Question 1

What is the nurse's ultimate goal when offering interventions to families?&#10;A) Suggesting new coping measures&#10;B) Increasing the family's autonomy in solving their own problems&#10;C) Providing families with specific guidelines on how to manage their time and resources more effectively&#10;D) Referring families to the appropriate support system

Accepted Answer

The nurse's ultimate goal when offering interventions to families is to increase the family's autonomy in solving their own problems. This means empowering the family to take ownership of their situation and providing support and resources that assist them in finding their own solutions. The nurse should not prescribe specific coping measures, manage their time and resources, or make referrals without first involving the family in the decision-making process.

Question 2

Which of the following communication patterns between father and child reflects circular communication?&#10;A) The father and child are engaged in a game of catch.&#10;B) The father uses rewards to encourage the child to go to bed.&#10;C) The father comforts the crying child.&#10;D) The child disobeys his father.

Accepted Answer

The father comforts the crying child. Circular communication occurs when a message is sent and received, and then the receiver sends a message back that is related to the original message. In this case, the child is crying, which is a message to the father. The father then comforts the child, which is a message back to the child that is related to the original message.

Question 3

Which dimension of the family assessment includes assessing the whole situation or background relevant to the family?&#10;A) Structural&#10;B) Functional&#10;C) Instrumental&#10;D) Developmental

Accepted Answer

The structural dimension of family assessment involves evaluating the entire context or background relevant to the family, including relationships, roles, and boundaries.

Question 4

Mr.Casey is an 86-year-old diabetic who requires daily insulin injections.He lives with his daughter and her husband.Which of the following questions assesses instrumental functioning?&#10;A) &#34;Mr. Casey, how do you think your daughter feels about your refusing to take your insulin?&#34;&#10;B) &#34;What do you feel has aggravated your difficulty in controlling the diabetes?&#34;&#10;C) &#34;Mr. Casey, who is responsible for administering your insulin injections?&#34;&#10;D) &#34;How will you deal with hypoglycemic reactions?&#34;

Accepted Answer

This question asks about the practical aspect of Mr. Casey's care, specifically who is responsible for administering his insulin injections. This assesses instrumental functioning, which relates to a person's ability to carry out daily activities and tasks. The other options do not focus on instrumental functioning.

Question 5

Which of the following two subcategories compose a functional assessment?&#10;A) History and physical assessment&#10;B) Instrumental and expressive functioning&#10;C) Developmental and emotional assessment&#10;D) Family functioning and use of defence mechanisms

Accepted Answer

A functional assessment is composed of two subcategories: instrumental functioning (ability to perform activities of daily living) and expressive functioning (ability to communicate and interact socially). The other options do not accurately reflect the two subcategories of a functional assessment.

Question 6

The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?&#10;A) The region where the family resides&#10;B) The most influential health determinants on the family's health&#10;C) The family's contact with those outside the family&#10;D) The family structure and relevant information about family members

Accepted Answer

An ecomap is a visual representation of a family's connections to external systems and relationships, illustrating the family's interactions with people and institutions outside the family unit.

Question 7

Mrs.Lily is talking about her recent chronic diagnosis and how it has affected her emotionally,intellectually,socially,and spiritually.The nurse knows that this is referred to as which of the following?

A) Reflection
B) Illness narrative
C) Comprehensive honesty
D) Complete life review

Accepted Answer

Mrs. Lily's description of how her chronic diagnosis has affected her emotionally, intellectually, socially, and spiritually is an example of an illness narrative. An illness narrative is an individual's personal account of their experience with illness and how it impacts their life in various ways. The nurse can use this information to better understand Mrs. Lily's perspective and provide more individualized care.

Question 8

Which of the following terms is given to a conversational statement emphasizing family strengths and abilities?&#10;A) Linear&#10;B) Circular&#10;C) Commendation&#10;D) Normalization

Accepted Answer

Commendation is a term given to a conversational statement emphasizing family strengths and abilities. Linear refers to a communication style where information is conveyed in a straight line from sender to receiver. Circular communication involves conversation that is more open, with all parties contributing and exchanging ideas. Normalization is a term used in therapy to help clients understand that their experiences and feelings are not abnormal or unusual.

Question 9

In assessing the family,how should the nurse define &#34;family&#34;?&#10;A) Identifying those members who are related biologically&#10;B) Applying one of the family forms that are recognized by society&#10;C) Referring to family forms that social scientists and legislators have identified&#10;D) Accepting that &#34;family&#34; is defined by individuals

Accepted Answer

When assessing the family, it is important for the nurse to accept that "family" is defined by individuals rather than relying on biological or societal definitions. Each family is unique and may include individuals who are biologically related, adopted, or chosen as family. Therefore, the nurse should avoid making assumptions about what a family is and instead take into account the family's own definition and perception of themselves.

Question 10

The Calgary Family Assessment Model focuses on three major categories of family life,including structural and developmental dimensions.What is the third dimension?&#10;A) Expressive&#10;B) Functional&#10;C) Instrumental&#10;D) Attachments

Accepted Answer

The Calgary Family Assessment Model includes structural, developmental, and functional dimensions.

Question 11

When working with families,the nurse may view the family either as context or patient.Which one of the following examples demonstrates the view of the family as context?&#10;A) The family's ability to support the patient's dietary and recreational needs&#10;B) The patient's ability to understand and manage his or her own dietary needs&#10;C) The family's demands on the patient based on his or her role performance&#10;D) The adjustment of the patient and family to changes in diet and exercise

Accepted Answer

The answer of When working with families,the nurse may view...

Question 12

The nurse is observing for the signs of a healthy family.While assessing a healthy family,what would the nurse expect to find?&#10;A) Change is viewed as detrimental to family processes.&#10;B) A passive response exists to stressors.&#10;C) The structure is flexible enough to adapt to crises.&#10;D) Minimal influence is exerted on the environment.

Accepted Answer

The answer of The nurse is observing for the signs...

Question 13

The nurse suspects that there is physical abuse present after visiting an older patient in her home.She has been receiving care from her family for several months.In recognition of the pattern of family violence,which of the following does the nurse know is true?

A) Mental illness is a major cause of abuse.
B) Abuse is primarily seen in lower income families.
C) Spouses are the most frequent abusers.
D) Family members and family caregivers are the most frequent abusers of older adults.

Accepted Answer

The answer of The nurse suspects that there is physical...

Question 14

In the structural assessment of the family,the nurse determines which one of the following?&#10;A) How household tasks are shared among the family members&#10;B) The stage of life at which the family finds itself presently&#10;C) The emotional links between family dyads&#10;D) Which factors influence the roles and behaviours within the family

Accepted Answer

The answer of In the structural assessment of the family,the...

Question 15

An older adult with two grown children is being discharged home and will need insulin injections and some assistance with activities of daily living.The patient's son lives within 5 km of the patient's home.The daughter tells the nurse that she doesn't know how to handle her parent's and her own children's needs.What should be the nurse's initial response?

A) Work with the family in supporting caregivers.
B) Tell the daughter to look into nursing home placement immediately.
C) Arrange for the patient to remain in the medical centre.
D) Make beneficial decisions for the family on how to manage the care at home.

Accepted Answer

The answer of An older adult with two grown children...

Deck 19: Family Nursing