Chapter 14 Care of Families

Chapter 14   Care of Families

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse is completing an assessment on a 5-year-old child. One of the questions the nurse asks the mother is how many people live together in the house. The mother states that the father, two aunts, one uncle, three children, and she live together in the house. On the basis of the mother’s answer, how should the nurse describe this family type?

1. Nuclear.
2. Extended.
3. Stepfamily.
4. Blended.

Answer:  2

Explanation:  2. An extended family involves two or more adults from different generations living in the same household. The nuclear family is composed of husband, wife, and children. Blended families, or stepfamilies, are composed of a heterosexual or same-sex couple, one or both of whom have been involved in a prior relationship, and children from the prior relationship(s). A stepfamily is a type of blended family.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  14-2

2) The nurse learns that a client is married and has no children living at home. Which type of family should the nurse document for this client?

1. Extended.
2. Nuclear.
3. Childless.
4. Blended.

Answer:  3

Explanation:  3. The childless family is an adult couple who have never had children or who live apart from children. A nuclear family is an adult couple with biological or adopted children. An extended family involves two or more adults from different generations living in the same household. Blended families, or stepfamilies, are composed of a heterosexual or same-sex couple, one or both of whom have been involved in a prior relationship, and children from the prior relationship(s).

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  14-2

3) An adolescent tells the nurse that she lives with her mother from Monday to Friday each week and then she lives with her father on Saturday and Sunday. How should the nurse describe this client’s family structure?

1. Nuclear.
2. Stepfamily.
3. Extended.
4. Single-parent.

Answer:  4

Explanation:  4. Single-parent families are comprised of one adult and one or more children living in the same household. A nuclear family is an adult couple with biological or adopted children. A stepfamily is a type of blended family. An extended family involves two or more adults from different generations living in the same household.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  14-2

4) At the completion of a family assessment the nurse provides positive feedback to the parents and adult children. What type of feedback did the nurse most likely provide to this family?

1. Father’s employer cut hours and salary.
2. Mother starting a home sewing business.
3. Oldest daughter starting a new job next week.
4. Oldest son moving into an apartment within a month.

Answer:  1

Explanation:  1. Positive feedback indicates that discrepancies remain between actual and desired states and that action is required. The father losing work hours and salary would be considered positive feedback because action is required. Negative feedback indicates that family processes are achieving desired goals and that no change is required. Negative feedback would be the mother’s home business, oldest daughter starting a new job, and the oldest son moving out of the home.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  14-1