Chapter 23: Family Context in Nursing

Chapter 23: Family Context in Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Alissa is a nursing student who works in a clinic. She is admitting a 45-year-old patient and asks about her family. Alissa is told that the patient lives with her daughter and son-in-law. Alissa knows that this is an example of which of the following family forms?

ANS:   B

The extended family includes relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    621

OBJ:    Discuss how the term family is defined to reflect family diversity

TOP:    Nursing Process: Assessment            MSC:   Client Needs: Psychosocial Integrity

2. Harriett is a student nurse who is working on a community health project with her peers. One of the concerns in her community is the rise in homelessness due to the economy. Harriett understands that the fastest growing segment of the homeless population are:

ANS:   C

The fastest growing segment of the homeless population is families with children. This includes complete nuclear families and single-parent families. Families with children account for 36% of the homeless population.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    622

OBJ:    Examine current trends in the American family

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Health Promotion and Maintenance

3. Gene and Jackie are parents of twins. As their daughters have entered high school they have gradually become more independent and the family boundaries have become more flexible. This family is in what developmental stage?

ANS:   C

Family with adolescents experience changes in family status that are needed to proceed developmentally; these include shifting of parent-child relationships to permit adolescents to move into and out of system; refocusing on midlife marital and career issues; beginning to shift toward concerns for older generations.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    623

OBJ:    Discuss common family forms and their health implications

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance

4. Becky and Jack are the parents of Michael, an 18-year-old who joined the military and is being deployed overseas. Becky and Jack discuss with Michael how they plan to stay in touch and purchase a laptop computer for Michael to take with him so they can e-mail and use the webcam to see each other. What is the approach to stress that this family exhibits?

ANS:   B

Family hardiness is the internal strengths and durability of the family unit. A sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active rather than passive orientation in adapting to stressful events characterize family hardiness.

PTS:    1                      DIF:    Cognitive Level: Analysis                  REF:    624

OBJ:    Explain how the relationship between family structure and patterns of functioning affects the health of individuals within the family and the family as a whole

TOP:    Nursing Process: Implementation

MSC:   Client Needs: Health Promotion and Maintenance