Question 1

Which of the following messages describe an effective individual-nurse-family communication model when a nurse aims to provide a family with social support? A family's ability to provide social support will be enhanced by:

Accepted Answer

A)   Preserving the nurse's power in decision-making
B)   Emphasizing the caregiving limitations of the family
C)   Empowering a family
D)   Insisting a family join a support group C

Question 2

Supporting families as they attempt to care for their family member has potential to improve the health of families and ultimately the nation's health. Which of the following statements related to this understanding is accurate?

Accepted Answer

A)   Family members managing an illness in the family have similar needs when compared to the family member with the illness.
B)   Family members might require support in the form of guidance, directions, teaching, and coaching.
C)   The health of the individual with the illness is a priority for support when compared to the family's health.
D)   Support that is obtained from a professional service such as a health-care provider is more important than community or family. B

Question 3

A nurse is preparing discharge instructions for a patient who has been hospitalized with renal failure from diabetes. The patient's family plans to support the patient following discharge. Which of the following are likely sources of support for a family?

Accepted Answer

A)   The nurse discharging the patient
B)   The patient and family's work colleagues
C)   Community networks
D)   All of the above D

Question 4

A nurse aims to provide social support for a family to influence which of the following family outcomes?

Accepted Answer

A)   Improved family health
B)   Increased powerlessness in family members
C)   Increased anxiety and depression in family member
D)   Decreased problem solving in family members

Question 5

A nurse is making a visit to the home of young female who was recently discharged from the hospital with a diagnosis of multiple sclerosis. She has two small children and they are all living in her parents' home for a period of time. Which of the following actions would be the most helpful for the nurse to provide intentional support for the family?

Accepted Answer

A)   Explore with the family their perception of the most pressing need at this time.
B)   Review all of the printed materials given to the woman while she was in the hospital.
C)   Suggest that the family avoid discussing their concerns at this time until they are stronger.
D)   Focus the teaching on the prescribed medications.

Question 6

Family support needs during an illness experience often require a nurse to:

Accepted Answer

A)   Provide instructions that help the family understand the demands of an illness.
B)   Develop a friendship with the family to provide continuity of care.
C)   Resolve conflict by accentuating the individual family differences.
D)   Make moral judgments of the family's actions.

Question 7

Which of the following statements accurately reflect understandings of evidence related to support and family nursing interventions?

Accepted Answer

A)   Family nursing interventions seldom address emotional support.
B)   Family nursing interventions fail to demonstrate positive health outcomes.
C)   Social support influences health through multiple pathways.
D)   Family nursing interventions focus support on the ill family member.

Question 8

A nurse is caring for a patient hospitalized with a new diagnosis of diabetes. A year later, a nurse is caring for the same patient, who has had repeated visits to the ambulatory clinic with no apparent efforts to make the lifestyle changes needed to manage blood sugars. Which of the following is an inaccurate statement about nursing actions?

Accepted Answer

A)   Contacting patients and families when they return home to provide support may reduce hospital readmissions
B)   Guiding family discussions that result in making plans for lifestyle changes can support adherence and family goal setting
C)   Collaborating care between hospital, home, emergency room, and clinic is the sole responsibility of the nurse in the hospital setting
D)   Continually reflecting on the support needs of the family managing a chronic illness may help nurses provide quality care

Question 9

Which of the following statements is inaccurate regarding social support for a family?

Accepted Answer

A)   A nurse's educational support is often needed to provide a family with necessary informational support to manage the symptoms of an illness.
B)   A family may need instrumental support as they begin to care for a family member with a limited mobility in their home.
C)   A family may need assistance to provide emotional support when a family member is hospitalized with an acute illness.
D)   A chronically ill individual must learn to not rely on a family for social support.

Question 10

Nurses that think family recognize that long-term stress and burdens may emerge when a family is giving care to an ill family member. Research findings have shown:

Accepted Answer

A)   Nurses can provide various types of support that ease distress of caregiving.
B)   A positive relationship between caregiving and depression.
C)   A positive link between caregiving and physical health effects.
D)   All of the above.

Question 11

Which of the following can be viewed as an accurate statement regarding the nurse-family communication related to support?

Accepted Answer

A)   A nurse begins an assessment of needs by asking the family what types of support are needed.
B)   Developing a trusting relationship with the family may help the nurse and family identify the types of support needed with discharge.
C)   The nurse is usually the best judge of the types of support needed in the home.
D)   A nurse focuses support on the ill family member, since the family most often has access to support.

Exam 15: Teaching Family Members Supportive Care