Question 1

Which of the following terms refers to government actions that have a direct or indirect effect on families?

Accepted Answer

A)  Family funding
B)  Family legislation
C)  Family planning
D)  Family policy D

Question 2

A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions is the nurse most likely to take?

Accepted Answer

A)  Resigning from employment, but retaining health insurance
B)  Sharing family information with colleagues
C)  Providing Medicaid to a family who cannot afford health insurance
D)  Taking a defined time off of work for family events without fear of job loss D

Question 3

A nurse requests to meet a newly referred family in their home. Which of the following best explains the rationale for this request? (Select all that apply.)

Accepted Answer

A)  The nurse can assess the family environment.
B)  The family will feel more comfortable.
C)  Families typically welcome others into their home.
D)  More family members can typically be involved. A, B, D

Question 4

Which of the following factors must be considered before deciding on an appropriate plan of action?

Accepted Answer

A)  Family agrees to the nurse's plan.
B)  Family is capable of the required actions.
C)  Family will learn better coping skills from the nurse's plan.
D)  Nurse has informed family how to complete the required actions.

Question 5

A nurse is conducting a family assessment. Which of the following behaviors would the nurse recognize as suggestive of a family with problems?

Accepted Answer

A)  Before eating, the family prayed, expressing gratitude for their blessings.
B)  During family play, jokes and laughter were heard.
C)  Each person had a private room with a door for alone time.
D)  Most of the conversation was between the father and the eldest daughter.

Question 6

A nurse has just met a family and is being doing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure?

Accepted Answer

A)  Confirm the reason for the assessment.
B)  Demonstrate culture awareness.
C)  Take time to build trust.
D)  Understand the family dynamics.

Question 7

In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessment is data being gathered?

Accepted Answer

A)  Dynamics
B)  Function
C)  Structure
D)  System

Question 8

Which of the following theories views the family as a whole with boundaries that are affected by the environment?

Accepted Answer

A)  Family developmental theory
B)  Structural-functional theory
C)  Family role theory
D)  Family systems theory

Question 9

A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle. Which theory is being applied?

Accepted Answer

A)  Family systems
B)  Structural-functional
C)  Family developmental
D)  Interactionist

Question 10

A nurse is in the termination phase of the nurse-family relationship. Which of the following strategies would the nurse most likely implement?

Accepted Answer

A)  Increasing sessions with the nurse
B)  Making referrals when appropriate
C)  Providing a formative evaluation of the relationship
D)  Refusing additional communication with the family

Question 11

A nurse is making an appointment with a family for a nursing visit. Which of the following describes a potential barrier the nurse may encounter?

Accepted Answer

A)  The assessment cannot be done unless the extended family is present.
B)  It may be difficult to find a convenient time for all family members to be present.
C)  Nurses have limited time to do home visits.
D)  Families are often scattered over a large area, making access difficult.

Question 12

A nurse focuses on the care of the individual while viewing the client's family as a background resource or possible stressor. Which of the following conceptualizations of family does this nurse's view represent?

Accepted Answer

A)  Client
B)  Component of society
C)  Context
D)  System

Question 13

The nurse is told that a healthy, functional family consisting of a 25-year-old man and a 24-year-old woman, who are expecting their first child, would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and their apartment for the baby. Based on that statement, which of the following assumptions can the nurse safely make about the family?

Accepted Answer

A)  The family is lacking a strong support system.
B)  The family's basic needs are being met.
C)  The couple's in-laws are unavailable to share their expertise about child care.
D)  The married couple is excited about their first baby.

Question 14

The hospital-based nurse has worked with a client at some length regarding appropriate diet. Based on the family systems theory, which of the following will most likely occur when the client returns home?

Accepted Answer

A)  The family member who prepares food will probably suggest the newly discharged member eat the meals everyone in the family enjoys.
B)  The family member who prepares food will probably try to modify family meals without obvious change for the family as a whole.
C)  The family member who prepares food will probably prepare meals based on the diet plan for all the family.
D)  The family member who prepares food will probably prepare special meals for the newly discharged member.

Question 15

A nurse asks a family member, "What has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is the nurse assessing?

Accepted Answer

A)  The context
B)  The client
C)  A system
D)  A component of society

Question 16

A nurse is completing a tertiary prevention activity in a predominantly poor community, where eating clay (pica) is a common practice. Which of the following actions would the nurse most likely take?

Accepted Answer

A)  Assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients.
B)  Initiate early intervention in the school system through education programs designed to focus on healthy food choices.
C)  Provide laboratory testing and physical assessments to assess for nutritional deficits resulting from clay intake.
D)  Survey families in the community to determine whether they eat clay and how much clay they eat.

Question 17

The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man's married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the "family"?

Accepted Answer

A)  The group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated.
B)  There are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated.
C)  There is no family here, only three adults sharing resources between themselves and two biologically related children.
D)  The family includes whoever the adults state are family members.

Question 18

A nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which of the following theories is being used by the nurse?

Accepted Answer

A)  Bioecological systems theory
B)  Family systems approach
C)  Family developmental theory
D)  Interactionist theory

Question 19

In comparison with traditional norms, which family functions have become increasingly important in modern American society? (Select all that apply.)

Accepted Answer

A)  Conferring appropriate social status
B)  Educating the younger members
C)  Ensuring physical and mental health
D)  Fostering interpersonal relationships and support

Question 20

A new mother is a full-time college student who lives with her parents, because the baby's father has been imprisoned related to theft and drug abuse. The infant's grandmother, although also employed, cares for the child while the young mother attends classes. Which of the following theoretical frameworks would be most helpful to the nurse when assessing this family's needs?

Accepted Answer

A)  Developmental
B)  Interactional
C)  Structure-function
D)  Systems

Exam 18: Family Development and Family Nursing Assessment