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Homework answers / question archive / University of San Francisco - NURS 320 Chapter 20: Family Health Test Bank MULTIPLE CHOICE 1)Which of the following definitions of family would be the most useful for the nurse practicing in the community? a

University of San Francisco - NURS 320 Chapter 20: Family Health Test Bank MULTIPLE CHOICE 1)Which of the following definitions of family would be the most useful for the nurse practicing in the community? a

Nursing

University of San Francisco - NURS 320

Chapter 20: Family Health Test Bank

MULTIPLE CHOICE

1)Which of the following definitions of family would be the most useful for the nurse practicing in the community?

a.

A group of persons with shared

convictions

b.

A social unit interacting with the larger

society

c.

People descended from a common

ancestor

d.

Persons related either by blood or by legal

contract (marriage)

e.

Whoever the family says is in their family

 

 

  1. A nurse was teaching a class on good hygiene at a local day care center when one child volunteered, “I have two mommies.” Which of the following would be the most appropriate response by the nurse?

a.

“Don’t tell anyone; that’s a secret.”

b.

“That’s nice—why did you share that?”

c.

“Yes, some children have two mommies, some have a mommy and a daddy, and some just have daddies. Some people only

have one grown-up to love them.”

d.

“Which mommy is your real mommy?”

 

 

  1. Which of the following statements best describes how a family can meet the needs of society?

a.

By living and existing in the wider

community

b.

By meeting the needs of the individual

family members

 

c.

Through procreation and socialization

d.

Through productivity seen in employment

positions

 

 

  1. Which of the following best describes what is meant by cohabitation?

a.

A living arrangement in which one adult is

employed and the other is unemployed

b.

A living arrangement in which an

unmarried couple in a long-term relationship lives together

c.

A living arrangement between two

members of the same sex

d.

A living arrangement between two single

mothers with children

 

 

  1. Which of the following best describes what proportion of children live in a single-parent family?

a.

Fewer than 10%

b.

11%-15%

c.

16%-20%

d.

21%-26%

e.

More than 30%

 

 

  1. When making a home visit, a nurse is usually expected to focus attention on the ill family member. But whom would the nurse possibly focus on instead?

a.

The children who are being affected by

the stress of the situation

 

b.

The ill family member’s primary

caregiver

c.

The spouse of the ill family member

d.

The neighbors of the family who may be

able to help

 

 

  1. Which of the following is a major barrier to a nurse caring for the family as a whole?

a.

Families often don’t want to know what is

wrong with their loved one.

b.

Nurses don’t know how to care for

families.

c.

Reimbursement is paid only for services

given to an individual.

d.

The family often isn’t available when the

nurse is giving care.

 

 

  1. A nurse is completing a first assessment interview with a family after entering the family’s apartment for the first time. Which of the following would be crucial for the nurse to remember?

a.

Analyze the power relationships before

focusing on needed information

b.

Be on best behavior with manners and

courtesy, starting with a self-introduction

c.

Determine as soon as possible who makes

decisions within the family

d.

Evaluate the safety of the immediate

environment for self and the family

 

 

 

  1. Beyond gathering needed information for future interventions, which of the following purposes is served when the nurse interviews the family?

a.

Assessing the safety of the immediate environment before further planning can

be done

b.

Establishing a process for the nurse and

the family to make decisions

c.

Engaging in focused planned conversation, which has healing potential

in itself

d.

Focusing on giving compliments to make

the family feel good about themselves

 

 

  1. Which of the following questions is crucial to ask very early in a family interview?

a.

“Do you see any way this problem could have been avoided—so future problems

could be prevented?”

b.

“What do you all, as a famil,y hope to

achieve during your time with me?”

c.

“What would you like me to do for you

today?”

d.

“Would you like to know my perception

of what our goals together should be?”

 

 

  1. A young son was so physically fidgety that his mother was seriously embarrassed by his inability to be quiet and involved in the interview. Which of the

 

following comments by the nurse would be the most helpful?

a.

“Isn’t it marvelous how much energy your

son has?”

b.

“Is there something your son could be

doing for you that would use some of that energy?”

c.

“Is your son always so fidgety? Have you

discussed his behavior with his pediatrician?”

d.

“Why don’t you let your son go to his

room until we’re finished?”

 

 

  1. The current school year is now over, and the school health nurse spends time summarizing the records of all the children who had come into the school health office during the past school year. Which of the following best explains the rationale for this action?

a.

Because analysis can help establish

priorities for future health programs

b.

Because annual reports are expected by

the school board

c.

Because it’s very personally rewarding to see all the help one has given throughout

the year

d.

Because the nurse has to justify the school

health office budget for each year

 

 

 

 

  1. Which of the following best describes why a nurse would ask about the meals of all family members, rather than focus on a nutritional history for the post– myocardial infarction patient?

a.

It is assumed that all family members eat

the same food at the same time each day.

b.

Lifestyle choices among family members

are usually consistent.

c.

Many parents eat whatever their children don’t rather than throw away good food, so the nurse should know what the

children eat.

d.

The nurse was afraid to assume that whoever cooked would only prepare one

meal for everyone to share.

 

 

  1. A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer. Which of the following should be emphasized by the nurse when helping the woman make an appointment at the diabetic clinic for follow-up testing and treatment?

a.

“Bring a food diary of everything you’ve eaten for one week with you to the appointment to help with future meal

planning.”

b.

“It’s really not that hard to learn how to

inject insulin, and it really doesn’t hurt.”

c.

“Please encourage all your family members, including your parents, to be

tested for diabetes as well.”

d.

“They’ll teach you how to manage your

meals and medications to stay healthy.”

 

 

 

  1. Record data demonstrated that there were a very large number of children in the school district whose insurance plan was the Children’s Health Insurance Program (CHIP). Which of the following conclusions would be accurate for the nurse to make?

a.

There are a large number of parents who

know how to abuse government programs.

b.

There are a large number of homeless

families.

c.

There are a large number of unemployed

poverty-stricken families.

d.

There are a large number of working, low-

income parents.

 

 

  1. A nurse needed to help a child who was not behaving consistently with the requirements of the new preschool program that began that fall. Which of the following actions would be most appropriate for the nurse to perform?

a.

Meet with the child each day to let the child have a safe play environment

without the regular program frustrations

b.

Meet with the child’s parents to discuss how their parenting may need to change to help improve their child’s behavior at

school

c.

Meet with the child’s teacher to brainstorm ways to help the child cope

with school requirements

d.

Point out to the child that if behavior doesn’t improve, the child won’t be able to play with all the other children at the

school

 

 

 

  1. A family came in to discuss a problem with one of their children. Which of the following family behaviors would be concerning to the nurse?

a.

Each family member made supportive

comments about each other.

b.

Every Sunday the family attends religious

services together.

c.

Family members made humorous

comments about their life together.

d.

The family seemed to rather quickly

determine priorities for action.

e.

The family wanted the nurse to decide

what they should do.

 

 

  1. Which of the following are examples of the internal structure of the family?

a.

Ethnicity and race

b.

Extended family members

c.

Gender and rank order of birth

d.

Social class and religion

 

 

  1. A man had been in an extended-care facility for five weeks and was now home. His wife tells the nurse, “He’s trying to take up where he left off but we’ve adapted to not having him home. He keeps thinking things will be just as they were when he left, but they aren’t.” Which of the following would be the most appropriate response by the

 

nurse?

a.

“Are the changes making him uncomfortable or are the rest of you

uncomfortable?”

b.

“Do you want me to talk to him and try to

explain?”

c.

“How can we make things as they were

before he left?”

d.

“You all adapted to running the house

without him; it will be challenging now to adapt back.”

 

 

  1. Each evening, a newly disabled man becomes angry when his wife, just home from her new full-time job, does not have dinner on the table at 6 PM. Which of the following actions would be most appropriate for the nurse to take?

a.

Allow the wife to express her frustration

and anger to you

b.

Explain to the husband that he is going to

have to begin learning how to cook

c.

Help all family members recognize that long-time roles are being changed and

change is uncomfortable for everyone

d.

Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on

weekends

 

 

 

  1. A mother says to the nurse, “I know I should be feeling an empty nest sadness now that our youngest has left for college—but mainly I’m dying to turn his room into my craft room. Do you think that’s normal for a mom? I really do love my kids.” Which of the following would be the most appropriate response by the nurse?

a.

“Hmm, that is unusual. Would you like me to make an appointment with a

psychologist for you?”

b.

“Maybe you’ve always wanted to be an artist and now you can, so enjoy the

feeling—and the room!”

c.

“You’re probably trying to put a positive spin on the situation to keep feelings of

sadness at bay.”

d.

“Very normal; you’ve launched your family and now you can devote attention to your own life and preferences—such as

crafts.”

e.

“Would you like to talk about how you

feel?”

 

 

  1. A nurse asked a family if they’d work with her to create a family genogram. The mother asked, “Why would you want to know so much about our family?” Which of the following would be the most appropriate response by the nurse?

a.

“A genogram helps you see how some

problems run in families. Your children will need to know this.”

b.

“If you’re willing to share, we can discuss family history and possibly some

hereditary health issues.”

c.

“Please be assured you don’t have to answer any question you don’t want to

answer.”

 

d.

“Why would you want to keep your

family members secret? Is there some problem?”

 

 

  1. A nurse asked of a family, “Could each of you tell me what you typically do during the week?” Which of the following would the nurse most likely say to follow up such an open-ended question?

a.

“Could you tell me about what you do at

your job?”

b.

“Do you believe those choices are the best

use of your free time?”

c.

“How do you feel about those activities?”

d.

“Is there anything you would like to do

differently?”

 

 

  1. The nurse has started to complete a family health tree. Which of the following questions would be most helpful as the nurse works with the family to promote their health?

a.

“Can you tell me the cause of death of your older relatives back several

generations?”

b.

“Do you know of any chronic health

problems any of your relatives or their spouses have had?”

c.

“What concerns do you have about your

family’s health?”

d.

“What do your family members do to

keep in shape and handle stress?”

 

 

 

  1. A nurse was creating an ecomap for a family, which consisted of a 3-year- old girl, an 8-year-old boy, and their mother. Which of the following questions would be useful for the nurse to ask?

a.

“Are you involved with any groups or

resources in the community?”

b.

“Can you tell me about your extended

family wherever they live?”

c.

“Have you thought about what would

happen if you needed help?”

d.

“What were the causes of death for your

older family members?”

 

 

  1. A family agreed to bring all the children in to the clinic at one time to begin to catch up on the children’s immunizations, but they didn’t keep their appointment. Which of the following conclusions by the nurse would be most accurate?

a.

Obtaining immunizations might have been

the nurse’s goal, not the family’s.

b.

Some barrier or restraint interfered with

the family’s ability to come.

c.

The family had other, more important

priorities.

d.

The nurse didn’t adequately emphasize the importance of obtaining

immunizations.

 

 

 

  1. Which of the following theoretical approaches would be most useful to the nurse who wants to improve patient-provider communication and address the gap between what providers discuss and what families want to know about?

a.

Ecological framework

b.

Network therapy theory

c.

The Kentucky Partnership model

d.

Transaction model

 

 

  1. Which of the following is an appropriate conclusion to draw from research based on network therapy theory?

a.

Nurses can help at-risk populations access

or build support systems.

b.

Problems in our health care system are worsened by specialization and

fragmentation.

c.

Social class places limitations on access to

health care.

d.

The family is culturally anchored in

American beliefs.

 

 

  1. Which of the following best describes an unexpected result of the decrease in funding to traditional public and private forms of health care?

 

a.

Emergency departments where patients

can’t be turned away are overwhelmed with patients needing nonemergency care.

b.

Grants are increasingly being requested to

pay for care.

c.

More people don’t receive needed health

care in a timely manner.

d.

Programs are developed as a result of

community efforts.

 

 

  1. What has research suggested is a barrier to college students eating healthy?

a.

Lack of access to an exercise facility

b.

Lack of access to a primary care provider

c.

Lack of knowledge of the benefits of

healthy eating

d.

Lack of knowledge related to food

preparation

 

 

MULTIPLE RESPONSE

 

  1. Which of the following factors make family nursing particularly challenging? (Select all that apply.)

a.

The health care system primarily focuses

on care of individuals.

b.

Insurance reimbursement focuses on

illness care and treatment of individuals.

 

c.

Family members are not always consistent

in what they tell the nurse.

d.

More variables to be considered when

completing an assessment

e.

Number of chronic comorbidities

f.

Most theories focus on intervention with

individuals.

 

 

  1. Which of the following best describe why it is crucial that nurses who focus on the care of individual patients also be able to work with families? (Select all that apply.)

a.

Anytime a person is ill, his or her whole

family is affected.

b.

By understanding the family, understanding of the individual is

improved.

c.

Families often are very demanding if they feel their loved one isn’t receiving the best

care possible.

d.

Individuals depend on their families for

care and support.

e.

Most important decisions are made by

families as a whole, not individuals.

f.

Risks caused by genetics or environment

affect the whole family, not just the individual.

 

 

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