Chapter 24: Family Context in Nursing

Chapter 24: Family Context in Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The student nurse is talking to her friends about holiday plans with their families. One friend described her family as her mother, brother, and sister-in-law. Another stated her family consisted of her mother, father, grandmother, and her aunt. The student nurse’s family is her mother, stepfather, sister, and stepsister. The uniqueness of these families is known as which of the following?

a.	Family resilience
b.	Nuclear family
c.	Family diversity
d.	Family durability

 

 

ANS:   C

Family diversity is the uniqueness of each family. Family resiliency is the ability of the family to cope with expected and unexpected stressors. Family durability is the intrafamilial system of support and structure that extends beyond the walls of the household. A nuclear family consists of a husband and wife (and perhaps one or more children).

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    617 | 619         OBJ:    Discuss common family forms and their health implications.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

2. A woman is making plans for her holiday dinner and shares with her butcher that she will be inviting her family. When the butcher asks who will be coming, she replies, “My two children and their spouses, my ex-son-in-law is bringing my grandson, and my ex-mother-in-law is coming.” This is an example of which of the following?

a.	Family durability
b.	Family resiliency
c.	Family diversity
d.	Nuclear family

 

 

ANS:   A

Family durability is the intrafamilial system of support and structure that sometimes extends beyond the walls of the household. Through divorce, remarriages, or cohabitation new members are added to a family. In addition, an extended family also includes contact with former spouses or partners. Family diversity is the uniqueness of each family. Family resiliency is the ability of the family to cope with expected and unexpected stressors. A nuclear family consists of husband and wife (and perhaps one or more children).

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    617 | 619

OBJ:    Discuss how the term family is defined to reflect family diversity.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

3. A nurse is caring for a patient. Visitors at the bedside include the patient’s life partner, widowed mother, sister, and nephew. The nurse acknowledges that current trends in American families include which of the following?

a.	Couples deciding to have many children
b.	A declining divorce rate
c.	Changing family patterns
d.	Fewer people choosing to live alone

 

 

ANS:   C

Families are constantly changing. People may marry later, delay childbirth, and couples choose to have fewer children or none at all. The number of people living alone is expanding and accounts for approximately 26% of households. Divorce rates have tripled since the 1950s, and although the rate appears to have stabilized, it is estimated that 54% of all marriages will end in divorce.

 

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    619                  OBJ:    Examine current trends in the American family.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity

 

4. In regard to American families, the nurse understands that which of the following is true?

a.	The number of single-parent families is increasing.
b.	Single fathers head most single-parent families.
c.	Most single parent families are the result of the death of one parent.
d.	Father-only families are on the rise.

 

 

ANS:   D

Although mothers head 83% of single-parent families, father-only families are on the rise. The number of single-parent families appears to be stabilizing at about 26% of all families with children. Forty-one percent of children are living with mothers who have never married; many of these children result from an adolescent pregnancy.

 

PTS:    1                      DIF:    Cognitive Level: Understanding (Comprehension)

REF:    619                  OBJ:    Examine current trends in the American family.

TOP:    Nursing Process: Diagnosis               MSC:   NCLEX: Psychosocial Integrity