Question 1

What information does the geographic expansion of family-focused assessment to the community level provide the nurse?

Accepted Answer

A)   Factors supporting health
B)   Existing health disparities
C)   Family health history
D)   Risks to health
E)   Historic migration patterns A,B,D

Question 2

What can nurses learn when using geographic information system (GIS) databases?

Accepted Answer

A)   Population trends and how to target population health interventions
B)   Education trends and how to target community education
C)   Transmission of inherited traits from one generation to another among similar or related organisms
D)   Genes that regulate human susceptibility to viruses A

Question 3

The nurse is working with the client to assess multiple family members' involvement in his disease process. Which questions best fit this assessment?

Accepted Answer

A)   Are you married? How long have you been married?
B)   Do you have children? How many children do you have?
C)   What do you usually have for dinner? Do you sit down with your family for a meal?
D)   What do you do for yourself? What do your family members do for you? D

Question 4

When is nursing assessment most complete?

Accepted Answer

A)   When insight is gained through an assessment of individual needs before the needs of the family
B)   When insight is gained through an assessment of the family needs before the needs of the individual
C)   When insight is gained through an assessment of the needs of the individual and family simultaneously
D)   When insight is gained through an individual-nurse-family relationship with consideration of the surrounding community

Question 5

Geographic information system (GIS) databases can be used to highlight geo-spatial patterns of concern and resources to nurses providing care to which of the following clients?

Accepted Answer

A)   Acutely ill patients
B)   Chronically ill persons being hospitalized due to environmental-related symptoms
C)   Families seeking out grocery stores with affordable fresh fruits and vegetables
D)   Skilled-care patients in a residential facility
E)   Community members involved in community planning of transportation routes

Question 6

Coordinated family care relies on ____ that provides an accurate picture of the ____.

Accepted Answer

A)   Collection of information; actual living conditions
B)   Cooperation of family members; family dynamics
C)   The skill of the nurse; nurse-individual-family relationship
D)   Assessment of family functioning; ways family members process information

Question 7

The nurse is working with a client to identify the factors that cause risks or benefits to health. Which questions best reflect thinking family to help identify factors requiring further teaching?

Accepted Answer

A)   How many cigarettes a day do you smoke? Where do you usually smoke?
B)   Do you enjoy taking long walks in the winter? How many times a week do you walk?
C)   Do you prefer water aerobics over floor aerobics? How many times a week do you attend aerobics class?
D)   How many family members do you have? What do you all do together?

Question 8

Which of the following scenarios could result in greater continuity of care because of documentation by electronic health record?

Accepted Answer

A)   A public health screening for hypertension
B)   A 12-year-old female with an asthma flare-up during recess at school being seen by the school's nurse
C)   Walgreen's nationwide flu shot clinics
D)   An 89-year-old male dismissing home from a hospital with home-health care for assistance with dressing changes
E)   None of the above

Question 9

Which of the following roles for nurses exist in the genomic era?

Accepted Answer

A)   Individual and family counseling
B)   Clinical care and education
C)   Advocacy
D)   Spiritual care
E)   ResearchF)  Ethics

Question 10

Identification of genetic patterns of inheritance is important not only for individuals and families, but also communities. Some autosomal recessive disorders are more commonly seen among which of the following groups?

Accepted Answer

A)   Persons from different economic classes
B)   Certain racial/ethnic groups
C)   Certain age groups
D)   Certain social networks

Question 11

When completing a family unit assessment, what would the nurse assess?

Accepted Answer

A)   Family household information
B)   Complaints of physical problems
C)   The implications of individual differences between the family members
D)   The implications of family members' knowledge of the disease process

Question 12

Which of the following would be an intended outcome of the use and maintenance of electronic personal and family health records?

Accepted Answer

A)   Continuity in care
B)   Improved family care planning
C)   Enhanced public health
D)   Identification of health risks based on geographic location

Question 13

Which of the following are major ways that the family carries out its health-care functions?

Accepted Answer

A)   Family provides preventative health care to its members at home
B)   Family provides the major share of sick care to its members
C)   Family pays for most health services received
D)   Family has primary responsibility for initiating and coordinating health services
E)   None of the above

Question 14

Which of the following assessment measures would be most beneficial to complete with a 30-year-old female whose family has a history of breast cancer?

Accepted Answer

A)   Ecogram
B)   Ecomap
C)   Genogram
D)   Geographic information system

Question 15

What is one way the nurse can maintain a broad-minded perspective when completing a family assessment?

Accepted Answer

A)   By using the Family Functioning Framework.
B)   By using the Family Health Model.
C)   By using either the Family Functioning Framework or the Family Health Model.
D)   Use of a model or framework is not necessary for a broad-minded and comprehensive approach to family assessment.

Exam 5: Family Assessment