Question 1

Of the following trends,which one represents the greatest current health care challenge to nurses?

Accepted Answer

A)   Homelessness
B)   Single parent families
C)   Alternative relationship patterns
D)   "Sandwiched" or middle generationE) B) and C)
F) A) and B)

Question 2

The nurse is preparing a new mother for discharge when the woman shares that she is "worried about going back to work and its effects on my infant." The most therapeutic response by the nurse is:

Accepted Answer

A)   "Do you want to go back to work?"
B)   "Just be sure you have an excellent baby sitter."
C)   "There is no proof that working will harm your baby."
D)   "Can your husband share in the child care responsibilities?"E) A) and B)
F) None of the above

Question 3

In assessing the roles and power structure of a client's nuclear family,the nurse should specifically ask the client:

Accepted Answer

A)   "Who decides where to go on vacation?"
B)   "What type of health care insurance do you have?"
C)   "How many family members currently live in your home?"
D)   "What types of social activities do you and your family enjoy?"E) A) and B)
F) All of the above

Question 4

The mother of a child receiving immunizations at a health clinic shares with the nurse that she and the child have not eaten today.Which of the following nursing interventions is best directed at impacting the immediate problem while being sensitive to the mother's sense of self-worth?

Accepted Answer

A)   Notifying family services of the problem
B)   Taking both mother and child to the cafeteria
C)   Informing the mother that she is eligible for food stamps
D)   Providing her with contacts at the neighborhood food bankE) B) and D)
F) None of the above

Question 5

Which of the following is a current trend in families or family living?

Accepted Answer

A)   People marrying earlier
B)   Reduction in the divorce rate
C)   People having more children
D)   More people choosing to live aloneE) All of the above
F) A) and B)

Question 6

The nurse can primarily affect the effectiveness of a family's ability to cope with stress by encouraging:

Accepted Answer

A)   Flexible roles
B)   Distinct task assignment
C)   Individual independence
D)   Variable parenting modelsE) None of the above
F) B) and C)

Question 7

A client is unable to independently perform colostomy care due to arthritis.The nurse should first:

Accepted Answer

A)   Offer to assist the client to learn to manage the care
B)   Arrange for home care services to care for the colostomy
C)   Inquire as to family members who may be able to assist with the care
D)   Suggest that the client attend a colostomy self-help support groupE) A) and C)
F) B) and C)

Question 8

The nurse recognizes that the presence of an alcohol-abusing parent places a child at greatest risk for:

Accepted Answer

A)   Homelessness
B)   School truancy
C)   Family violence
D)   Accident-related injuriesE) B) and D)
F) C) and D)

Question 9

When working with families,the nurse may view the family as context or client.Which one of the following examples demonstrates the view of the family as context?

Accepted Answer

A)   The family's ability to support the client's dietary and recreational needs
B)   The client's ability to understand and manage his own personal dietary needs
C)   The family's demands on the client that are based on the client's role performance
D)   The adjustment of both the client and the family to changes in diet and exerciseE) All of the above
F) A) and B)

Question 10

Post discharge,the client is returning to their home environment.In assisting the client with that,specifically in implementing family-centered care,the nurse:

Accepted Answer

A)   Provides personal beliefs regarding problem-solving
B)   Assists the family members to assume dependent roles
C)   Works with the client to accept responsibility for role in discourse
D)   Offers both client and family information about necessary self-care abilitiesE) None of the above
F) All of the above

Question 11

When caring for a terminally ill client,the nurse must also assess the family,because the primary benefit will be:

Accepted Answer

A)   Effective use of time and resources in the end-of-life care of the client
B)   Appropriate attention to the cultural beliefs and expectations of the family
C)   Added information regarding the care needs and preferences of the client
D)   The ability to respond effectively to the family unit during the dying processE) B) and C)
F) A) and D)

Question 12

The greatest risk to a child of adolescent parents comes from the:

Accepted Answer

A)   Increased family stressors resulting in domestic violence
B)   Lack of appropriate parenting resources and role models
C)   Statically high potential for physical and emotional abuse
D)   Parents inability to provide health care and economic supportE) All of the above
F) C) and D)

Question 13

The primary goal of family-centered nursing is to:

Accepted Answer

A)   Promote the wellness of the family and its members
B)   Implement appropriate care for the family and its members
C)   Provide support and care for the family and its individual members
D)   Identify physical and emotional problems affecting the family as a unitE) A) and B)
F) A) and C)

Question 14

Which of the following nursing statements has the greatest therapeutic value when counseling a 'sandwich generation' client caring for a chronically ill parent?

Accepted Answer

A)   "I can help you in finding assistance with the in-home care."
B)   "What is the most stressful aspect of caring for your parent?"
C)   "I'm sure your children love having grandmother in the house."
D)   "What do you do for relaxation now that your mom lives with you?"E) A) and B)
F) A) and C)

Question 15

Needing assistance with daily living activities,an older adult with two grown children is being discharged home.Although both children live nearby,the daughter is expressing concern about handling her parent's physical needs.The nurse's initial response is to:

Accepted Answer

A)   Work with the family on delegating responsibility
B)   Suggest short-term nursing home placement to the client
C)   Arrange for the client to remain hospitalized in the medical center
D)   Make decisions for the family on how to manage the care at homeE) None of the above
F) B) and D)

Question 16

When attempting to meet the needs of the family,the nurse recognizes the central concept of the theory of family developmental stages is that:

Accepted Answer

A)   Over time all families progress through developmental stages
B)   Needs differ as the family progresses through the various stages
C)   While each family is unique,they all tend to progress through similar stages
D)   The family will progress only when all the challenges of a particular stage are metE) A) and B)
F) B) and D) C

Question 17

A nurse who is sensitive to the care of families recognizes that the term 'family' is primarily defined:

Accepted Answer

A)   As individuals legally bound to the client
B)   As people with biological connections to the client
C)   In terms generally accepted by the majority of clients
D)   By the client as individuals important to the clientE) B) and C)
F) A) and C) D

Question 18

The nurse suspects that there is physical abuse present after visiting the client in the home.In recognition of the pattern of family violence,the nurse knows that:

Accepted Answer

A)   Child abuse is declining in frequency
B)   Spouses are the most frequent abusers
C)   Mental illness is a major cause of abuse
D)   Abuse is primarily seen in lower income familiesE) A) and D)
F) B) and D) B

Question 19

Which of the following is a gerontological principle related to families?

Accepted Answer

A)   Later-life families need not work on developmental tasks.
B)   The caregivers are often not members of the client's family.
C)   Role reversal is usually expected and well accepted by the older client.
D)   Support systems are likely to be different than those of younger age-groups.E) None of the above
F) A) and B)

Question 20

What would a nurse expect to find in an assessment of a healthy family?

Accepted Answer

A)   Change is viewed as detrimental to the family.
B)   There is a passive response to most stressors.
C)   The structure is flexible enough to adapt to crises.
D)   Minimum influence is being exerted on the environment.E) B) and C)
F) A) and D)

Exam 10: Caring for Families

Of the following trends,which one represents the greatest current health care challenge to nurses?

Correct AnswerverifiedShow Answer

The nurse is preparing a new mother for discharge when the woman shares that she is "worried about going back to work and its effects on my infant." The most therapeutic response by the nurse is:

Correct AnswerverifiedShow Answer

In assessing the roles and power structure of a client's nuclear family,the nurse should specifically ask the client:

Correct AnswerverifiedShow Answer

The mother of a child receiving immunizations at a health clinic shares with the nurse that she and the child have not eaten today.Which of the following nursing interventions is best directed at impacting the immediate problem while being sensitive to the mother's sense of self-worth?

Correct AnswerverifiedShow Answer

Which of the following is a current trend in families or family living?

Correct AnswerverifiedShow Answer

The nurse can primarily affect the effectiveness of a family's ability to cope with stress by encouraging:

Correct AnswerverifiedShow Answer

A client is unable to independently perform colostomy care due to arthritis.The nurse should first:

Correct AnswerverifiedShow Answer

The nurse recognizes that the presence of an alcohol-abusing parent places a child at greatest risk for:

Correct AnswerverifiedShow Answer

When working with families,the nurse may view the family as context or client.Which one of the following examples demonstrates the view of the family as context?

Correct AnswerverifiedShow Answer

Post discharge,the client is returning to their home environment.In assisting the client with that,specifically in implementing family-centered care,the nurse:

Correct AnswerverifiedShow Answer

When caring for a terminally ill client,the nurse must also assess the family,because the primary benefit will be:

Correct AnswerverifiedShow Answer

The greatest risk to a child of adolescent parents comes from the:

Correct AnswerverifiedShow Answer

The primary goal of family-centered nursing is to:

Correct AnswerverifiedShow Answer

Which of the following nursing statements has the greatest therapeutic value when counseling a 'sandwich generation' client caring for a chronically ill parent?

Correct AnswerverifiedShow Answer

Needing assistance with daily living activities,an older adult with two grown children is being discharged home.Although both children live nearby,the daughter is expressing concern about handling her parent's physical needs.The nurse's initial response is to:

Correct AnswerverifiedShow Answer

When attempting to meet the needs of the family,the nurse recognizes the central concept of the theory of family developmental stages is that:

Correct AnswerverifiedC

A nurse who is sensitive to the care of families recognizes that the term 'family' is primarily defined:

Correct AnswerverifiedD

The nurse suspects that there is physical abuse present after visiting the client in the home.In recognition of the pattern of family violence,the nurse knows that:

Correct AnswerverifiedB

Which of the following is a gerontological principle related to families?

Correct AnswerverifiedShow Answer

What would a nurse expect to find in an assessment of a healthy family?

Correct AnswerverifiedShow Answer

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C

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D

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B

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