N 340 - Exam 3 Exam 3 Questions and Answers
Ch. 18
1. The following people enter the health clinic together: unmarried man with his 1yo son,
unmarried woman with 1yo daughter, and man’s married brother who is separated from his
wife. During assessment it is determined that both men work and contribute to household,
where all of them live. Who is considered to be the “family” in this group?
- the family includes whoever the adults state are family members
2. nurse in community health needs to conduct family assessment within a commune but
uncertain how to proceed cuz fam lines appear blurred. The best way to determine fam of
mother and her child is to ask woman which quest?
- who are members of you and your child’s fam?
3. In taking fam Hx nurse in community health finds that this is the second marriage for
previously divorced parents and that the male partner is the step-parent to the oldest
child. This info would be documented in which aspect of the fam assessment?
- structure
4. Why do fam fx and structure create unique challenges in fam nursing?
- fx and structure change over time
5. Which approach is most helpful when dealing with fam who is confronting major challenges to
their health?
- building on fam strengths and resilience
6. Nurse is told that healthy, fx fam consisting of 25yo man and 24yo woman who are expecting
their first child, would appreciate nurse coming to their apartment for anticipatory guidance
in preparing themselves and apartment for the baby. Based on that statement what
assumptions can nurse safely make about fam?
- affection and attachment exist bw man and woman and their basic survival needs are being met
7. historically nurses have focused on care of individual while viewing fam as background
resource or possible stressor. What conceptualization does this view represent?
,- context
8. New mom is full-time college student who lives with her parents, since baby’s father has been
imprisoned related to theft and drug abuse. Infant’s grandma although also employed cares
for the child while young mother attends classes. What theoretical framework would be
most helpful to nurse when assessing this fam needs?
- developmental
9. nurse researcher wants to know and better understand how chronic illness of child affects
fam communication patterns, relationships, role expectations, and role behaviors. Which
fam theory framework would researcher proly use?
- interactional
10. for nurse using the Outcome Present-State Testing (OPT) Model to guide nursing process
to address fam violence, what would be crucial issue?
- ongoing Sx of fam violence
11. during whoch stage of nursing proves is cue logic implemented?
- assessment
12. what method is being used when nurse helps fam to understand situation by asking broad
open-ended quest that allow both nurse and to engage in critical thinking in determining
fam primary problem and possible outcome?
, - framing
13. what are government actions that have a direct or indirect effect on families called?
- family policy
14. when engaging in a fam assessment nurse would recognize which behavior as suggestive of fam
with problem?
- most of conversation was bw father and eldest daughter
15. hospital-based nurse has worked with pt at some length regarding appropriate diet. Based
on systems theory what will proly happen when pt returns home?
- fam member who preps food will proly try to modify meals wo obvious change for fam as whole
16. why is it crucial that problem that needs to be resolved in current situation and desired
outcome be clearly stated before finalizing documentation of fam plan of care?
- to be sure fam understands nurse’s perception of problem and what should be achieved
17. while doing fam assessment before engaging in self-disclosure nurse must be sure to do?
- take time to build trust
18. in a predominantly poor community where eating clay (pica) is common practice nurse in
community health can intervene at the 3 prevention level by which?
- assisting those who eat large amounts of clay to obtain food stamps after explaining that clay
although filling does not provide necessary nutrients
Ch. 19
1. using Neuman Systems Model what might nurse as pt to assess physiological health?
- tell me about any illnesses your other fam members have
2. which recommendation by nurse would be aimed towards reducing fam members health risk?
- be sure to take 30min walk every day before you leave for work or when you get home
3. which question reflects nurse appraising health risks?
Ch. 18
1. The following people enter the health clinic together: unmarried man with his 1yo son,
unmarried woman with 1yo daughter, and man’s married brother who is separated from his
wife. During assessment it is determined that both men work and contribute to household,
where all of them live. Who is considered to be the “family” in this group?
- the family includes whoever the adults state are family members
2. nurse in community health needs to conduct family assessment within a commune but
uncertain how to proceed cuz fam lines appear blurred. The best way to determine fam of
mother and her child is to ask woman which quest?
- who are members of you and your child’s fam?
3. In taking fam Hx nurse in community health finds that this is the second marriage for
previously divorced parents and that the male partner is the step-parent to the oldest
child. This info would be documented in which aspect of the fam assessment?
- structure
4. Why do fam fx and structure create unique challenges in fam nursing?
- fx and structure change over time
5. Which approach is most helpful when dealing with fam who is confronting major challenges to
their health?
- building on fam strengths and resilience
6. Nurse is told that healthy, fx fam consisting of 25yo man and 24yo woman who are expecting
their first child, would appreciate nurse coming to their apartment for anticipatory guidance
in preparing themselves and apartment for the baby. Based on that statement what
assumptions can nurse safely make about fam?
- affection and attachment exist bw man and woman and their basic survival needs are being met
7. historically nurses have focused on care of individual while viewing fam as background
resource or possible stressor. What conceptualization does this view represent?
,- context
8. New mom is full-time college student who lives with her parents, since baby’s father has been
imprisoned related to theft and drug abuse. Infant’s grandma although also employed cares
for the child while young mother attends classes. What theoretical framework would be
most helpful to nurse when assessing this fam needs?
- developmental
9. nurse researcher wants to know and better understand how chronic illness of child affects
fam communication patterns, relationships, role expectations, and role behaviors. Which
fam theory framework would researcher proly use?
- interactional
10. for nurse using the Outcome Present-State Testing (OPT) Model to guide nursing process
to address fam violence, what would be crucial issue?
- ongoing Sx of fam violence
11. during whoch stage of nursing proves is cue logic implemented?
- assessment
12. what method is being used when nurse helps fam to understand situation by asking broad
open-ended quest that allow both nurse and to engage in critical thinking in determining
fam primary problem and possible outcome?
, - framing
13. what are government actions that have a direct or indirect effect on families called?
- family policy
14. when engaging in a fam assessment nurse would recognize which behavior as suggestive of fam
with problem?
- most of conversation was bw father and eldest daughter
15. hospital-based nurse has worked with pt at some length regarding appropriate diet. Based
on systems theory what will proly happen when pt returns home?
- fam member who preps food will proly try to modify meals wo obvious change for fam as whole
16. why is it crucial that problem that needs to be resolved in current situation and desired
outcome be clearly stated before finalizing documentation of fam plan of care?
- to be sure fam understands nurse’s perception of problem and what should be achieved
17. while doing fam assessment before engaging in self-disclosure nurse must be sure to do?
- take time to build trust
18. in a predominantly poor community where eating clay (pica) is common practice nurse in
community health can intervene at the 3 prevention level by which?
- assisting those who eat large amounts of clay to obtain food stamps after explaining that clay
although filling does not provide necessary nutrients
Ch. 19
1. using Neuman Systems Model what might nurse as pt to assess physiological health?
- tell me about any illnesses your other fam members have
2. which recommendation by nurse would be aimed towards reducing fam members health risk?
- be sure to take 30min walk every day before you leave for work or when you get home
3. which question reflects nurse appraising health risks?
