Question 1

The nurse completed the Calgary Family Assessment Model for a family and is now creating a plan of care. Which of the following statements is true regarding the Calgary Family Intervention Model (CFIM)?

A) The CFIM focuses on improving deficits in the family.
B) The CFIM identifies and corrects dysfunction.
C) The CFIM does not focus on strengths.
D) The CFIM emphasizes resilience in families.

The CFIM emphasizes resilience in families.

Accepted Answer

A.This is incorrect. The CFIM does not focus on deficits.
B.This is incorrect. The CFIM does not focus on dysfunction.
C.This is incorrect. The CFIM focuses on strengths.
D.This is correct. The CFIM emphasizes family strengths and resilience.

Question 2

As the nurse creates a plan of care for a family, she knows that which domain or domains of the Calgary Family Intervention Model (CFIM) focus on family functioning?&#10;A) Cognitive, behavioral, and affective&#10;B) Cognitive only&#10;C) Behavioral and affective&#10;D) Affective and cognitive

Accepted Answer

A.This is correct. The CFIM emphasizes interventions aimed at promoting, improving, and sustaining family functioning in the cognitive, behavioral, and affective domains.
B.This is incorrect. Although the CFIM focuses on the cognitive domain, it also includes the behavioral and affective domains.
C.This is incorrect. Although the CFIM focuses on the behavioral and affective domains, it also includes the cognitive domain.
D.This is incorrect. Although the CFIM focuses on the affective and cognitive domains, it also includes the behavioral domain.

Question 3

A client, a 14-year-old girl, has recently been diagnosed with depression. Which of the following questions would the nurse ask to investigate the family's perception of the client's illness?&#10;A) &#34;How does the client's younger sister view her illness?&#34;&#10;B) &#34;Who in the family worries most about the client's health?&#34;&#10;C) &#34;When did you first notice a change in the client?&#34;&#10;D) &#34;How do you feel about the client's diagnosis?&#34;

Accepted Answer

A.This is incorrect. This is an example of a circular question, used to reveal family understanding of the problem.
B.This is incorrect. This is an example of a circular question, used to reveal family understanding of the problem.
C.This is correct. This is an example of a linear question, used to inform the nurse about the family's perception of the problem.
D.This is incorrect. This is an example of a circular question, used to reveal family understanding of the problem.

Question 4

The nurse is reviewing with a client how the client's frequent drinking affects his two sons, aged 10 and 8. What type of question should the nurse ask?&#10;A) Behavior effect&#10;B) Hypothetical&#10;C) Difference&#10;D) Future oriented

Accepted Answer

A.This is correct. Behavioral-effect questions seek answers on how the behavior of one member of the family affects the other members of the family.
B.This is incorrect. Hypothetical questions explore options and meanings in the future.
C.This is incorrect. Difference questions look for differences between the members of the family in terms of relationships, time, ideas, or beliefs.
D.This is incorrect. Future-oriented questions explore options and meanings in the future.

Question 5

A client, a 16-year-old boy, has recently started smoking. The nurse discusses the new habit with the client's parents. Which domain of family functioning should be the nurse's primary focus in addressing this concern with the client?

A) Affective
B) Behavioral
C) Behavioral effect
D) Cognitive

Accepted Answer

A.This is incorrect. The affective domain of family functioning focuses on emotions that can block family problem-solving efforts. This is not the priority for the client at this time.
B.This is incorrect. The behavioral domain of family functioning focuses on interventions to improve family interactions and behavior toward one another. This is not the priority for the client at this time.
C.This is incorrect. Behavioral-effect questioning is a type of questioning that seeks to determine the impact one family member's actions have on other family members. Although this may be appropriate, it is not the priority for the client at this time.
D.This is correct. The cognitive domain of family functioning focuses on interventions based on offering ideas, opinions, beliefs, information, or education for a particular health risk.

Question 6

Pauline, a 15-year-old girl, is the oldest sister of Kara and Sara, 9-year-old fraternal twins. Sara has acute lymphocytic leukemia and is currently undergoing treatment. Since the diagnosis, Pauline has avoided visiting Sara in the hospital or talking about her illness. Which of the following nursing interventions for Pauline is aimed at the behavioral domain?

A) Acknowledging and validating Pauline's emotions
B) Encouraging Pauline's inclusion in the caregiving for Sara by offering information about the disease, treatment, and prognosis and supporting Pauline's efforts to engage with Sara
C) Encouraging Pauline to share her experience as she faces Sara's illness
D) Commending Pauline for her strength during this difficult time for the family

Accepted Answer

A.This is incorrect. Validating and acknowledging emotional responses is an intervention in the affective domain.
B.This is correct. Offering support and information to Pauline may empower her to change her behavior toward Sara.
C.This is incorrect. Encouraging the telling of illness narratives is in the affective domain.
D.This is incorrect. Commending individual strengths is in the cognitive domain.

Question 7

A family has been working on improving patterns of communication within the family and has made progress. The wife has begun voicing her concerns, and the husband listens and responds. Which of the following is the most appropriate nursing intervention at this time?

A) Ask the wife how her view of time is different from the husband's view of time.
B) Ask the husband what would happen if the wife were no longer able to cook family meals.
C) Ask the wife how she feels when the husband gets angry.
D) Offer commendation.

Accepted Answer

A.This is incorrect. Difference questions explore differences between individuals in the family.
B.This is incorrect. Hypothetical questions explore actions and meanings in the future.
C.This is incorrect. Behavioral-effect questions explore how one family member's actions affect the others.
D.This is correct. Offering commendation emphasizes positive behavior patterns.

Question 8

A client, a 67-year-old wife, mother, and grandmother, has been diagnosed with terminal pancreatic cancer. The family members have been unable to communicate about the diagnosis and often sit at the client's bedside in complete silence. Using the affective domain, what should be the nurse's primary goal for this family?

A) Share the treatment plan and prognosis with the family.
B) Provide the family with a brochure that lists resources for additional information and support groups.
C) Encourage the family to care for the client in shifts, to prevent caregiver burnout.
D) Encourage family members to listen to each other's concerns and feelings.

Accepted Answer

A.This is incorrect. Providing information, such as the treatment plan and prognosis, is in the cognitive domain. This is not the priority at this time.
B.This is incorrect. Providing resources for obtaining information is in the cognitive domain and is not the priority at this time.
C.This is incorrect. Sharing caregiving is a means of encouraging respite and is in the behavioral domain. This is not a priority at this time.
D.This is correct. Helping family members to listen to each other's concerns and feelings will elicit family support and is in the affective domain.

Question 9

The client, a 19-year-old college freshman, recently disclosed to her parents that she is in a lesbian relationship. The nurse on the campus asks the client how it makes her feel when her father refuses to meet her significant other. What type of question is this?

A) A behavioral-effect question in the behavioral domain
B) A behavioral-effect question in the affective domain
C) A difference question in the affective domain
D) A hypothetical question in the affective domain

Accepted Answer

A.This is incorrect. Although this is an example of a behavioral-effect question, it is not in the behavioral domain. Questions in the behavioral domain focus on behavioral responses, not emotional responses.
B.This is correct. Asking how another family's members behavior makes one feel is an example of a behavioral-effect question in the affective domain
C.This is incorrect. Although the example is in the affective domain, it is not a difference question. Difference questions focus on the difference in beliefs, ideas, and relationships between individuals in the family,
D.This is incorrect. Although the example is in the affective domain, it is not a hypothetical question. Hypothetical questions focus on what could be in the future.

Question 10

The client, an 8-year-old boy in second grade, was recently diagnosed with attention deficit-hyperactivity disorder. Which of the following nursing interventions for the client's parents is directed at the affective domain?

A) Provide brochures with resources for the parents to cope with their son's behavior.
B) Encourage the parents to stop making excuses for their reactions to their son's behavior.
C) Assist the parents in putting together information for the client's school about his diagnosis and treatment plan.
D) Encourage the parents to discuss their feelings about their son's behavior with one another.

Accepted Answer

A.This is incorrect. Sharing information with the parents is an intervention in the cognitive domain.
B.This is incorrect. Encouraging a change in behavior is an intervention in the behavioral domain.
C.This is incorrect. Sharing information with the school about the client's diagnosis and treatment plan is in the cognitive domain.
D.This is correct. An intervention in the affective domain is to encourage family members to be caregivers and offer caregiver support.

Question 11

The client, a 15-month-old toddler, is being seen at the clinic today for a well-child checkup and routine vaccinations. During the visit, the client's mom asks about the connection between autism and vaccinations. The nurse provides the mother with a verbal explanation and a brochure providing resources for additional information. In which domain does this nursing intervention belong?

A) Affective
B) Cognitive
C) Behavioral
D) Behavioral effect

Accepted Answer

The answer of The client, a 15-month-old toddler, is being...

Question 12

The nurse is preparing to offer commendation for a family who has made progress with their communication patterns toward one another. Which of the following is a recommendation that assists the nurse in offering commendation?

A) Routinely include commendation at the end of the meeting.
B) Offer commendation when there is any sign of evidence for it.
C) Rely on the family to mention family strengths, and then offer warm commendation.
D) Offer commendation by discussing family strengths in technical terms.

Accepted Answer

The answer of The nurse is preparing to offer commendation...

Question 13

The nurse is providing teaching to a family whose child was recently diagnosed with cystic fibrosis. When offering information, which of the following should the nurse avoid?&#10;A) Providing written information that is easy to read&#10;B) Providing information in medical terms to help the family understand words they will be hearing in the future&#10;C) Providing the family with information on support groups and resources&#10;D) Not becoming invested in the outcome

Accepted Answer

The answer of The nurse is providing teaching to a...

Question 14

The nurse is planning nursing interventions for a family. When considering the domains of family functioning, which of the following is true?&#10;A) Interventions can be planned for one or all of the domains.&#10;B) An intervention in one domain does not affect the other domains.&#10;C) Nurses are most effective when they instruct and direct particular changes in family functioning.&#10;D) Nurses should provide instructive support in the form of directing or lecturing.

Accepted Answer

The answer of The nurse is planning nursing interventions for...

Question 15

It was recently discovered that a close family friend has sexually abused the client, a 12-year-old girl, for several years. The client's family is struggling with coping with the discovery. Which of the following types of questions is most appropriate as the nurse seeks to uncover the family's perception of the problem?

A) Future-oriented questioning
B) Circular questioning
C) Difference questioning
D) Linear questioning

Accepted Answer

The answer of It was recently discovered that a close...

Deck 4: The Calgary Family Intervention Model