Chapter 06: Family Influences

Chapter 06: Family Influences

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. While children voice concern about their father living alone after having a mild stroke that resulted in only minimal disability, the patient angrily disagrees, stating that he’s always managed on his own and can do so now. The nurse can be most helpful to this family by:

ANS:  B

Preserving a patient’s autonomy through independent living is vital to a patient’s sense of well-being and can often be preserved through cooperation between family members to provide the required support. If the nurse can help the family find internal or external resources to support the patient’s desire to live independently, that is a win-win for all involved. Assuring the family that safety is not an issue does not help resolve their anxiety. The nurse can arrange a referral but can do more to help with this situation. A short-term trial of home health services is often accepted, but it does not address the entirety of the situation.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   6-6

TOP:   Communication and Documentation

MSC:  Safe Effective Care Environment

2. The physical changes that occur naturally as a result of the aging process often create an autonomy versus safety issue and is most problematic when:

ANS:  A

Research has proven that normal aging affects a variety of factors that contribute to the increased incidence of automobile accidents caused by older adult drivers. Although the other options also relate to safety, older adults are more likely to be in multiple vehicle crashes, impacting the safety of others as well as their own.

DIF:    Remembering (Knowledge)             REF:   Page 103        OBJ:   6-2

TOP:   Teaching-Learning                          MSC:  Safe Effective Care Environment

3. When discussing stressors with the primary caregiver of an 83-year-old patient, the nurse explores the issue of dissolving familiar social boundaries when asking:

ANS:  D

Dissolving familiar social boundaries involves caregivers and older adults sharing intimacies such as toileting, changing briefs, or catheter care, which would otherwise not be shared.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   6-5

TOP:   Nursing Process: Assessment           MSC:  Psychosocial Integrity

4. The family of an 80-year-old patient shares with the nurse that they are concerned that the patient is too frail to be living alone. The nurse’s initial intervention is to:

ANS:  B

The first nursing intervention is to determine through a health assessment and history the patient’s ability to perform activities of daily living (ADLs) safely while living independently. All actions are appropriate, but assessment is the first step of the nursing process.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   6-6

TOP:   Nursing Process: Assessment           MSC:  Safe Effective Care Environment

5. An older patient with cognitive impairment is being cared for by family members. They have expressed concerns about providing appropriate care as his functional level declines. The nurse responds:

ANS:  C

Caregivers need realistic information regarding the possible progression of the disease process and how that will affect patient needs/care. The nurse provides anticipatory guidance and helps the family identify issues that may occur in the future. Stating you are glad the family voiced concerns is caring but does not address the issue. Telling the family it is time to address other care options or what they should think about is presumptuous.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   6-6

TOP:   Caring            MSC:  Safe Effective Care Environment