Module 26 Family

Module 26   Family

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Family

 

1) A nurse is caring for a 3-year-old female client who was admitted for dehydration. The child lives with her parents and maternal grandparents. In which type of family does this child reside?

1. A) Blended family
2. B) Extended
3. C) Two-career family
4. D) Traditional family

Answer:  B

Explanation:  A) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.

1. B) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.
2. C) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.
3. D) In some cultures and as people live longer, more than two generations may live together in an extended setting. A two-career family is one where both partners are employed. A blended family occurs when existing family units join together to form new families. A traditional family is viewed as an autonomous unit in which both parents reside in the home.

Page Ref: 1709

Cognitive Level:  Analyzing

Client Need:  Health Promotion and Maintenance

Nursing Process:  Assessment

Learning Outcome:  1. Summarize the makeup of the family structure.

 

2) During a home visit, the nurse decides that care interventions are needed to address alcohol and substance abuse by family members. Which intervention(s) should the nurse consider when planning care for this family?

Select all that apply.

1. A) Suggest grief counseling.
2. B) Evaluate family members’ potential for being a danger to self or others.
3. C) Suggest engaging in educational activities.
4. D) Be alert to behaviors that indicate sibling jealousy.
5. E) Recommend community resources to assist with substance abuse behavior.

Answer:  B, E

Explanation:  A) For the family with alcohol or substance abuse, the nurse should evaluate family members’ potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.

1. B) For the family with alcohol or substance abuse, the nurse should evaluate family members’ potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
2. C) For the family with alcohol or substance abuse, the nurse should evaluate family members’ potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
3. D) For the family with alcohol or substance abuse, the nurse should evaluate family members’ potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.
4. E) For the family with alcohol or substance abuse, the nurse should evaluate family members’ potential for being a danger to self or others and recommend community resources to family members to help with substance abuse behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member. Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum family.

Page Ref: 1719

Cognitive Level:  Evaluating

Client Need:  Psychosocial Integrity

Nursing Process:  Planning

Learning Outcome:  2. Examine the relationship between family and other concepts/systems.

 

3) During a follow-up home visit, the nurse is evaluating the success of a family’s ability to use internal resources to cope with the illness of a family member. What does the nurse observe that indicates that internal resources are being accessed?

Select all that apply.

1. A) Next-door neighbor helping with family chores
2. B) Effective communication pattern
3. C) Skill in providing care to the ill family member
4. D) Church members stopping by with groceries
5. E) Center for Aging picking up the family member to take to a physician’s appointment

Answer:  B, C

Explanation:  A) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.

1. B) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
2. C) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
3. D) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.
4. E) External support systems promote coping and adaption and include friends, religious affiliations, and community resources. Internal resources include effective communication patterns and knowledge or skills to assist in the family problem-solving process.

Page Ref: 1719

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Evaluation

Learning Outcome:  3. Identify commonly occurring alterations in families and their related therapies.

 

4) A pediatric home health care nurse is making an initial visit to assess the parenting style for a family in preparation for treating a child with drugs to reduce hyperactivity. Which approach should the nurse use for this assessment?

1. A) Ask the parents, “How do you handle situations that require limit setting?”
2. B) Ask the child, “What rule is hardest for you to obey?”
3. C) Observe the parent interacting with the child for 5 minutes.
4. D) Ask the parents, “What are the house rules?”

Answer:  A

Explanation:  A) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.

1. B) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.
2. C) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.
3. D) Parental styles are best assessed while the family explains how it handles situations that require limit setting. A less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is less helpful than is an explanation of enforcement efforts and success.

Page Ref: 1717

Cognitive Level:  Analyzing

Client Need:  Health Promotion and Maintenance

Nursing Process:  Assessment

Learning Outcome:  4. Differentiate common assessment procedures used to examine family health across the life span.

 

5) During a home visit, the nurse observes a family’s children acting out, shouting, and hitting each other when taking a small amount of food out of the refrigerator. The mother sits nearby yelling for the children to shut up while reaching for a cigarette. What should the nurse consider as being helpful for this family situation?

Select all that apply.

1. A) Suggesting ways to improve the family’s financial resources
2. B) Suggesting ways to improve the parent’s behavior
3. C) Contacting the authorities because of child abuse
4. D) Making a list of community resources to help this family cope
5. E) Creating a genogram

Answer:  A, B, D

Explanation:  A) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.

1. B) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
2. C) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
3. D) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.
4. E) Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.

Page Ref: 1720

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Planning

Learning Outcome:  5. Explain management of family health and prevention of stress.