Family Nursing Exam 1
THE NURSE IS OBSERVING THE INTERACTION OF FAMILY MEMBERS DURING A HOME VISIT.
THE NURSE RECOGNIZES THAT THE OPTIMAL GOAL OF EFFECTIVE COMMUNICATION
WITHIN THE FAMILY IS:
a. Problem solving and psychological support
b. Better financial conditions for the family
C Socialization among individual members
Role development of individual members
- a. Problem solving and psychological support
THE NURSE MAKES A HOME VISIT TO A CLIENT LIVING IN A NUCLEAR
FAMILY SYSTEM. IN ASSESSING THE ROLES AND POWER STRUCTURE OF
THE FAMILY, WHAT COULD THE NURSE ASK THE CLIENT?
a. "What types of activities do you and your family like?"
b. "Who decides how the family budget is created?"
C. "What type of health care insurance do you have?"
d "How many people live in your home?"
Hiltiple Choice
-X
- b. "Who decides how the family budget is created?"
WHAT IS THE FOCUS OF FAMILY CENTERED NURSING?
a. Caring for the expectant family
b. Strengthening the family unit
C. Promoting the health of the family as a unit and the health of the individual
member
d. Providing care outside the hospital for family members
- C. Promoting the health of the family as a unit and the health of the individual
member
THE NURSE HAS RECENTLY BEEN EMPLOYED IN A LONG-TERM CARE
FACILITY AND MUST LEARN GERONTOLOGIC PRINCIPLES RELATED TO
FAMILIES. WHICH OF THE FOLLOWING IS ONE OF THOSE PRINCIPLES?
a. Role reversal is usually expected and well accepted by the elderly client.
b. The care-givers are often not members of the family.
C. Social support systems are likely to be different from those of clients in younger
age groups.
d Members of later-life families do not have to work on developmental tasks
- C. Social support systems are likely to be different from those of clients in younger
age groups.
,THE NURSE IS OBSERVING FOR THE SIGNS OF A HEALTHY FAMILY. IN AN
ASSESSMENT OF A HEALTHY FAMILY, WHAT DOES THE NURSE EXPECT TO
FIND?
a. The structure is flexible enough to adapt to crises.
b. Minimal influence causes role disruptions.
c. Change is viewed as detrimental to family processes.
d. A passive response exists to stressors.
- a. The structure is flexible enough to adapt to crises.
A NURSE ENTERS AN INPATIENT ROOM AND FINDS THE FAMILY
DISAGREEING ABOUT THE CLIENT'S LIVING ARRANGEMENTS AFTER
DISCHARGE. WHICH INFORMATION SHOULD THE NURSE PROVIDE WHEN
TEACHING TECHNIQUES TO RESOLVE FAMILY CONFLICTS?
a. Family members should use past incidents to make their point.
b. One family member should act as a gatekeeper in order to avoid family
confrontation.
C. One family member should act as a compromiser to preserve harmony in the
family system.
d. Family members should respect differing opinions and use compromise and
negotiation.
- d. Family members should respect differing opinions and use compromise and
negotiation.
WHICH TYPE OF FAMILY-NURSE CONTACT WILL PROVIDE YOU WITH THE
BEST OPPORTUNITY TO OBSERVE FAMILY DYNAMICS?
a Clinic consultation
b. Group conference
C Home visit
d. Written communication
- C Home visit
A HOME HEALTH NURSE IS VISITING AN ASIAN FAMILY. A MARRIED COUPLE,
THEIR THREE CHILDREN, AND THE MATERNAL GRANDPARENTS ALL LIVE IN
THE HOME. HOW SHOULD THE NURSE INTERPRET THE PRESENCE OF THE
GRANDPARENTS IN THE HOME?
a. The parents have diffuse boundaries and have allowed the grandparental
subsystem to be present.
b. The grandparental subsystem is not successfully managing separation from the
parental subsystem.
C Extended family living arrangements are common in some cultures.
d The nuclear family living arrangement is the preferred environment for childrearing.
- C Extended family living arrangements are common in some cultures.
A MOTHER TELLS A NURSE THAT HER 2-YEAR-OLD TODDLER OFTEN HAS
TEMPER TANTRUMS AT THE FAMILY DINNER TABLE AND ASKS HOW TO
HANDLE THE BEHAVIOR. WHAT WOULD BE THE BEST RESPONSE BY THE
NURSE?
, a. Temper tantrums are normal for a 2-year-old, and the child will grow out of it.
b. The toddler should be removed from the family dinner table until he or she is
old enough to behave.
C. Strict discipline and corporal punishment are appropriate to help the child to gain
self-control
d. Parents should agree on a method of discipline, such as time-out, and use it when
the child misbehaves.
- d. Parents should agree on a method of discipline, such as time-out, and use it
when the child misbehaves.
WHICH APPROACH WOULD BE BEST TO USE TO ENSURE A POSITIVE
RESPONSE FROM A TODDLER?
a. Assume an eye-level position and talk quietly.
b. Call the toddler's name while picking him or her up.
Call the toddler's name and say, "I'm your nurse." Stand by the toddler, addressing
him or her by name..
- a. Assume an eye-level position and talk quietly.
A PARENT STATES THAT SHE IS HAVING A CONFLICT WITH HER TODDLER
WHO SEEMS TO "ALWAYS WANT TO DO THINGS HIS WAY." HE INSISTS ON
PUTTING ON HIS RIGHT SOCK AND SHOE BEFORE HIS LEFT AND HAS A
TANTRUM IF THE PARENT TRIES TO PUT ON THE LEFT SOCK AND SHOE
FIRST. THE PARENT ASKS THE NURSE WHY THE CHILD IS ACTING THIS
WAY. WHAT WOULD BE THE BEST RESPONSE BY THE NURSE?
a. Explain to the child that it really doesn't matter which sock and shoe is donned first
b. Put the child in "time-out" for the appropriate time.
C. Explain that this is normal ritualistic behavior at this age
d. Let the child walk barefoot and take the shoes away.
- C. Explain that this is normal ritualistic behavior at this age
AN ADOLESCENT, HIS MOTHER, AND HIS SOON-TO-BE STEPFATHER HAVE
BEEN IN COUNSELING WITH THE NURSE. WHICH STATEMENT BY THE
NURSE FOSTERS POSITIVE RELATIONSHIPS WITHIN THIS NEW FAMILY
STRUCTURE?
a. "Your son should be consistently disciplined by only one parent."
b. "You should not have any more children because your son will need your full
attention."
C. "You need to keep the lines of communication open between all of you."
d. "Allow your son to make his own choices because this new situation will be
stressful."
- C. "You need to keep the lines of communication open between all of you."
THE NURSE NEEDS TO TAKE THE BLOOD PRESSURE OF A PRESCHOOL BOY
FOR THE FIRST TIME. WHICH ACTION WOULD BE BEST IN GAINING HIS
COOPERATION?
THE NURSE IS OBSERVING THE INTERACTION OF FAMILY MEMBERS DURING A HOME VISIT.
THE NURSE RECOGNIZES THAT THE OPTIMAL GOAL OF EFFECTIVE COMMUNICATION
WITHIN THE FAMILY IS:
a. Problem solving and psychological support
b. Better financial conditions for the family
C Socialization among individual members
Role development of individual members
- a. Problem solving and psychological support
THE NURSE MAKES A HOME VISIT TO A CLIENT LIVING IN A NUCLEAR
FAMILY SYSTEM. IN ASSESSING THE ROLES AND POWER STRUCTURE OF
THE FAMILY, WHAT COULD THE NURSE ASK THE CLIENT?
a. "What types of activities do you and your family like?"
b. "Who decides how the family budget is created?"
C. "What type of health care insurance do you have?"
d "How many people live in your home?"
Hiltiple Choice
-X
- b. "Who decides how the family budget is created?"
WHAT IS THE FOCUS OF FAMILY CENTERED NURSING?
a. Caring for the expectant family
b. Strengthening the family unit
C. Promoting the health of the family as a unit and the health of the individual
member
d. Providing care outside the hospital for family members
- C. Promoting the health of the family as a unit and the health of the individual
member
THE NURSE HAS RECENTLY BEEN EMPLOYED IN A LONG-TERM CARE
FACILITY AND MUST LEARN GERONTOLOGIC PRINCIPLES RELATED TO
FAMILIES. WHICH OF THE FOLLOWING IS ONE OF THOSE PRINCIPLES?
a. Role reversal is usually expected and well accepted by the elderly client.
b. The care-givers are often not members of the family.
C. Social support systems are likely to be different from those of clients in younger
age groups.
d Members of later-life families do not have to work on developmental tasks
- C. Social support systems are likely to be different from those of clients in younger
age groups.
,THE NURSE IS OBSERVING FOR THE SIGNS OF A HEALTHY FAMILY. IN AN
ASSESSMENT OF A HEALTHY FAMILY, WHAT DOES THE NURSE EXPECT TO
FIND?
a. The structure is flexible enough to adapt to crises.
b. Minimal influence causes role disruptions.
c. Change is viewed as detrimental to family processes.
d. A passive response exists to stressors.
- a. The structure is flexible enough to adapt to crises.
A NURSE ENTERS AN INPATIENT ROOM AND FINDS THE FAMILY
DISAGREEING ABOUT THE CLIENT'S LIVING ARRANGEMENTS AFTER
DISCHARGE. WHICH INFORMATION SHOULD THE NURSE PROVIDE WHEN
TEACHING TECHNIQUES TO RESOLVE FAMILY CONFLICTS?
a. Family members should use past incidents to make their point.
b. One family member should act as a gatekeeper in order to avoid family
confrontation.
C. One family member should act as a compromiser to preserve harmony in the
family system.
d. Family members should respect differing opinions and use compromise and
negotiation.
- d. Family members should respect differing opinions and use compromise and
negotiation.
WHICH TYPE OF FAMILY-NURSE CONTACT WILL PROVIDE YOU WITH THE
BEST OPPORTUNITY TO OBSERVE FAMILY DYNAMICS?
a Clinic consultation
b. Group conference
C Home visit
d. Written communication
- C Home visit
A HOME HEALTH NURSE IS VISITING AN ASIAN FAMILY. A MARRIED COUPLE,
THEIR THREE CHILDREN, AND THE MATERNAL GRANDPARENTS ALL LIVE IN
THE HOME. HOW SHOULD THE NURSE INTERPRET THE PRESENCE OF THE
GRANDPARENTS IN THE HOME?
a. The parents have diffuse boundaries and have allowed the grandparental
subsystem to be present.
b. The grandparental subsystem is not successfully managing separation from the
parental subsystem.
C Extended family living arrangements are common in some cultures.
d The nuclear family living arrangement is the preferred environment for childrearing.
- C Extended family living arrangements are common in some cultures.
A MOTHER TELLS A NURSE THAT HER 2-YEAR-OLD TODDLER OFTEN HAS
TEMPER TANTRUMS AT THE FAMILY DINNER TABLE AND ASKS HOW TO
HANDLE THE BEHAVIOR. WHAT WOULD BE THE BEST RESPONSE BY THE
NURSE?
, a. Temper tantrums are normal for a 2-year-old, and the child will grow out of it.
b. The toddler should be removed from the family dinner table until he or she is
old enough to behave.
C. Strict discipline and corporal punishment are appropriate to help the child to gain
self-control
d. Parents should agree on a method of discipline, such as time-out, and use it when
the child misbehaves.
- d. Parents should agree on a method of discipline, such as time-out, and use it
when the child misbehaves.
WHICH APPROACH WOULD BE BEST TO USE TO ENSURE A POSITIVE
RESPONSE FROM A TODDLER?
a. Assume an eye-level position and talk quietly.
b. Call the toddler's name while picking him or her up.
Call the toddler's name and say, "I'm your nurse." Stand by the toddler, addressing
him or her by name..
- a. Assume an eye-level position and talk quietly.
A PARENT STATES THAT SHE IS HAVING A CONFLICT WITH HER TODDLER
WHO SEEMS TO "ALWAYS WANT TO DO THINGS HIS WAY." HE INSISTS ON
PUTTING ON HIS RIGHT SOCK AND SHOE BEFORE HIS LEFT AND HAS A
TANTRUM IF THE PARENT TRIES TO PUT ON THE LEFT SOCK AND SHOE
FIRST. THE PARENT ASKS THE NURSE WHY THE CHILD IS ACTING THIS
WAY. WHAT WOULD BE THE BEST RESPONSE BY THE NURSE?
a. Explain to the child that it really doesn't matter which sock and shoe is donned first
b. Put the child in "time-out" for the appropriate time.
C. Explain that this is normal ritualistic behavior at this age
d. Let the child walk barefoot and take the shoes away.
- C. Explain that this is normal ritualistic behavior at this age
AN ADOLESCENT, HIS MOTHER, AND HIS SOON-TO-BE STEPFATHER HAVE
BEEN IN COUNSELING WITH THE NURSE. WHICH STATEMENT BY THE
NURSE FOSTERS POSITIVE RELATIONSHIPS WITHIN THIS NEW FAMILY
STRUCTURE?
a. "Your son should be consistently disciplined by only one parent."
b. "You should not have any more children because your son will need your full
attention."
C. "You need to keep the lines of communication open between all of you."
d. "Allow your son to make his own choices because this new situation will be
stressful."
- C. "You need to keep the lines of communication open between all of you."
THE NURSE NEEDS TO TAKE THE BLOOD PRESSURE OF A PRESCHOOL BOY
FOR THE FIRST TIME. WHICH ACTION WOULD BE BEST IN GAINING HIS
COOPERATION?
