Family-Focused Nursing Care
Sharon A. Denham, Sandra Eggenberger, Patricia Young, and Norma Krumwiede
1st Edition
,Table of Contents
Chapter 01 Health Care Needs for the 21st Century 1
Chapter 02 Innovating Traditional Thinking about Nursing Practice 9
Chapter 03 Moving to Family-Focused Care 15
Chapter 04 Communication With and About Families 22
Chapter 05 Family Assessment 31
Chapter 06 Cultural and Diversity Aspects of Health and Illness Care Needs 39
Chapter 07 Using Family Theory to Guide Nursing Practice 46
Chapter 08 Developing Ideas for Family-focused Practice 53
Chapter 09 Family Presence in Family-Focused Care 59
Chapter 10 Family-Focused Care in Acute Settings 66
Chapter 11 Family-Focused Care with Chronic Illness 77
Chapter 12 Family-Focused Care to Meet Population Needs 84
Chapter 13 ‘Doing For’ Versus ‘Being With’ 92
Chapter 14 Family-Focused Nursing Actions 99
Chapter 15 Teaching Family Members Supportive Care 106
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Test Bank - Family-Focused Nursing Care, 1st Edition (Denham, 2015)
Chapter 1- Health Care Needs for the 21st Century
MULTIPLE CHOICE
1. The nurse is teaching a class on global trends linked with nursing practice. Which response
from a student indicates a need for additional teaching?
A. Technology is a huge force in global change.
B. Humans have had increasing effect on the natural environment.
C. Technology has slowed the development of new infectious diseases.
D. Medical tourism is a legitimate, growing source of income for many nations.
ANS: C
Feedback
A Science and technology are huge drivers of global change.
B There is increasing awareness of humankind’s effect on the planet including
environmental resources.
C Although technology has flourished, more than 30 new infectious diseases have
been identified since 1973, and the next pandemics are predicted to arise from
organisms not yet identified.
D Medical tourism is one of the fastest growing industries in the health-care sector
and is a positive source of revenue for many nations.
PTS: 1
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
2. Which of the following statements on global trends linked with nursing practice is inaccurate?
A. Globalization ensures the equal distribution of costs and benefits of health care.
B. Parts of the world may be considered more youthful than other parts of the world.
C. By 2025, the majority of the world's population will live in urban areas.
D. As countries modernize, the risk for developing certain health problems changes.
ANS: A
Feedback
A The costs and benefits of globalization are not always distributed
equally—globalization does not ensure equal distribution of health-care costs
and benefits.
B Trends in birth, death, immigration, and migration patterns point toward
population growth in Asia and Africa that will result in them becoming the
youthful areas of the world.
C In 2009, 50% of the world’s population lived in urban areas; by 2025, this is
projected to increase to 57%.
D A shift from traditional diseases, such as those resulting from infection, to
modern diseases that result from lifestyle choices has been noted in developed
countries.
PTS: 1
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Test Bank - Family-Focused Nursing Care, 1st Edition (Denham, 2015)
KEY: Content Area: Global trends | Integrated Process: Nursing Process | Client Need: Health
Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice
3. The nurse is coordinating care with a family whose 10-year old daughter has diabetes. Which
of the following principles of care coordination guides the nurse's actions?
A. Provide the right care at the right time for the right person.
B. Identify health problems and intervene.
C. Allow families to initiate contact as they determine all their needs.
D. Ensure family privacy by limiting interdisciplinary information exchange.
ANS: A
Feedback
A Providing the right care at the right time for the right person is a principle of
health-care reform to obtain the best quality outcomes in the best possible way.
B The nurse must form a partnership with the family and negotiate to create a plan
that fits with the family priorities and concerns.
C The nurse must work together with the family to determine needs and assist
them in contacting resources if the family wishes the nurse to do so.
D The nurse must consider privacy laws, institutional policies, and family
preferences to create an effective care coordination communication plan.
PTS: 1
KEY: Content Area: Care coordination | Integrated Process: Nursing Process | Client Need: Safe and
Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice
4. The nurse is teaching a class on coordinating care for families with a chronically ill member.
Which response made by a student indicates a need for further teaching in the area of family
assessment?
A. Identifying accessible community resources is an important aspect of family
assessment.
B. Family engagement in shared health-care decision-making has little impact on
health outcomes.
C. Lifestyle factors to assess include family access to food, housing, and
transportation.
D. Money spent is not always linked to better health outcomes.
ANS: B
Feedback
A The nurse will benefit families greatly by providing families with appropriate
resource information in their home communities for health promotion and
chronic disease management.
B Shared decision-making occurs within therapeutic relationships that honor
family preferences and unique circumstances.
C Environmental factors include family access to food, housing, and
transportation; lifestyle factors include tobacco use, lack of adequate nutrition,
physical inactivity, and substance abuse.
D The U.S. spends much more on health care than the other 12 industrial nations in
the Organization for Economic Cooperation and Development, but the quality
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