Exam 14: The Family

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Which family functions are outlined in the structural-functional family theory? Select all that apply.

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A,D,E

For which patient in the emergency room is it most important that the nurse conduct a thorough assessment for abuse and neglect?

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B

The graduate nurse tells the preceptor that the newly admitted patient has a strange living arrangement. The patient lives in a household that consists of two aunts, a grandparent, a niece, a nephew, and her best friend. Which response by the preceptor is best?

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C

The nurse is participating in a family conference regarding one of the patients on the geriatric unit. During the conference, each family member is asked about their role in the family, communication style, coping strategies, and relationship with other family members. This type of family conference best illustrates the use of which theory related to family care?

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The nurse schedules a meeting with a family to assess and assist with improving the family's communication patterns. Which is of primary importance for the nurse to focus on during the assessment?

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The Americans with Disabilities Act (ADA) defines a disability as a physical or mental impairment that substantially interferes with a person's ability to engage in major life activities. Among the various disabilities in the United States, which is the most prevalent?

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The nurse on a medical-surgical unit is providing care for a patient with diabetes mellitus. During a teaching session with the patient and the family, the nurse asks questions regarding care at home, ability to perform blood glucose testing, and administering insulin. Which perspective of family nursing is the nurse providing?

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The nurse is providing care for a seriously ill child on the pediatric unit. Many family members are present, including parents, aunts, and uncles. The nurse tells the nurse manager, "Every time I go into the room, everyone is shouting at each other, they shout at me, and they ask me the same questions over and over." Which is the most appropriate response by the nurse?

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The nurse is aware a family assessment includes which areas? Select all that apply.

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The nurse is working with a spouse who is caring for a chronically ill patient who requires around-the-clock care. The nurse notices the spouse often speaks to the patient sharply. The bed linens are soiled with food and the patient has a strong body odor. Both the house and the spouse are unkempt. When encouraged to talk, the spouse says, "I just drag around. I can't make myself do anything. I'm so tired of it all." Which nursing diagnosis best fits these defining characteristics?

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The nurse is providing care for a patient diagnosed with lung cancer. The patient and the spouse are 2 years from retirement. The nurse is aware that a variety of developmental stages among families can exist due to delayed childbearing. However, which typical stage of family development is this couple likely experiencing?

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The parents of three children, aged 3, 6, and 8 years, comment that although the children are close in age, they each seem to have different needs. The nurse teaches the parents what tasks the children should accomplish based on the different age groups and provide strategies to help meet the children's needs. Which theory best explains the nurse's teaching plan?

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To prevent a reduction in herd immunity, which information does the nurse teach in a class of pregnant women?

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The nurse is aware of which situation best depicting a mid-life crisis?

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The nurse is conducting a family assessment. Which assessment findings suggest a family health problem may exist? Select all that apply.

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An older adult patient is admitted to the hospital with heart failure. The patient's best friend is present during admission. The couple has shared a home since each were widowed 3 years ago. Both have grown children who live out of state. Which family nursing approach does the nurse use?

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According to Maslow's Hierarchy of Needs, which is the nurse's primary focus in caring for a homeless family?

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The grown child of an older adult patient tells the nurse, "I'm starting to worry about my father's eating habits. He lives alone and has been able to cook, but now he doesn't want to cook and says he is too tired to go to the store." Which is the most appropriate response by the nurse?

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The nurse is developing a teaching plan about coping strategies for an extended family of a severely disabled 11-year-old child. Which step does the nurse take first in developing this plan?

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The nurse is aware the study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care. In which manner are genomics and the use of a genogram helpful to the nurse in personalizing a patient plan of care? Select all that apply.

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