique challenges in family nursing?
a. Function and structure 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 society.
A nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use?
a. Allowing the family to be noncompliant
b. Building on the family's strengths and resilience
c. Labeling the family as resistant
d. Recognizing that the family is dysfunctional
The nurse is told that a healthy, functional family consisting of a 25-year-old man and a 24-year-old woman, who are expecting their first child, would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and their apartment for the baby. Based on that statement, which of the following assumptions can the nurse safely make about the family?
a. The family is lacking a strong support system.
b. The family's basic needs are being met.
c. The couple's in-laws are unavailable to share their expertise about child care.
d. The married couple is excited about their first baby.
A nurse focuses on the care of the individual while viewing the client's family as a background resource or possible stressor. Which of the following conceptualizations of family does this nurse's view represent?
b. Component of society
A nurse asks a family member, "What has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is the nurse assessing?
a. The context
b. The client
c. A system
d. A component of society
Which of the following theories views the family as a whole with boundaries that are affected by the environment?
a. Family developmental theory
b. Structural-functional theory
c. Family role theory
d. Family systems theory
A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle. Which theory is being applied?
a. Family systems
c. Family developmental
A new mother is a full-time college student who lives with her parents, because the baby's father has been imprisoned related to theft and drug abuse. The infant's grandmother, although also employed, cares for the child while the young mother attends classes. Which of the following theoretical frameworks would be most helpful to the nurse when assessing this family's needs?
A nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which of the following theories is being used by the nurse?
a. Bioecological systems theory
b. Family systems approach
c. Family developmental theory
d. Interactionist theory
A nurse is in the termination phase of the nurse-family relationship. Which of the following strategies would the nurse most likely implement?
a. Increasing sessions with the nurse
b. Making referrals when appropriate
c. Providing a formative evaluation of the relationship
d. Refusing additional communication with the family
A nurse is making an appointment with a family for a nursing visit. Which of the following describes a potential barrier the nurse may encounter?
a. The assessment cannot be done unless the extended family is present.
b. It may be difficult to find a convenient time for all family members to be present.
c. Nurses have limited time to do home visits.
d. Families are often scattered over a large area, making access difficult.
Which of the following factors must be considered before deciding on an appropriate plan of action?
a. Family agrees to the nurse's plan.
b. Family is capable of the required actions.
c. Family will learn better coping skills from the nurse's plan.
d. Nurse has informed family how to complete the required actions.
Which of the following terms refers to government actions that have a direct or indirect effect on families?
a. Family funding
b. Family legislation
c. Family planning
d. Family policy
A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions is the nurse most likely to take?
a. Resigning from employment, but retaining health insurance
b. Sharing family information with colleagues
c. Providing Medicaid to a family who cannot afford health insurance
d. Taking a defined time off of work for family events without fear of job loss
A nurse is conducting a family assessment. Which of the following behaviors would the nurse recognize as suggestive of a family with problems?
a. Before eating, the family prayed, expressing gratitude for their blessings.
b. During family play, jokes and laughter were heard.
c. Each person had a private room with a door for alone time.
d. Most of the conversation was between the father and the eldest daughter.
The hospital-based nurse has worked with a client at some length regarding appropriate diet. Based on the family systems theory, which of the following will most likely occur when the client returns home?
a. The family member who prepares food will probably suggest the newly discharged member eat the meals everyone in the family enjoys.
b. The family member who prepares food will probably try to modify family meals without obvious change for the family as a whole.
c. The family member who prepares food will probably prepare meals based on the diet plan for all the family.
d. The family member who prepares food will probably prepare special meals for the newly discharged member.
A nurse has just met a family and is being doing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure?
a. Confirm the reason for the assessment.
b. Demonstrate culture awareness.
c. Take time to build trust.
d. Understand the family dynamics.
A nurse is completing a tertiary prevention activity in a predominantly poor community, where eating clay (pica) is a common practice. Which of the following actions would the nurse most likely take?
a. Assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients.
b. Initiate early intervention in the school system through education programs designed to focus on healthy food choices.
c. Provide laboratory testing and physical assessments to assess for nutritional deficits resulting from clay intake.
d. Survey families in the community to determine whether they eat clay and how much clay they eat.
A nurse requests to meet a newly referred family in their home. Which of the following best explains the rationale for this request? (Select all that apply.)
a. The nurse can assess the family environment.
b. The family will feel more comfortable.
c. Families typically welcome others into their home.
d. More family members can typically be involved.
A B D
In comparison with traditional norms, which family functions have become increasingly important in modern American society? (Select all that apply.)
a. Conferring appropriate social status
b. Educating the younger members
c. Ensuring physical and mental health
d. Fostering interpersonal relationships and support
Which of the following must be firmly established before beginning a family assessment? (Select all that apply.)
a. Why the data are needed
b. How best to interview each individual in the family
c. The most convenient time for you to visit the family
d. The rationale or purpose of the visit
A C D
The family systems theory encourages nurses to view both the individual clients as participating members of a whole family. What is the major weakness of the systems framework?
A. Views families from both a subsystem and a suprasystem approach
B. Defines the direction of interactions
C. Views the family as an agent of change
D. Focuses on the interaction of the family with other systems
A nurse in community health is working with a single parent of three children, ages 4, 6, and 8. The 6-year-old has cerebral palsy. The 4-year-old has asthma. The maternal grandmother lives with the family and has diabetes. The nurse understands the importance of working within the context of the existing family structure and community resources because families are:
A. resistive to outside intervention or involvement.
B. responsible for providing/managing the care of their members.
C. unable to manage the stress of complex health needs.
D. restricted in their ability to identify interventions.
The family nurse conducts the family nursing assessment with the family as a unit. Using a systematic process, family problems are identified and family strengths are emphasized as building blocks for interventions. Which of the following best completes the statement to demonstrate the importance of assessment to outcomes? Integrating the extended families:
A. fosters equal family and provider commitment to success.
B. facilitates outcomes-oriented family nursing research.
C. decreases the need for nurse contact and intervention.
D. removes barriers to needed services to achieve success.
The current-day definition of family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. Which of the following is the most important principle to support this broader definition?
A. Families are defined by genetic ties.
B. Family names are needed to confer status.
C. Members of a family are self-defined.
D. Traditional family functions have been redefined.
Which of the following social science theories is used by public health nursing to describe how environments and systems outside of the family influence the development of a child over time?
A. Life cycle theory
B. Family developmental theory
C. Family systems theory
D. Bioecological systems theory
What terms are used to describe healthy families?
Select all that apply.
A. Families with strengths
C. Functional families
D. Resilient families
E. Resistant families
A C D
The nurse in community health uses information about family structure, household composition, marriage, divorce, birth, death, adoption, and other family life events to forecast and predict stresses and developmental changes experienced by families and identify possible solutions to family challenges. This best describes the study of:
A. family demographics.
B. family functions.
C. family health.
D. family resilience.
Family health can be defined as a dynamic, changing, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of a family system. This family health approach would best include which of the following underlying principles?
Select all that apply.
A. Assessment of the individual's health does not determine the overall family system's health.
B. Family functioning affects the health of individuals.
C. Family system assessment specifically addresses the individual's health.
D. The individual's health affects family functioning.
E. Simultaneous assessment of individual family members and the family system as a whole is important to family health.
B D E
In applying the developmental theory, a family nurse determines the developmental stage of the family based on:
A. age of the eldest child.
B. family strengths.
C. individual growth patterns.
D. overall tasks of the family.
A family nurse is working with a married couple that has decided to remain child-free. The nurse recognizes this decision as a:
A. biological necessity.
B. contemporary family function.
C. religious belief decision.
D. threat to family survival.
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