Question 1

A client with a bipolar disorder arrives at the emergency department disheveled,arguing with family members.The nurse recognizes that the family is suffering from an objective family burden.To which is this burden related?

Accepted Answer

A)   The client's symptomatic behaviors
B)   Family conflict
C)   Anger
D)   Caregiving problems A

Question 2

The community nurse is planning a wellness seminar for families in an urban community.Which resources should the nurse consider obtaining to support these families' needs? Select all that apply.

Accepted Answer

A)   Emergency first responder personnel
B)   Information about community healthcare providers
C)   Individuals who provide mental health services
D)   Law enforcement officials
E)   Nutritionists B,C,E

Question 3

During a home visit,the nurse observes 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.Which should the nurse consider as being helpful for this family situation? Select all that apply.

Accepted Answer

A)   Suggesting ways to improve the family's financial resources
B)   Suggesting ways to improve the parent's behavior
C)   Contacting the authorities because of child abuse
D)   Making a list of community resources to help this family cope
E)   Creating a genogram A,B,D

Question 4

The nurse is creating a plan of care for the family of a client with a terminal illness.Which aspects of this family's care should the nurse emphasize when creating this plan? Select all that apply.

Accepted Answer

A)   Instructing on medication administration
B)   Guiding to determine realistic goals
C)   Identifying strategies to enhance family functioning
D)   Suggesting that cultural practices be minimized at this time
E)   Focusing on the client's health needs as a priority

Question 5

While attending a community health fair,the nurse observes the children of one family walking quietly behind the father with their mother and periodically shyly asking the father questions.The father responds gruffly and continues walking while the children and mother scurry behind to keep up.What does this observation indicate to the nurse? Select all that apply.

Accepted Answer

A)   The father is in a hurry.
B)   The father is the leader in the family.
C)   The children are not to bother the father.
D)   The children need discipline.
E)   The mother's role is to care for the children.

Question 6

A nurse is caring for a preschool-age client who was admitted for dehydration.The child lives with the parents and maternal grandparents.In which type of family does this child reside?

Accepted Answer

A)   Blended family
B)   Extended
C)   Two-career family
D)   Traditional family

Question 7

A nurse in a busy outpatient pediatric clinic notes that a preschool-aged child who was due to be seen is a no-show.The child is not up to date on vaccinations.Which action by the nurse is appropriate?

Accepted Answer

A)   Call the parents and encourage them to bring the child for recommended care.
B)   Speak firmly with the parents about the importance of being compliant.
C)   Notify the healthcare provider that the child's immunizations are no longer up to date.
D)   Plan to discuss the principles of health supervision at the next scheduled visit.

Question 8

A client being treated for newly diagnosed schizophrenia will be discharged to the family home.The family is developing an image of the disease process and expectations of mental health professionals and has reached Stage 2 of family recovery.Which concepts are included in this stage of recovery? Select all that apply.

Accepted Answer

A)   Coping
B)   Problem solving
C)   Acceptance
D)   Recognition
E)   Personal and political advocacy

Question 9

The nurse is determining psychosocial risk factors for a family prior to planning care.Which assessment tool should the nurse use when initially screening families for these health risks?

Accepted Answer

A)   The Friedman Family Assessment Tool
B)   The Family Ecomap
C)   The Home Observation for Measurement of the Environment (HOM
E)  
D)   The Family APGAR

Question 10

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.Which does the nurse observe that indicates that internal resources are being accessed? Select all that apply.

Accepted Answer

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

Question 11

The community nurse identifies that a family new to the community needs assistance with family dynamics and material resources.What should the nurse consider offering to the parents of this family to support their needs? Select all that apply.

Accepted Answer

A)   A list of free counseling services to assist with parental stress
B)   Hours of the local health clinic
C)   Location of the community library
D)   Location of the community co-op food bank
E)   Hours when the park is open

Question 12

The nurse is caring for a client who is hospitalized with pneumonia.Which will the nurse assess when determining the impact of the illness on the family? Select all that apply.

Accepted Answer

A)   The duration of the illness
B)   The effect of the illness on future family functioning
C)   The cause of the illness
D)   The meaning of the illness to the family
E)   The financial impact of the illness

Question 13

The nurse is assigned to care for a child in a spica cast for a fractured femur suffered in an automobile accident.The child's father was driving the car,which was badly damaged.In assessing the family,the nurse learns that the father just recently lost his job and the mother has been working through a "temp" agency.Which nursing diagnosis is most appropriate for this family?

Accepted Answer

A)   Disabled Family Coping related to the effects of multiple simultaneous stressors
B)   Interrupted Family Processes related to child with a significant disability requiring alteration in family functioning
C)   Caregiver Role Strain related to a child with a disability and the associated financial burden
D)   Impaired Social Interaction (parent and child)  related to the lack of family or respite support

Question 14

The nurse is discussing hospice care with the family of a client dying of cancer.The spouse asks the nurse if Medicare will continue to pay if the client lives longer than 6 months.Which response by the nurse is appropriate?

Accepted Answer

A)   "I will call someone in the finance office to come speak with you about your question."
B)   "Are you concerned about paying for your spouse's health care?"
C)   "It is unlikely your husband will live past 6 months."
D)   "Please ask the doctor to explain the role of hospice before discharge."

Question 15

During a home visit,the nurse determines that care interventions are needed to address alcohol and substance abuse by family members.Which interventions should the nurse consider when planning care for this family? Select all that apply.

Accepted Answer

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

Question 16

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?

Accepted Answer

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

Question 17

The nurse is determining the type of support the family of a client with newly diagnosed mood disorder is going to need.Which types of support should the nurse consider to help this family? Select all that apply.

Accepted Answer

A)   Financial
B)   Professional
C)   Friend
D)   Family
E)   Spiritual

Question 18

A nurse is caring for family members who have recently lost their home and belongings in a fire.The family is staying with extended family in the area.Which is the most appropriate nursing diagnosis for this family?

Accepted Answer

A)   Readiness for Enhanced Family Processes
B)   Dysfunctional Family Processes
C)   Compromised Family Coping
D)   Ineffective Individual Coping

Question 19

The nurse is caring for a client who was involved in a car accident.The client's spouse was killed in the accident.The couple has two teenage children.Which statement explains how this tragedy will be approached by the family?

Accepted Answer

A)   The family feels that their place in the community has been eliminated.
B)   Family members may become detached from extended family.
C)   Family disorganization may occur.
D)   The family may withdraw into seclusion during the grief process.

Question 20

The nurse educator is teaching a group of students about health promotion and disease prevention.Which nursing activities promote health and health maintenance? Select all that apply.

Accepted Answer

A)   Helping a mother determine a daily feeding schedule for her infant
B)   Teaching a school-age child how to use dental floss
C)   Teaching parents how to perform pulmonary drainage and cupping on their ill child.
D)   Treating a child diagnosed with pneumonia
E)   Administering the flu vaccine for an infant who is 9 months of age

Exam 26: Family