Question 1

Which of the following two subcategories compose a functional assessment?

Accepted Answer

A)   History and physical assessment
B)   Instrumental and expressive functioning
C)   Developmental and emotional assessment
D)   Family functioning and use of defence mechanisms B

Question 2

When working with families,the nurse may view the family either as context or patient.Which one of the following examples demonstrates the view of the family as context?

Accepted Answer

A)   The family's ability to support the patient's dietary and recreational needs
B)   The patient's ability to understand and manage his or her own dietary needs
C)   The family's demands on the patient based on his or her role performance
D)   The adjustment of the patient and family to changes in diet and exercise B

Question 3

Which of the following terms is given to a conversational statement emphasizing family strengths and abilities?

Accepted Answer

A)   Linear
B)   Circular
C)   Commendation
D)   Normalization C

Question 4

Which of the following communication patterns between father and child reflects circular communication?

Accepted Answer

A)   The father and child are engaged in a game of catch.
B)   The father uses rewards to encourage the child to go to bed.
C)   The father comforts the crying child.
D)   The child disobeys his father.

Question 5

The nurse is observing for the signs of a healthy family.While assessing a healthy family,what would the nurse expect to find?

Accepted Answer

A)   Change is viewed as detrimental to family processes.
B)   A passive response exists to stressors.
C)   The structure is flexible enough to adapt to crises.
D)   Minimal influence is exerted on the environment.

Question 6

Mr.Casey is an 86-year-old diabetic who requires daily insulin injections.He lives with his daughter and her husband.Which of the following questions assesses instrumental functioning?

Accepted Answer

A)   "Mr. Casey, how do you think your daughter feels about your refusing to take your insulin?"
B)   "What do you feel has aggravated your difficulty in controlling the diabetes?"
C)   "Mr. Casey, who is responsible for administering your insulin injections?"
D)   "How will you deal with hypoglycemic reactions?"

Question 7

In the structural assessment of the family,the nurse determines which one of the following?

Accepted Answer

A)   How household tasks are shared among the family members
B)   The stage of life at which the family finds itself presently
C)   The emotional links between family dyads
D)   Which factors influence the roles and behaviours within the family

Question 8

Which dimension of the family assessment includes assessing the whole situation or background relevant to the family?

Accepted Answer

A)   Structural
B)   Functional
C)   Instrumental
D)   Developmental

Question 9

An older adult with two grown children is being discharged home and will need insulin injections and some assistance with activities of daily living.The patient's son lives within 5 km of the patient's home.The daughter tells the nurse that she doesn't know how to handle her parent's and her own children's needs.What should be the nurse's initial response?

Accepted Answer

A)   Work with the family in supporting caregivers.
B)   Tell the daughter to look into nursing home placement immediately.
C)   Arrange for the patient to remain in the medical centre.
D)   Make beneficial decisions for the family on how to manage the care at home.

Question 10

The nurse suspects that there is physical abuse present after visiting an older patient in her home.She has been receiving care from her family for several months.In recognition of the pattern of family violence,which of the following does the nurse know is true?

Accepted Answer

A)   Mental illness is a major cause of abuse.
B)   Abuse is primarily seen in lower income families.
C)   Spouses are the most frequent abusers.
D)   Family members and family caregivers are the most frequent abusers of older adults.

Question 11

In assessing the family,how should the nurse define "family"?

Accepted Answer

A)   Identifying those members who are related biologically
B)   Applying one of the family forms that are recognized by society
C)   Referring to family forms that social scientists and legislators have identified
D)   Accepting that "family" is defined by individuals

Question 12

Mrs.Lily is talking about her recent chronic diagnosis and how it has affected her emotionally,intellectually,socially,and spiritually.The nurse knows that this is referred to as which of the following?

Accepted Answer

A)   Reflection
B)   Illness narrative
C)   Comprehensive honesty
D)   Complete life review

Question 13

The Calgary Family Assessment Model focuses on three major categories of family life,including structural and developmental dimensions.What is the third dimension?

Accepted Answer

A)   Expressive
B)   Functional
C)   Instrumental
D)   Attachments

Question 14

The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?

Accepted Answer

A)   The region where the family resides
B)   The most influential health determinants on the family's health
C)   The family's contact with those outside the family
D)   The family structure and relevant information about family members

Question 15

What is the nurse's ultimate goal when offering interventions to families?

Accepted Answer

A)   Suggesting new coping measures
B)   Increasing the family's autonomy in solving their own problems
C)   Providing families with specific guidelines on how to manage their time and resources more effectively
D)   Referring families to the appropriate support system

Exam 19: Family Nursing