Chapter 5 Family Assessment

Chapter 5  Family Assessment

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following assessment measures would be most beneficial to complete with a 30-year-old female whose family has a history of breast cancer?
1.
Ecogram
2.
Ecomap
3.
Genogram
4.
Geographic information system

ANS: 3

Feedback
1
An ecogram is a visual representation showing relationships, activities, and influences a person has in the family system; it does not focus on illness information.
2
An ecomap helps the nurse visualize the various activities and relationships of the family with the larger ecological environment; it does not focus on illness information.
3
Detailed illness information can be added to a genogram to create a family pedigree depicting transmission of such things as genetic conditions, familial conditions, and psychosocial patterns, such as chemical dependency and suicide. The genogram can be useful to aid early diagnosis, identification of risk factors for particular conditions, and to reveal potential prevention strategies.
4
Geographic information systems capture, store, analyze, and display referenced information about specific environmental concerns that are geographically and ecologically pertinent to families; they do not focus on illness information.

PTS: 1
KEY: Content Area: Explain ways that genograms, ecograms, and ecomaps can be used to assess family from an ecological point of view | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice

2. When is nursing assessment most complete?
1.
When insight is gained through an assessment of individual needs before the needs of the family
2.
When insight is gained through an assessment of the family needs before the needs of the individual
3.
When insight is gained through an assessment of the needs of the individual and family simultaneously
4.
When insight is gained through an individual-nurse-family relationship with consideration of the surrounding community

ANS: 4
Rationale:
Nursing assessment is most effective when nurses complete every assessment with ideas gained through an individual-nurse-family relationship enacted with consideration of the surrounding community.

PTS: 1
KEY: Content Area: Discuss assessment that includes the predictive and protective factors that influence the health and illness of individuals, families, communities, and populations | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

3. The nurse is working with a client to identify the factors that cause risks or benefits to health. Which questions best reflect “thinking family” to help identify factors requiring further teaching?
1.
“How many cigarettes a day do you smoke? Where do you usually smoke?”
2.
“Do you enjoy taking long walks in the winter? How many times a week do you walk?”
3.
“Do you prefer water aerobics over floor aerobics? How many times a week do you attend aerobics class?”
4.
“How many family members do you have? What do you all do together?”

ANS: 1

Feedback
1
“How many cigarettes a day do you smoke? Where do you usually smoke?” are questions about behaviors that pose a risk to the health of individuals, families, and communities. These questions best identify further teaching needs.
2
“Do you enjoy taking long walks in the winter? How many times a week do you walk?” are questions about behaviors that pose a benefit to the health of individuals, families, and communities. There is no need for teaching.
3
“Do you prefer water aerobics over floor aerobics? How many times a week do you attend aerobics class?” are questions about behaviors that pose a benefit to the health of individuals, families, and communities. There is no need for teaching.
4
“How many family members do you have? What do you all do together?” are questions about facts that pose no risk or benefit to the health of individuals, families, and communities. There is no need for teaching.

PTS: 1
KEY: Content Area: Discuss assessment that includes the predictive and protective factors that influence the health and illness of individuals, families, communities, and populations | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

4. The nurse is working with the client to assess multiple family members’ involvement in his disease process. Which questions best fit this assessment?
1.
“Are you married? How long have you been married?”
2.
“Do you have children? How many children do you have?”
3.
“What do you usually have for dinner? Do you sit down with your family for a meal?”
4.
“What do you do for yourself? What do your family members do for you?”

ANS: 4

Feedback
1
“Are you married? How long have you been married?” are direct questions asking specific information to determine the presence or absence of a spouse; they do not address family member involvement. It should not be assumed that if the person is married, the family members are involved in his care.
2
“Do you have children? How many children do you have?” are direct questions asking specific information to determine the presence or absence of children; they do not address family member involvement. It should not be assumed that if the person has children, they are involved in his care.
3
“What do you usually have for dinner? Do you sit down with your family for a meal?” are direct questions to obtain specific information related to the client and meals; they do not address family member involvement in the disease process. It should not be assumed that if a family shares meals together, the family members are involved in his care.
4
“What do you do for yourself? What do your family members do for you?” are open ended questions to obtain information about family member involvement in the client’s disease process. It is important to identify the degree of involvement of multiple members who may contribute to the health or well-being of individuals within families.

PTS: 1
KEY: Content Area: Discuss assessment that includes the predictive and protective factors that influence the health and illness of individuals, families, communities, and populations | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice