Question 1

The nurse cares for a client with a life-threatening illness. Which need should the nurse address with this client's family? Select all that apply.

Accepted Answer

A)   Providing visiting hours
B)   Giving reassurance
C)   Offering realistic hope
D)   Conveying honest answers
E)   Assessing the level of anxiety B,C,D,E

Question 2

What research information should the nurse manager use as evidence to increase the amount of family involvement in the care of a hospitalized client?

Accepted Answer

A)   Increases the cost of care
B)   Causes poor outcomes
C)   Increases family stress
D)   Improves outcomes D

Question 3

For which reason might a nurse experience role ambiguity when caring for a critically ill client and the family?

Accepted Answer

A)   Deciding whether to eliminate the family's worries or provide emotional support
B)   Weighing the biomedical technical model of care against the holistic nursing model of care
C)   Asking to withhold information from the health care provider until test results are confirmed
D)   Balancing the professional relationship and the more personal relationship the family seeks with the nurse A

Question 4

What factor should be considered when determining hospital visiting policies? Select all that apply.

Accepted Answer

A)   Client preference
B)   Family preference
C)   Nursing care needs
D)   Visitor health status
E)   Location of waiting room

Question 5

How should the nurse categorize a family who is willing to discuss withdrawal of treatment, has good communication with other family members, uses facts and family wishes to make decisions, and is able to identify a time and date to withdraw treatment?

Accepted Answer

A)   Struggling
B)   Progressing
C)   Maintaining
D)   Accommodating

Question 6

What type of communication from nurses do families find as being the most helpful?

Accepted Answer

A)   Brief
B)   Honest
C)   Vague
D)   Limited

Question 7

A family accompanies a client to the hospital for treatment of an acute illness. Which characteristic is likely to increase the degree of family stress? Select all that apply.

Accepted Answer

A)   Feeling alone
B)   Being unsure of their role
C)   Feeling chaos and loss of control
D)   Neglecting personal health needs
E)   Being comforted by staff interventions

Question 8

A client is recently admitted to a medical-surgical care area. Which action should the nurse take to help reduce the family's stress? Select all that apply.

Accepted Answer

A)   Clarify information
B)   Facilitate family conference
C)   Provide time for the family to visit
D)   Recognize the uniqueness of the family
E)   Identify one person to provide information

Question 9

Which emotion might a family experience when a family member is in the intensive care unit (ICU)? Select all that apply.

Accepted Answer

A)   Fear
B)   Peace
C)   Relief
D)   Sadness
E)   Helplessness

Question 10

Nurses can anticipate which family reaction as a family member is transferred from intensive care to the regular medical-surgical care area? Select all that apply.

Accepted Answer

A)   Confusion
B)   Vulnerability
C)   Ambivalence
D)   Abandonment
E)   Unimportance

Question 11

A client is newly admitted to the intensive care unit for an acute illness. Which of the following family needs do the client's family require during this time? Select all that apply.

Accepted Answer

A)   Comfort
B)   Teaching
C)   Proximity
D)   Assurance
E)   Information

Question 12

Which of the following are considered advantages to the family being present during resuscitative efforts? Select all that apply.

Accepted Answer

A)   Not disrupting client care
B)   Talking to the client and saying good-bye
C)   Ensuring appropriate care is provided
D)   Providing spiritual support to the client
E)   Offering emotional comfort to the client

Question 13

The nurse provides care to a client who is experiencing an acute illness. What information about family-centered care should the nurse keep in mind when planning this client's care?

Accepted Answer

A)   Visiting hours should be strictly enforced.
B)   Care conferences serve little purpose.
C)   Families influence client recovery.
D)   Discharge planning begins when the client stabilizes.

Question 14

The nurse notes that a client has an advance directive stating that no cardiopulmonary resuscitation (CPR) should be performed if the heart stops. Which type of prescription should the nurse expect to be placedon this client's medical record?

Accepted Answer

A)   All but CPR
B)   Do not resuscitate (DNR) 
C)   Comfort measures only
D)   No extraordinary measures

Question 15

What should the nurse consider when determining the degree of family involvement in discharge planning?

Accepted Answer

A)   Current advance directive for the client
B)   Family's education and information needs
C)   A family letter stating expectations for discharge
D)   Legal advice provided by an attorney during the discharge meeting

Exam 14: Family Nursing in Acute Care Adult Settings