Exam 3: The Evolving Family

A nurse is working with a woman who is newly married and pregnant and says she is distressed because she and her husband seem to be so different and they argue over petty issues.What action by the nurse using group theory would be best?

A nurse working in a pediatric clinic is attempting to assess a school-age child who is disrespectful of the nurse and parent and tears up a magazine when asked to sit down.What conclusion can the nurse make about this family?

A nurse is assessing a single person at a clinic visit.How would the nurse classify this patient's family?

The nurse observes a woman and her sister who live together.They are trying to support one another and provide extended care to their mother who has recently been diagnosed with Alzheimer's disease.The two sisters describe their experience with a homemaker who visits their home to help bathe their mother.They say she is "humorous and cheerful" and absorbs their mother's attention for the whole time she is present.This is a positive description of which component of Bowen's family systems theory?

A 17-year-old high school senior is resentful about caring for younger siblings so the parents can have a "date night" once every 2 weeks.The teen often "forgets" and schedules work or social activities that override the parents' plans.The parents are angry that the teen is so indifferent to their needs.What action by the family indicates that goals for the diagnosis of impaired family processes have been met?

A mother is worried about her three children developing an inherited medical condition because many members of her family have died from this disease.To start an assessment of this family,which tool should the nurse choose?

A nurse is explaining to a student why it is so important to consider the entire family as the patient.What explanation for this is best?

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 nurse is working with family members who have been striving to improve their functioning as a family unit.What behavior would suggest to the nurse that the family is meeting its goals?

A nurse is working with a blended family of 1 year with five children aged 3,7,13 (twins),and 19.The parents seem overly stressed and anxious and do not seem to work well as a unit.What can the nurse conclude about this family?

A nurse is assessing a family whose patriarch died recently.Using Kübler-Ross's stages of grieving,what stages should the nurse assess for?

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 hospice nurse is making the initial home visit to a patient who just returned home after a lengthy hospitalization.What action by the nurse is most appropriate to help the family continue to function?

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 nurse explains the benefits of a strengths-and-problems list to a student.Which is the best explanation?

A nurse who uses the structural-functional theory would assess which of the following when working with families?

A family practice nurse is working with a patient who is asking for anti-anxiety medications to deal with the stress and frustration of an adult child who won't leave the home.Based on knowledge of the tasks of launching children,which resource should the nurse suggest first?

A clinic nurse is using group theory to assess a family whose youngest child recently moved back home after graduating from college and is unable to find a job.Which statement by a parent would indicate to the nurse that goals for norming have been met?

A patient is being discharged from a psychiatric facility after a suicide attempt.The family consists of the patient,two parents,and two other teenage children.What action should the nurse teach the entire family as a priority?

A family has weekly game nights and monthly family together days.The nurse documents these events as examples of which of the following?