Chapter 3: The Evolving Family

Chapter 3: The Evolving Family

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The clinic nurse is taking a history from a woman who came to the clinic to get test results. The patient brought a coworker with her because she is worried. The patient asks to have her coworker remain in the exam room when the doctor describes the test findings. The patient states that the friend is “like a sister.” The nurse would most correctly identify the two women as which of the following?

A.	Extended family
B.	Family
C.	Family of choice
D.	Family of origin

 

 

ANS:  A

A family consists of two or more members who self-identify as a “family” and interact and depend on one another socially, emotionally, and financially. Because the patient self-identifies the friend as “like a sister,” the patient and friend consider themselves a family.

 

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Psychosocial Integrity

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

 

PTS:   1

 

2. The clinic nurse understands that children who come for well-child visits at age 10 are in the process of developing which of the following attributes?

A.	Attachment
B.	Coordination
C.	Personal values
D.	Self-identity

 

 

ANS:  D

During the school-aged and adolescent/teenage developmental stage, personal values are shaped and clarified and ethical development occurs. This stage provides the optimal opportunity for teaching about drugs, sex, and health promotion.

 

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Nursing Process: Assessment

Difficulty: Moderate

 

PTS:   1

 

3. A new mother with a 2-month-old daughter tells the family clinic nurse that she is experiencing a lack of sleep because of infant night feedings and her husband’s shift work and excessive overtime. Which of the following is the best description of this family concern?

A.	Caregiver strain
B.	Coping stress
C.	Lack of support
D.	Parental maladaptation

 

 

ANS:  A

Caregiver strain occurs when the main caregiver becomes overwhelmed and feels “underhelped” regarding the tasks concerned with the care of the family member. In this situation, mounting bitterness and withdrawal from other family members may cause caregivers to push away any potential helpers.

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Psychosocial Integrity

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

 

PTS:   1

 

4. A patient describes her spouse’s dependence on oxycodone terephthalate (Percocet), which began following knee surgery last year. Although the prescription was finished some time ago, the spouse continues to obtain and take Percocet. Because of the spouse’s “need” for the medication, the patient “has to” do all the yard work, child care, and meal preparation. How would the nurse describe the patient’s behavior?

A.	Enabler
B.	Impaired caregiver
C.	Inadequate dyad partner
D.	Overstressed parent

 

 

ANS:  A

An enabler is a common role in families with addictions. The enabler makes excuses for the addicted person’s behavior. The patient’s behavior allows the spouse to continue with the addiction without being held accountable.

 

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Psychosocial Integrity

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

 

PTS:   1

 

5. A mother brings her 8-year-old daughter to the clinic for the third time in 2 months. The mother states that her daughter is very active and often falls down. The mother states that her daughter eats well, but the child’s weight falls below the 10th percentile. The clinic record shows the child had multiple bruises on her arms at the time of the last two visits. Today the nurse notes that the child has areas of ecchymosis on her left leg and ankle. Which action by the nurse is best?

A.	Ask the child and her mother again about the child’s bruises.
B.	Question the child about her accident-prone behaviors.
C.	Speak with the child alone, asking if she feels safe at home.
D.	Teach the mother to keep a diary of what her child is eating.

 

 

ANS:  C

This child’s presentation is suspicious. If child abuse is suspected, the nurse should question the child privately. In all situations the nurse is legally obligated to report the abuse to the proper investigating agency.

 

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Psychosocial Integrity

Integrated Process: Nursing Process: Assessment

Difficulty: Easy

 

PTS:   1