,Test Bank for Fa ily Health Care Nursing Theory, Practice,
and Research, 6e Joanna . Kaakinen, Deborah Padgett
Coehlo, Rose Steele, elissa Robinson (All Chapters
Answers at the end of each Chapter)
Chapter 1: Fa ily Health Care Nursing: An Introduction
ultiple Choice:
1. The nurse is transferring to a care area that focuses on fa ily nursing practice. What
should the nurse realize about this approach to care?
1. Interventions in fa ily care address the future plans for the fa ily.
2. Fa ily e bers ust be present before the i ple entation of fa ily care.
3. Resources are placed to support an ill fa ily e ber with the greatest chance for recovery.
4. The nurse and fa ily together define the fa ily and where therapeutic energy
should be placed.
2. The nurse notes that a client has been previously arried and participates in raising the
current spouse’s children fro a previous arriage. How should the nurse docu ent this
fa ily type?
1. Extended
2. Cohabitation
3. Nuclear dyad
4. Reconstituted
3. The nurse prepares an in-service progra on fa ily nursing for new graduate
e ployees. Which definition of fa ily is the best one for the nurse to use?
,1. e bers of a fa ily are self-defined
2. People who share strong e otional ties
3. A fa ily is defined by blood ties, adoption, and arriage
4. A group of people who live together with or without legal or biological ties
4. The nurse prepares to assess a client whose fa ily is being used as a resource. Which
approach to fa ily nursing care is the nurse i ple enting?
1. Fa ily as client
2. Fa ily as syste
3. Fa ily as context
4. Fa ily as co ponent of society
5. During a ho e visit the nurse teaches the client and fa ily about actions to reduce the
spread of infection between the fa ily e bers. Which role is the nurse i ple enting?
1. Counselor
2. Care deliverer
3. Health teacher
4. Fa ily advocate
6. The nurse stays with a client who is having che otherapy for the first ti e until the
fa ily arrives. Which role is the nurse i ple enting with the client?
1. Surrogate
2. Researcher
3. Role odel
4. Case anager
7. The spouse of a client with co plex care needs is unavailable to attend a care conference
at 2
p. . What should the nurse do to support fa ily nursing care?
1. Have the client attend in place of the spouse
,2. Schedule the conference when the spouse is available
3. Ask the spouse to telephone in during the ti e of the conference
4. Provide the spouse with outco es deter ined during the eeting
8. The nurse observes parents discussing an adolescent’s plans for the weekend and
setting boundaries to which the adolescent agrees. Which function did this fa ily unit
de onstrate?
1. Affective
2. Econo ic
3. Health care
4. Socialization
9. The adult daughter of an older client is expected to be at the client’s bedside yet
personal fa ily responsibilities are not being co pleted. Which fa ily interactional
process is the daughter experiencing?
1. Role strain
2. Role conflict
3. Role a biguity
4. Role expectations
ultiple Response:
10. The nurse prepares to assess a fa ily during a ho e visit. Which traits should the
nurse expect that de onstrate a healthy fa ily? Select all that apply.
1. Develops suspicion a ong e bers
2. Exhibits a sense of shared responsibility
3. Ad its to and seeks help with proble s
4. Enforces participation in rituals and tradition
5. Shares leisure ti e
,
,Answers:
1. The nurse is transferring to a care area that focuses on fa ily nursing practice. What
should the nurse realize about this approach to care?
Ans: 4
Page: 9
Feedback
1. Fa ily care is concerned with the experience of the fa ily over ti e. It considers both
the history and the future of the fa ily group.
2. The physical absence of fa ily e bers does not preclude the nurse fro offering
fa ily care.
3. Fa ily nursing is directed at fa ilies whose e bers are both healthy and ill
regardless of the severity of the illness in the fa ily e ber.
4. The intervention that “fa ily nurses ust define with the fa ily which persons
constitute the fa ily and where they will place their therapeutic energies” is an
intervention used by fa ily nurses to provide structure to working with fa ilies
regardless of the theoretical underpinning of the nursing approach. This is an enduring
idea that supports the practice of
fa ily nursing.
2. The nurse notes that a client has been previously arried and participates in raising the
current spouse’s children fro a previous arriage. How should the nurse docu ent this
fa ily type?
Ans: 4
Page: 16
Feedback
1. An extended fa ily is defined as two or ore adult generations and one that
includes grandparents and grandchildren living in the sa e household.
2. A cohabitation fa ily type is defined as an un arried couple sharing a
household
who are involved in an e otional and/or sexually inti ate relationship.
3. A nuclear dyad is defined as a arried couple with no children.
4. A reconstituted or blended fa ily type is defined as an arrange ent in which
one or ore of the parents was previously arried and brings children fro
the
previous arriage into the current arriage.
,3. The nurse prepares an in-service progra on fa ily nursing for new graduate
e ployees. Which definition of fa ily is the best one for the nurse to use?
Ans: 1
Page: 5
Feedback
1. The definition of fa ily that is ost inclusive and takes the individual fa ily
e bers
into consideration is that the e bers of a fa ily are self-defined.
2. The definition that a fa ily is ade up of people who share strong e otional ties
is a
psychological definition of a fa ily.
3. The definition that a fa ily is defined by blood ties, adoption, and arriage is a
legal
definition of a fa ily.
4. The definition that a fa ily is a group of people who live together with or without
legal
or biological ties is a sociological definition of a fa ily.
4. The nurse prepares to assess a client whose fa ily is being used as a resource.
Which approach to fa ily nursing care is the nurse i ple enting?
Ans: 3
Page: 9
Feedback
1. The second approach to fa ily nursing care centers on the assess ent of all fa ily
e bers. The fa ily nurse is interested in the way all the fa ily e bers are
individually affected by the health event of one fa ily e ber. In this approach, all
e bers of the fa ily are in the foreground.
2. The third approach to care views the fa ily as a syste . The focus in this
approach is on the fa ily as a whole as the client; here, the fa ily is viewed as
an interactional syste in which the whole is ore than the su of its parts. In
other words, the
interactions between fa ily e bers beco e the target for the nursing
interventions.
3. The first approach to fa ily nursing care focuses on the assess ent and care of an
individual client in which the fa ily is the context. This is the traditional nursing
focus, in which the individual is foreground and the fa ily is background. The
fa ily serves as context for the individual as either a resource or a stressor to the
individual’s health
and illness.
4. The fourth approach to care looks at the fa ily as a co ponent of society, in
which the
,fa ily is viewed as one of any institutions in society, si ilar to health,
educational,
, religious, or econo ic institutions. The fa ily is a basic or pri ary unit of society,
and
it is a part of the larger syste of society.
5. During a ho e visit the nurse teaches the client and fa ily about actions to reduce the
spread of infection between the fa ily e bers. Which role is the nurse i ple enting?
Ans: 3
Page: 13
Feedback
1. As a counselor, the fa ily nurse has a therapeutic role in helping individuals and
fa ilies solve proble s or change behavior.
2. As a care deliverer, the fa ily nurse either delivers or supervises the care that
fa ilies receive in various settings. To do this, the nurse ust be a technical
expert both in
ter s of knowledge and skill.
3. The fa ily nurse teaches about fa ily wellness, illness, relations, and parenting.
4. As an advocate the fa ily nurse advocates for fa ilies and e powers fa ily
e bers to speak with their own voices, or the nurse speaks out for the fa ily.
6. The nurse stays with a client who is having che otherapy for the first ti e until the
fa ily arrives. Which role is the nurse i ple enting with the client?
Ans: 1
Page: 14
Feedback
1. The fa ily nurse serves as a surrogate by substituting for another person, such as
when
he or she stays with the client until fa ily arrives.
2. As a researcher, the fa ily nurse identifies practice proble s and finds the best
solution for dealing with these proble s through the process of scientific
investigation.
3. The fa ily nurse is continually serving as a role odel to other people,
de onstrating
positive health actions and strategies.
4. As a case anager the nurse coordinates and collaborates between a fa ily and the
health care syste .
, 7. The spouse of a client with co plex care needs is unavailable to attend a care conference
at 2
p. . What should the nurse do to support fa ily nursing care?
Ans: 2
Page: 14
Feedback
1. It is inappropriate to expect an ill client to attend a care conference.
2. One obstacle to fa ily nursing practice is the hours for care. Because the spouse is
not
available during the scheduled eeting, the approach to overco e this obstacle is to
schedule the eeting when the spouse can attend.
3. The spouse is not available. Telephoning in for the conference is not appropriate.
4. Providing the spouse with the outco es of the eeting does not take the fa ily’s
needs
into consideration and violates the purpose of the eeting.
8. The nurse observes parents discussing an adolescent’s plans for the weekend and
setting boundaries to which the adolescent agrees. Which function did this fa ily unit
de onstrate?
Ans: 1
Page: 19
Feedback
1. The affective function, one of the basic functions of fa ily, is essential for
creating a har onic and stable environ ent, and opti al for healthy child
develop ent and for the satisfaction of all fa ily e bers. Affective function
has to do with the ways fa ily e bers relate to one another and those outside
the i ediate fa ily boundaries. Well-functioning fa ilies are able to aintain a
consistent level of involve ent with one another, yet at the sa e ti e not
beco e too involved in each
other’s lives.
2. The econo ic function of the fa ily is focused on providing the necessities of
food,
clothing, and shelter for the fa ily e bers.
3. The health care function of the fa ily is when the fa ily learns how to aintain,
protect, and restore health.
4. The fa ily is the first and one of the ost influential settings for socialization.
Fa ilies are the pri ary source of individual develop ent and the pri ary setting
in which children begin to acquire the beliefs, attitudes, values, and behaviors
considered
and Research, 6e Joanna . Kaakinen, Deborah Padgett
Coehlo, Rose Steele, elissa Robinson (All Chapters
Answers at the end of each Chapter)
Chapter 1: Fa ily Health Care Nursing: An Introduction
ultiple Choice:
1. The nurse is transferring to a care area that focuses on fa ily nursing practice. What
should the nurse realize about this approach to care?
1. Interventions in fa ily care address the future plans for the fa ily.
2. Fa ily e bers ust be present before the i ple entation of fa ily care.
3. Resources are placed to support an ill fa ily e ber with the greatest chance for recovery.
4. The nurse and fa ily together define the fa ily and where therapeutic energy
should be placed.
2. The nurse notes that a client has been previously arried and participates in raising the
current spouse’s children fro a previous arriage. How should the nurse docu ent this
fa ily type?
1. Extended
2. Cohabitation
3. Nuclear dyad
4. Reconstituted
3. The nurse prepares an in-service progra on fa ily nursing for new graduate
e ployees. Which definition of fa ily is the best one for the nurse to use?
,1. e bers of a fa ily are self-defined
2. People who share strong e otional ties
3. A fa ily is defined by blood ties, adoption, and arriage
4. A group of people who live together with or without legal or biological ties
4. The nurse prepares to assess a client whose fa ily is being used as a resource. Which
approach to fa ily nursing care is the nurse i ple enting?
1. Fa ily as client
2. Fa ily as syste
3. Fa ily as context
4. Fa ily as co ponent of society
5. During a ho e visit the nurse teaches the client and fa ily about actions to reduce the
spread of infection between the fa ily e bers. Which role is the nurse i ple enting?
1. Counselor
2. Care deliverer
3. Health teacher
4. Fa ily advocate
6. The nurse stays with a client who is having che otherapy for the first ti e until the
fa ily arrives. Which role is the nurse i ple enting with the client?
1. Surrogate
2. Researcher
3. Role odel
4. Case anager
7. The spouse of a client with co plex care needs is unavailable to attend a care conference
at 2
p. . What should the nurse do to support fa ily nursing care?
1. Have the client attend in place of the spouse
,2. Schedule the conference when the spouse is available
3. Ask the spouse to telephone in during the ti e of the conference
4. Provide the spouse with outco es deter ined during the eeting
8. The nurse observes parents discussing an adolescent’s plans for the weekend and
setting boundaries to which the adolescent agrees. Which function did this fa ily unit
de onstrate?
1. Affective
2. Econo ic
3. Health care
4. Socialization
9. The adult daughter of an older client is expected to be at the client’s bedside yet
personal fa ily responsibilities are not being co pleted. Which fa ily interactional
process is the daughter experiencing?
1. Role strain
2. Role conflict
3. Role a biguity
4. Role expectations
ultiple Response:
10. The nurse prepares to assess a fa ily during a ho e visit. Which traits should the
nurse expect that de onstrate a healthy fa ily? Select all that apply.
1. Develops suspicion a ong e bers
2. Exhibits a sense of shared responsibility
3. Ad its to and seeks help with proble s
4. Enforces participation in rituals and tradition
5. Shares leisure ti e
,
,Answers:
1. The nurse is transferring to a care area that focuses on fa ily nursing practice. What
should the nurse realize about this approach to care?
Ans: 4
Page: 9
Feedback
1. Fa ily care is concerned with the experience of the fa ily over ti e. It considers both
the history and the future of the fa ily group.
2. The physical absence of fa ily e bers does not preclude the nurse fro offering
fa ily care.
3. Fa ily nursing is directed at fa ilies whose e bers are both healthy and ill
regardless of the severity of the illness in the fa ily e ber.
4. The intervention that “fa ily nurses ust define with the fa ily which persons
constitute the fa ily and where they will place their therapeutic energies” is an
intervention used by fa ily nurses to provide structure to working with fa ilies
regardless of the theoretical underpinning of the nursing approach. This is an enduring
idea that supports the practice of
fa ily nursing.
2. The nurse notes that a client has been previously arried and participates in raising the
current spouse’s children fro a previous arriage. How should the nurse docu ent this
fa ily type?
Ans: 4
Page: 16
Feedback
1. An extended fa ily is defined as two or ore adult generations and one that
includes grandparents and grandchildren living in the sa e household.
2. A cohabitation fa ily type is defined as an un arried couple sharing a
household
who are involved in an e otional and/or sexually inti ate relationship.
3. A nuclear dyad is defined as a arried couple with no children.
4. A reconstituted or blended fa ily type is defined as an arrange ent in which
one or ore of the parents was previously arried and brings children fro
the
previous arriage into the current arriage.
,3. The nurse prepares an in-service progra on fa ily nursing for new graduate
e ployees. Which definition of fa ily is the best one for the nurse to use?
Ans: 1
Page: 5
Feedback
1. The definition of fa ily that is ost inclusive and takes the individual fa ily
e bers
into consideration is that the e bers of a fa ily are self-defined.
2. The definition that a fa ily is ade up of people who share strong e otional ties
is a
psychological definition of a fa ily.
3. The definition that a fa ily is defined by blood ties, adoption, and arriage is a
legal
definition of a fa ily.
4. The definition that a fa ily is a group of people who live together with or without
legal
or biological ties is a sociological definition of a fa ily.
4. The nurse prepares to assess a client whose fa ily is being used as a resource.
Which approach to fa ily nursing care is the nurse i ple enting?
Ans: 3
Page: 9
Feedback
1. The second approach to fa ily nursing care centers on the assess ent of all fa ily
e bers. The fa ily nurse is interested in the way all the fa ily e bers are
individually affected by the health event of one fa ily e ber. In this approach, all
e bers of the fa ily are in the foreground.
2. The third approach to care views the fa ily as a syste . The focus in this
approach is on the fa ily as a whole as the client; here, the fa ily is viewed as
an interactional syste in which the whole is ore than the su of its parts. In
other words, the
interactions between fa ily e bers beco e the target for the nursing
interventions.
3. The first approach to fa ily nursing care focuses on the assess ent and care of an
individual client in which the fa ily is the context. This is the traditional nursing
focus, in which the individual is foreground and the fa ily is background. The
fa ily serves as context for the individual as either a resource or a stressor to the
individual’s health
and illness.
4. The fourth approach to care looks at the fa ily as a co ponent of society, in
which the
,fa ily is viewed as one of any institutions in society, si ilar to health,
educational,
, religious, or econo ic institutions. The fa ily is a basic or pri ary unit of society,
and
it is a part of the larger syste of society.
5. During a ho e visit the nurse teaches the client and fa ily about actions to reduce the
spread of infection between the fa ily e bers. Which role is the nurse i ple enting?
Ans: 3
Page: 13
Feedback
1. As a counselor, the fa ily nurse has a therapeutic role in helping individuals and
fa ilies solve proble s or change behavior.
2. As a care deliverer, the fa ily nurse either delivers or supervises the care that
fa ilies receive in various settings. To do this, the nurse ust be a technical
expert both in
ter s of knowledge and skill.
3. The fa ily nurse teaches about fa ily wellness, illness, relations, and parenting.
4. As an advocate the fa ily nurse advocates for fa ilies and e powers fa ily
e bers to speak with their own voices, or the nurse speaks out for the fa ily.
6. The nurse stays with a client who is having che otherapy for the first ti e until the
fa ily arrives. Which role is the nurse i ple enting with the client?
Ans: 1
Page: 14
Feedback
1. The fa ily nurse serves as a surrogate by substituting for another person, such as
when
he or she stays with the client until fa ily arrives.
2. As a researcher, the fa ily nurse identifies practice proble s and finds the best
solution for dealing with these proble s through the process of scientific
investigation.
3. The fa ily nurse is continually serving as a role odel to other people,
de onstrating
positive health actions and strategies.
4. As a case anager the nurse coordinates and collaborates between a fa ily and the
health care syste .
, 7. The spouse of a client with co plex care needs is unavailable to attend a care conference
at 2
p. . What should the nurse do to support fa ily nursing care?
Ans: 2
Page: 14
Feedback
1. It is inappropriate to expect an ill client to attend a care conference.
2. One obstacle to fa ily nursing practice is the hours for care. Because the spouse is
not
available during the scheduled eeting, the approach to overco e this obstacle is to
schedule the eeting when the spouse can attend.
3. The spouse is not available. Telephoning in for the conference is not appropriate.
4. Providing the spouse with the outco es of the eeting does not take the fa ily’s
needs
into consideration and violates the purpose of the eeting.
8. The nurse observes parents discussing an adolescent’s plans for the weekend and
setting boundaries to which the adolescent agrees. Which function did this fa ily unit
de onstrate?
Ans: 1
Page: 19
Feedback
1. The affective function, one of the basic functions of fa ily, is essential for
creating a har onic and stable environ ent, and opti al for healthy child
develop ent and for the satisfaction of all fa ily e bers. Affective function
has to do with the ways fa ily e bers relate to one another and those outside
the i ediate fa ily boundaries. Well-functioning fa ilies are able to aintain a
consistent level of involve ent with one another, yet at the sa e ti e not
beco e too involved in each
other’s lives.
2. The econo ic function of the fa ily is focused on providing the necessities of
food,
clothing, and shelter for the fa ily e bers.
3. The health care function of the fa ily is when the fa ily learns how to aintain,
protect, and restore health.
4. The fa ily is the first and one of the ost influential settings for socialization.
Fa ilies are the pri ary source of individual develop ent and the pri ary setting
in which children begin to acquire the beliefs, attitudes, values, and behaviors
considered
