Chapter 17 Family And Community Health

Chapter 17  Family And Community Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client’s family enters the room while the nurse is completing the admission assessment. A family is defined as:
a.
two parents and children who live together.
b.
blood-related relatives who live together.
c.
people living together who are united by significant emotional bonds.
d.
a nuclear family and their relatives.

ANS: C
A family is a dynamic system of people living together who are united by significant emotional bonds. Two parents and children who live together are a nuclear family. Blood-related relatives who live together and a nuclear family with relatives is an extended family.

PTS: 1 DIF: Analysis REF: Family Structure

2. A client tells the nurse that she has a blended family. This type of family is:
a.
composed of husband, wife, and their immediate children who may be naturally conceived or adopted.
b.
usually members of a nuclear family and other blood-related people such as grandparents.
c.
a combination of two divorced families through remarriage that may include stepchildren or half children.
d.
people living together who are united by significant emotional bonds.

ANS: C
A blended family is a combination of two divorced families through remarriage that may include stepchildren or half children. A nuclear family is composed of husband, wife, and immediate children who may be naturally conceived or adopted. An extended family is members of a nuclear family and other blood-related people such as grandparents. A family is people living together who are united by significant emotional bonds.

PTS: 1 DIF: Application REF: Family Structure

3. An adolescent client tells the nurse that substance abuse would never be tolerated by his family. Which of the following would not be true about family roles?
a.
They are expected behaviors of family members.
b.
They provide the foundation for the children’s future interactions as adults.
c.
They are learned and transmitted within the family unit.
d.
They are always strictly defined within any culture.

ANS: D
Family roles are the behaviors expected of family members. These roles are learned and transmitted within the family unit, and they help the family to fulfill its functions. Roles also provide the foundation for the children’s future interactions as adults. Family roles are not always strictly defined within any culture.

PTS: 1 DIF: Analysis REF: Family Roles and Functions

4. A client tells the nurse that she was raised in a highly dysfunctional family. A trait of a dysfunctional family includes:
a.
members who play jokes and demonstrate a sense of humor.
b.
one or more members who lack problem-solving skills.
c.
members who follow rituals and traditions.
d.
members who communicate and listen to each other.

ANS: B
Dysfunctional families often lack problem-solving skills and deteriorate in adaptive abilities when confronted with stressors. The other choices are traits of a functional family.

PTS: 1 DIF: Application
REF: Characteristics of Healthy Families| Table 17-2 Comparison of Healthy and Unhealthy Families

5. A client tells the nurse that he has created a family with his wife and children where all are respected. An example of effective responsiveness in a functional family unit would include:
a.
communication is ambiguous and indirect.
b.
rules are flexible.
c.
boundaries are blurred, yet rigid.
d.
members are encouraged to express feelings.

ANS: D
One characteristic of a functional family unit is effective responsiveness. An example of effective responsiveness is that members are encouraged to express feelings. Ambiguous and indirect communication is an example of communication within a dysfunctional family unit. Flexible rules are an example of behavioral control in a functional family unit. Blurred, rigid boundaries are an example of boundaries in a dysfunctional family unit.

PTS: 1 DIF: Application
REF: Table 17-2 Comparison of Healthy and Unhealthy Families