Chapter 19 Working With Families

Chapter 19  Working With Families

Complete Chapter Questions And Answers
 

Sample Questions

1.
Which of the following would be most appropriate for the community health nurse to do first when planning an initial home visit to a family?
A)
Obtain the basic supplies that will be needed
B)
Gather appropriate educational materials
C)
Contact the family via telephone
D)
Review the referral information
Ans:
D

Feedback:

The first step is to obtain the referral and review it to gather information about the possible needs of the family and the reason for the visit. Once this is done, then the nurse would obtain the basic supplies and education materials that might be needed and contact the family to arrange the visit.

2.
When planning for a home visit, which of the following would be most helpful to ensure a successful home visit?
A)
Documentation in a timely manner
B)
Summarizing the main visit points
C)
Providing incidental teaching
D)
Scheduling an appropriate visit time
Ans:
D

Feedback:

As part of planning the community health nurse would contact the family to set up an appropriate time for the visit. Documenting in a timely manner ensures successful evaluation. Providing incidental teaching and summarizing the main visit points help to ensure successful implementation.

3.
A community health nurse arrives at a family’s home. Which of the following would behaviors by the nurse would be nontherapeutic?
A)
Maintaining eye contact with the family members
B)
Paging through paperwork for information
C)
Sitting on the furniture near the family members
D)
Placing car keys in the nurse’s carryall bag
Ans:
B

Feedback:

Community health nurses, like all nurses, need to be aware of their own body language. Fidgeting with car keys during the entire visit, noisily chewing gum, giving minimal eye contact, continuously looking at or paging through paperwork, appearing rushed, and refusing to sit on any of the furniture are behaviors that tell the family a great deal about the nurse, including how he or she feels about being in their home. These actions are nontherapeutic. Sitting on the furniture near family members demonstrates interest in the family. Placing car keys in the carryall bags prevents inadvertent distractions.

4.
A community health nurse is about to make the first home visit to a family based on a referral from the hospital where the high-risk infant was born to an adolescent mother about 6 days ago. The nurse plans to assess the family and home environment and provide anticipatory guidance. On arrival, the mother sleepily answers the door after the nurse rings the bell and knocks several times. The mother lets the nurse in but is not happy to see the nurse. She gets the infant and places him in the nurse’s arms, then sits across the room and turns on the TV. Which response by the nurse would be most appropriate?
A)
“You must be very tired caring for a newborn baby.”
B)
“I wasn’t planning to hold the baby. You should hold him, you are the mother.”
C)
“I need to talk to you, so please turn off the TV.”
D)
“How do you feel being a mother at 17?”
Ans:
A

Feedback:

It is always best to acknowledge a client’s feelings, and from the scenario, observations and referral information, being fatigued 6 days after having a baby is very possible. The option about holding the baby is not the best way to respond to the mother or the first comment to make, but holding the baby gives the nurse an opportunity to role model infant interaction and caring and assess his or her cleanliness and clothing appropriateness. However, the nurse may want to say that he or she would like to wash his or her hands before holding the baby. This gives the nurse an additional opportunity to teach and assess another room when washing hands. Asking to turn off the TV might be appropriate after a few moments of introductory conversation. It would be best to ask the mother to turn the TV down because of difficulty hearing her. The nurse will win the mother’s favor with this approach better than by asking her to turn off the TV. Asking how she feels being a mother at 17 might be information to gather, but asking it directly as a first comment sounds like a put-down. There are better ways to obtain this information a bit later in the visit.

5.
While making a family health visit, an older relative who is visiting has been drinking and becomes verbally abusive and increasingly loud. Which action by the community health nurse would be best?
A)
Continue the visit with caution
B)
Suggest the relative go in another room and take a nap
C)
Ask the sober family members to take the visitor home
D)
Terminate the visit, making plans for another visit
Ans:
D

Feedback:

Terminating the visit is the best choice. It appears the problem is escalating, and the nurse’s safety should always come first. Continuing the visit puts the nurse and possibly the other family members at risk. Making a suggestion to go into another room and take a nap may agitate the relative and make a deteriorating situation worse. Making a suggestion for a family member to take the visitor home may agitate the relative and make a deteriorating situation worse. Additionally, this is the client’s home and the suggestion should be the client’s.