Chapter 14. The Family

Chapter 14. The Family

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The graduate nurse tells her preceptor that the newly admitted patient has a strange living arrangement, because she lives in a household that consists of two aunts, a grandparent, a niece, a nephew, and her best friend. What is the preceptor’s best response?

ANS:  C

The description fits the definition for an extended family, which can consist of various biological relatives and also nonrelatives who live together or in close proximity. A blended family consists of two single parents who marry and raise their children together. Although extended family arrangements may occur in some cultures, this is not the best response to the nurse’s interpretation of the family living arrangement.

Difficulty: Moderate

Client Need: PSPI

Cognitive Level: Application

PTS:   1

2. A 65-year-old patient is admitted to the hospital with heart failure. The patient’s best friend accompanies her on admission. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state. Using the family nursing approach, how can the nurse best intervene?

ANS:  A

The nurse can best intervene by involving the friend and the patient’s children in the patient’s care, discharge planning, and home care. The friend may or may not be able to care for the patient at home. But if planning to provide home care, the patient’s friend should be informed of the patient’s needs while in the hospital and have an opportunity to participate prior to discharge. The nurse can involve the friend with the patient’s consent without infringing on the patient’s privacy. Her name needs to be listed on the patient privacy (HIPPA) form. The nurse should also encourage liberal visiting hours by the friend and the patient’s children if it is beneficial for the patient’s recovery; however, comprehensive involvement in care is more inclusive than simply liberalizing visiting hours and, therefore, is the best answer.

Difficulty: Moderate

Nursing Process: Interventions

Client Need: Safe and Effective Care

Cognitive Level: Application

PTS:   1

3. A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer. Although with delayed childbearing, developmental stages can vary among families, which typical stage of family development is this couple likely experiencing?

ANS:  B

This couple is most likely experiencing the postparental stage of family development. During this stage, the parents prepare for retirement and adjust to their children moving into phases of adulthood. In the stage of family launching young adults, the parents maintain support of young adults as they leave the security of family and the parents rediscover marriage. During the stage of family with teenagers and young adults, open communication is maintained among family members, ethical and moral values are reinforced, and there is a balance established between rules and independence among teens.

Difficulty: Moderate

Nursing Process: Assessment

Client Need: PSI

Cognitive Level: Application

PTS:   1

4. A nurse is caring for a patient who was newly diagnosed with type 1 diabetes. The patient’s wife states, “We are a family of diabetics.” The nurse advises the couple to attend the free nutrition, cooking, and exercise classes at the health center near their neighborhood. She also gives them the name of the public health nurse for their area. Which perspective of family nursing is the nurse practicing?

ANS:  B

The nurse is viewing the family as a system because the nurse is providing information based on the wife’s response that will benefit the entire family. The family is a part of a community and thus should interact or incorporate community resources into their health care plan. A system approach looks beyond the immediate family and views the community and its resources as a part of the suprasystem.

Difficulty: Moderate

Nursing Process: Assessment

Client Need: PSI

Cognitive Level: Application

PTS:   1