Chapter 23 Family Context in Nursing

Chapter 23  Family Context in Nursing

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Alissa is a nursing student who works in a clinic. She is admitting a 45-year-old patient and asks about her family. Alissa is told that the patient lives with her daughter and son-in-law. Alissa knows that this is an example of which of the following family forms?
A.
Nuclear
B.
Extended
C.
Blended
D.
Alternate pattern of relationship

ANS: B
The extended family includes relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 621
OBJ: Discuss how the term family is defined to reflect family diversity
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

2. Harriett is a student nurse who is working on a community health project with her peers. One of the concerns in her community is the rise in homelessness due to the economy. Harriett understands that the fastest growing segment of the homeless population are:
A.
the elderly.
B.
single men.
C.
families with children.
D.
single females.

ANS: C
The fastest growing segment of the homeless population is families with children. This includes complete nuclear families and single-parent families. Families with children account for 36% of the homeless population.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 622
OBJ: Examine current trends in the American family
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

3. Gene and Jackie are parents of twins. As their daughters have entered high school they have gradually become more independent and the family boundaries have become more flexible. This family is in what developmental stage?
A.
Unattached young adults
B.
Family with young children
C.
Family with adolescents
D.
Family with young adults

ANS: C
Family with adolescents experience changes in family status that are needed to proceed developmentally; these include shifting of parent-child relationships to permit adolescents to move into and out of system; refocusing on midlife marital and career issues; beginning to shift toward concerns for older generations.

PTS: 1 DIF: Cognitive Level: Application REF: 623
OBJ: Discuss common family forms and their health implications
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

4. Becky and Jack are the parents of Michael, an 18-year-old who joined the military and is being deployed overseas. Becky and Jack discuss with Michael how they plan to stay in touch and purchase a laptop computer for Michael to take with him so they can e-mail and use the webcam to see each other. What is the approach to stress that this family exhibits?
A.
Resiliency
B.
Hardiness
C.
Dysfunctional
D.
Denial

ANS: B
Family hardiness is the internal strengths and durability of the family unit. A sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active rather than passive orientation in adapting to stressful events characterize family hardiness.

PTS: 1 DIF: Cognitive Level: Analysis REF: 624
OBJ: Explain how the relationship between family structure and patterns of functioning affects the health of individuals within the family and the family as a whole
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

5. Harry is a student nurse caring for Jon, a 4-year-old patient who has been admitted to the pediatric unit with acute asthma. As Harry admits Jon, he learns that both parents smoke in the home. Harry plans to discuss with the parents the implications of smoking around Jon and to provide them with information on smoking cessation. This is an example of what approach to family nursing?
A.
Family as context
B.
Family as patient
C.
Family as system
D.
None of the above

ANS: A
When you view the family as context, your primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient). Although you focus the nursing process on the individual’s health status, you will also assess the extent to which the family provides the individual’s basic needs.

PTS: 1 DIF: Cognitive Level: Application REF: 624
OBJ: Compare family as context to family as patient and family as system and explain the way that these perspectives influence nursing practice
TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance