Chapter 18: Family Development and Family Nursing Assessment

Chapter 18: Family Development and Family Nursing Assessment

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man’s married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Who is considered to be the “family” in this group?

ANS:   D

Nurses working with families should ask an adult member to identify all those considered to be family members and then include those members in health care planning. A “family” may range from the traditional nuclear model with extended family to such “postmodern” family structures as single-parent families, stepfamilies, same-gender families, and families consisting of friends.

DIF:    Cognitive Level: Knowledge             REF:    p. 313

2. The nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred. The best way to determine the family of a mother and her child is to ask the woman which of the following questions?

ANS:   D

The members of a family are self-defined. The family includes whoever the woman says are family members. The nurse should include all those members in health care planning.

DIF:    Cognitive Level: Application             REF:    p. 313

3. In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the step-parent to the oldest child. This information would be documented in which aspect of the family assessment?

ANS:   C

Family structure refers to the characteristics and demographics (gender, age, number) of individual members who make up the family. Structure defines the roles and the positions of family members.

DIF:    Cognitive Level: Knowledge             REF:    p. 313

4. Why do family functions and structures create unique challenges in family nursing?

ANS:   A

The functions that families serve evolve and change over time. Some become more important and others less so. Family structures also change over time. The great speed with which changes in family structure, values, and relationships are occurring makes working with families at the beginning of the twenty-first century exciting and challenging.

DIF:    Cognitive Level: Knowledge             REF:    pp. 313-314