Chapter 14. The Family

Chapter 14. The Family

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.         A 12-year-old patient’s mother recently married a man who has a 13-year-old daughter. The nurse recognizes that the patient belongs to which type of family?

1)

Extended

2)

Traditional

3)

Blended

4)

Nuclear

 

ANS:   3

The patient belongs to a blended family; in which two single parents marry and raise their children together. An extended family may contain grandparents, aunts, uncles, cousins, and other biological relatives. A traditional, or nuclear, family contains a husband, wife, and their children.

 

PTS:    1          DIF:    Easy    REF:    p. 301

KEY:   Nursing process: N/A | Client need: PSPI | Cognitive level: Application

 

 

 

____    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?

1)

Involve the friend and children in the patient’s care, discharge planning, and home care.

2)

Encourage the friend to wait until discharge to provide care for the patient at home.

3)

Explain to the friend that for confidentiality reasons she cannot be involved in the patient’s care.

4)

Encourage liberal visiting hours by the friend and the patient’s children.

 

ANS:   1

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 (HIPAA) 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.

 

PTS:    1          DIF:    Moderate         REF:    pp. 301-302

KEY:   Nursing process: Interventions | Client need: SECE | Cognitive level: Application

 

 

 

____    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?

1)

Family launching young adults

2)

Postparental family

3)

Family with frail elderly

4)

Family with teenagers and young adults

 

ANS:   2

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.

 

PTS:    1          DIF:    Moderate         REF:    p. 303

KEY:   Nursing process: Assessment | Client need: PSI | Cognitive level: Application

 

 

 

____    4.         A 13-year-old girl is admitted to the adolescent unit with acute leukemia. The patient has a support system that includes her brother, sister, mother, father, and grandmother as well as members of her local community. Which component of her support system is considered a suprasystem?

1)

The community

2)

The parents

3)

Her mother

4)

Her sister

 

ANS:   1

Her surrounding community is considered a suprasystem because it is larger than the family system. Subsystems within the family include the parents, mother, siblings, sister, brother, father, and grandmother; they are smaller components that fit within the family system.

 

PTS:    1          DIF:    Moderate         REF:    p. 302

KEY:   Nursing process: Assessment | Client need: PSI | Cognitive level: Analysis