Chapter 14 The Family

Chapter 14  The Family

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The graduate nurse tells her preceptor that the newly admitted patient has a strange living arrangement, because she lives in a household that consists of two aunts, a grandparent, a niece, a nephew, and her best friend. What is the preceptor’s best response?
a)
“You are correct. That is a different type of household.”
b)
“That is an example of a family as defined by a different type of culture.”
c)
“This is considered an extended family and is not unusual.”
d)
“This is a type of blended family and statistics show an increase in these types of living arrangements.”

ANS: C
The description fits the definition for an extended family, which can consist of various biological relatives and also nonrelatives who live together or in close proximity. A blended family consists of two single parents who marry and raise their children together. Although extended family arrangements may occur in some cultures, this is not the best response to the nurse’s interpretation of the family living arrangement.

Difficulty: Moderate
Client Need: PSPI
Cognitive Level: Application

PTS: 1

2. A 65-year-old patient is admitted to the hospital with heart failure. The patient’s best friend accompanies her on admission. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state. Using the family nursing approach, how can the nurse best intervene?
a)
Involve the friend and children in the patient’s care, discharge planning, and home care.
b)
Encourage the friend to wait until discharge to provide care for the patient at home.
c)
Explain to the friend that for confidentiality reasons she cannot be involved in the patient’s care.
d)
Encourage liberal visiting hours by the friend and the patient’s children.

ANS: A
The nurse can best intervene by involving the friend and the patient’s children in the patient’s care, discharge planning, and home care. The friend may or may not be able to care for the patient at home. But if planning to provide home care, the patient’s friend should be informed of the patient’s needs while in the hospital and have an opportunity to participate prior to discharge. The nurse can involve the friend with the patient’s consent without infringing on the patient’s privacy. Her name needs to be listed on the patient privacy (HIPPA) form. The nurse should also encourage liberal visiting hours by the friend and the patient’s children if it is beneficial for the patient’s recovery; however, comprehensive involvement in care is more inclusive than simply liberalizing visiting hours and, therefore, is the best answer.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

3. A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer. Although with delayed childbearing, developmental stages can vary among families, which typical stage of family development is this couple likely experiencing?
a)
Family launching young adults
b)
Postparental family
c)
Family with frail elderly
d)
Family with teenagers and young adults

ANS: B
This couple is most likely experiencing the postparental stage of family development. During this stage, the parents prepare for retirement and adjust to their children moving into phases of adulthood. In the stage of family launching young adults, the parents maintain support of young adults as they leave the security of family and the parents rediscover marriage. During the stage of family with teenagers and young adults, open communication is maintained among family members, ethical and moral values are reinforced, and there is a balance established between rules and independence among teens.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: PSI
Cognitive Level: Application

PTS: 1

4. A nurse is caring for a patient who was newly diagnosed with type 1 diabetes. The patient’s wife states, “We are a family of diabetics.” The nurse advises the couple to attend the free nutrition, cooking, and exercise classes at the health center near their neighborhood. She also gives them the name of the public health nurse for their area. Which perspective of family nursing is the nurse practicing?
a)
Family as a unit of care
b)
Family as a system
c)
Family as the context of care
d)
Family as a resource and stressor

ANS: B
The nurse is viewing the family as a system because the nurse is providing information based on the wife’s response that will benefit the entire family. The family is a part of a community and thus should interact or incorporate community resources into their health care plan. A system approach looks beyond the immediate family and views the community and its resources as a part of the suprasystem.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: PSI
Cognitive Level: Application

PTS: 1

5. The parents of three children, aged 3, 6, and 8 years, comment that although the children are close in age, they each seem to have different needs. The nurse teaches the parents what tasks the children should accomplish based on the different age groups and provide strategies to help meet the children’s needs. Which theory best explains the nurse’s teaching plan?
a)
General systems theory
b)
Family interactional theory
c)
Family as a context theory
d)
Developmental theory

ANS: D
Developmental theories focus on the stage of development of each family member, usually based on age or growth stage. These theories have developmental tasks that should be accomplished at each stage of development to successfully progress and master the next stage. These stages begin at birth and continue through old age. Thus, each child will have different developmental tasks based on his or her age and stage of development; because tasks are different, so are each child’s needs.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1