Chapter 11 Family-Focused Care with Chronic Illness

Chapter 11  Family-Focused Care with Chronic Illness

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following statements about family-focused chronic illness case management is accurate?
1.
Family-focused chronic illness case management focuses on the individual family member with the chronic illness.
2.
Family-focused chronic illness case management begins with a nurse sharing advice with family members.
3.
Family-focused chronic illness case management may lead to delayed or prevented complications.
4.
Family-focused chronic illness case management determines certain family members with whom to communicate.

ANS: 3

Feedback
1
The family is the unit of care in family-focused chronic illness case management, not the individual.
2
Giving advice is not therapeutic and should be avoided.
3
Vigilant family members can observe signs and symptoms of complications to either prevent or delay their onset.
4
The family is the unit of care in family-focused chronic illness case management, not certain members.

PTS: 1
KEY: Content Area: Examine special family concerns associated with chronic disease management | Integrated Process: Caring | Client Need: Safe and Effective Care | Cognitive Level: Comprehension | Question Type: Multiple Choice

2. Which of the following is a unique family intervention that will facilitate family-focused care?
1.
Communicating with every family member
2.
Commending strengths of the family unit
3.
Contacting only the significant others for information
4.
Interviewing all family members

ANS: 2

Feedback
1
Although communicating with every family member is important, it is not a unique intervention.
2
Commending the family members on their strengths as a family may encourage their involvement in care.
3
All family members may be involved in providing significant information.
4
Although interviewing all family members is important, it is not a unique intervention.

PTS: 1
KEY: Content Area: Describe ways nurses prepare families to satisfy various member needs associated with chronic illness | Integrated Process: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Application | Question Type: Multiple Choice

3. Monica is a 55-year-old woman who has suffered from diabetes mellitus for 30 years. The nurse enters the room to check routine vital signs and sees that both Monica and her husband appear upset; they tell the nurse to leave. Which of the following responses by the nurse reflect an accurate understanding of family-focused chronic illness care?
1.
“I need to take Monica’s vital signs. You (husband) can return when I am done.”
2.
“I’m so pleased you understand your disease, Monica.”
3.
“Has your doctor talked with you about your future?”
4.
“I will give you some more time to be alone. Let me know if you have questions.”

ANS: 4

Feedback
1
Routine vital signs can be postponed for a while if the family is upset.
2
By focusing on Monica, the nurse fails to acknowledge the husband.
3
Family-focused chronic illness care recognizes that their current emotions take priority over the future.
4
By giving the family time to be alone, the nurse shows willingness to answer questions and allow privacy.

PTS: 1
KEY: Content Area: Describe ways nurses prepare families to satisfy various member needs associated with chronic illness | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | Question Type: Multiple Choice

4. Which of the following discourages family-focused chronic illness care?
1.
“Thinking family”
2.
Adequate nurse staffing
3.
Time constraints
4.
Human connections

ANS: 3

Feedback
1
“Thinking family” reminds the nurse that all family members are influenced by a chronic illness.
2
Adequate staffing allows time for effective family-focused care.
3
Adequate time is required for the nurse to share the chronic health experience with the family.
4
Human connections lead to attentive and effective communication.

PTS: 1
KEY: Content Area: Use family-focused care to support and overcome barriers when child and adult members have a chronic illness | Integrated Process: Caring | Client Need: Safe and Effective Care | Cognitive Level: Comprehension | Question Type: Multiple Choice