Chapter 7 Using Family Theory to Guide Nursing Practice

Chapter 7  Using Family Theory to Guide Nursing Practice

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The professional caregiver who is knowledgeable about instrumental family rituals and routines:
1.
Knows that to make any health promoting changes in families, these rituals and routines must be altered.
2.
Knows that illness management does not alter rituals and routines.
3.
Knows that successful intervention depends upon changing theses rituals and routines.
4.
Knows that successful intervention depends upon incorporating new health-care practices into the family’s rituals and routines.

ANS: 4

Feedback
1
Rituals and routines help families maintain integrity, so altering them may not be health-promoting.
2
The activities necessary for illness management can alter normal rituals and routines a great deal.
3
Changing rituals and routines may be seen as a threat to family integrity.
4
Nurses who recognize that they are temporary guests as they work within the family’s routines and rituals are honoring family integrity.

PTS: 1
KEY: Content Area: Nursing practice | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

2. Use of a family nursing model in practice:
1.
Helps to provide a framework for assessment and decision-making.
2.
Contributes to other disciplines.
3.
Is essential so that nursing can be considered a profession.
4.
Is too time-consuming to be used in modern health care.

ANS: 1

Feedback
1
Use of a model gives the nurse a framework of components or concepts that aid in considering broad approaches to assessment and decision-making in planning care.
2
A nursing model does not necessarily contribute to other disciplines.
3
Use of a family nursing model is not enough to guarantee that nursing is considered a profession; there are several additional criteria.
4
There is evidence that time spent using a family nursing model conserves nursing time.

PTS: 1
KEY: Content Area: Family nursing models | Integrated Process: Nursing process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

3. When using the Calgary Family Assessment Model (CFAM), it is important to know that:
1.
The developmental assessment yields the most important information to guide nursing actions.
2.
Synthesis of the family development assessment, structural assessment, and functional assessment yields the most information to guide nursing actions.
3.
The structural assessment yields the most important information to guide nursing actions.
4.
The functional assessment yields the most important information to guide nursing actions.

ANS: 2

Feedback
1
Assessing just the developmental component of the CFAM is not sufficient to guide comprehensive family nursing actions.
2
According to the authors of the CFAM, the most information needed to guide nursing actions with families are gained from a synthesis of assessing family development, structure, and function.
3
Assessing just the structural component of the CFAM is not sufficient to guide comprehensive family nursing actions.
4
Assessing just the functional component of the CFAM is not sufficient to guide comprehensive family nursing actions.

PTS: 1
KEY: Content Area: Family nursing models | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | Question Type: Multiple Choice

4. According to Wright and Leahy, effective family nursing actions are those that:
1.
The nurse believes to be in the best interest of the family.
2.
Are developed in collaboration with the family experiencing the illness event.
3.
Are informed by a family nursing theory.
4.
Are interdisciplinary in nature.

ANS: 2

Feedback
1
The nurse may not actually know what is in the best interest of the family if the nurse has not interacted with the family at a meaningful level to know their values, beliefs, and goals.
2
The most effective nursing actions are those developed in collaboration with the family.
3
Even if nursing actions are informed by a family nursing theory, they may not be relevant for the particular family unless values, beliefs, and goals are considered.
4
Even if nursing actions are interdisciplinary in nature, they may not be relevant for the particular family unless values, beliefs, and goals are considered.

PTS: 1
KEY: Content Area: Family nursing practice | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice