Exam 3: The Evolving Family

The clinic nurse notices that each time a child with leukemia is brought in to see the doctor,her mother and aunt accompany her.The mother states that she finds her daughter's illness to be very traumatic and is having difficulty coping.The child's aunt encourages the child's mother and distracts the child while her blood work is being drawn.The child's aunt could be described as taking on which of the following roles?

The nurse using developmental theory offers anticipatory guidance on preventing injuries to the family of a preschooler.What concepts guide this information?

The family nurse completes a genogram map when conducting a family assessment.Appropriate information the nurse should include in the genogram map includes which of the following?

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 nurse using family systems theory to work with patients and their families would do which of the following?

An immigrant family is working with a nurse on improving family dynamics.The nurse notes that the teenage children do not subscribe to their parent's social and cultural mores and identify more with their native-born American friends.What description of the children is most accurate to record in the family's chart?

A grade school nurse is conducting vision screening before school and notes the student is accompanied by an older sister who has also brought a middle school child.The older child states that time is a problem because middle school starts in a few minutes and tells the younger child to go right to the classroom after the screening,then leaves.What question by the nurse would be most appropriate to ask the youngest child during the screening?

A nurse who works with families uses Duvall's family developmental theory as the core of nursing practice.What action by this nurse takes priority?

A female patient from a refugee community is in the emergency department and needs urgent surgery.The patient defers making a choice on the operation,preferring to wait for a cultural elder to arrive.What action by the nurse is most appropriate?

A nurse works a great deal with refugees and is frustrated because,as a group,they don't seem to want to implement desired health behaviors.What action by the nurse would be most helpful?

A nurse working with a married couple notes that both parties seem to try to be dominant in their sessions.According to Bowen's family systems theory,which question asked by the nurse would yield the most useful information?

The nurse explains to the student that television and movies have often portrayed families in certain ways,depending on the decade.Which of the following statements about this trend are correct?

A nurse assessing a family includes which components in the assessment?

A patient has been dismissed from the hospital after a serious illness and needs several weeks of home care and rehabilitation.When the visiting nurse comes to the house,it is apparent that the family is not functioning.The house is dirty,there is little food available,and one parent and an older child are arguing about picking up a younger sibling from school.What action by the nurse is most appropriate?

A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious illness and operation.The visiting nurse notes that the family is in a state of disarray and members are disorganized and not communicating.The patient is trying to direct everyone's actions.The nurse calls a family meeting.What action by the nurse is best?

A student observes as an adult brother and sister lash out at the nurse caring for their hospitalized parent.The parent lives at home but is dependent on the children for care and is obviously neglected.The nurse has informed the children that social work will be involved in their father's case.How does the nurse explain this interaction?

A patient has just been admitted to the hospital in critical condition.In caring for the entire family,what action by the nurse is most important?

A nurse is working with a family that has the nursing diagnosis of altered family processes.When formulating goals,whom does the nurse include?

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 nurse working in the community understands that health is often affected by social stressors.Which of the following are examples of societal pressures having a negative impact on the health of today's families?