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CHAPTER 10: FAMILY DYNAMICS {Potter: Fundamentals of Nursing, 11th Edition}

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MULTIPLE CHOICE 1. The nurse is interviewing a patient who is being admitted to the hospital. The patient’s family went home before the nurse’s interview. The nurse asks the patient, “Who decides when to come to the hospital?” What is the rationale for the nurse’s action? a. To assess the family form b. To assess the family function c. To assess the family structure d. To assess the family generalization ANS: C To assess the family structure, the nurse asks questions that determine the power structure and patterning of roles and tasks (e.g., “Who decides where to go on vacation?”). When focusing on family form, the nurse should begin the family assessment by determining the patient’s definition of family. Family function is the ability of the family to provide emotional support and to cope with health problems or situations. The question asked by the nurse will not assess that. Nurses do not assess family generalization. DIF: Apply (application) OBJ: Explain how the relationship between family structure and patterns of functioning affects the health of individuals within the family and the family as a whole. TOP: Assessment MSC: Psychosocial Integrity 2. A nurse is caring for a patient injured in a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene? a. Tells the family not to leave the bedside. b. Offers the family a sandwich. c. Gives the family a blanket. d. Sits with the family. ANS: A The action of telling the family not to leave is inappropriate and should be corrected. Sometimes telling the family that you will stay with their loved one while they are gone is all they need to feel comfortable in leaving. Offering a sandwich, giving a blanket, and sitting with the family are appropriate and do not require the nurse to intervene. When the victim of trauma is hospitalized, take time to make sure that the family is comfortable. You can bring them something to eat or drink, give them a blanket, or encourage them to get a meal. DIF: Analyze (analysis) OBJ: Discuss factors that promote or impede family health. TOP: Implementation MSC: Management of Care 3. A nurse is using the family as context approach to provide care to a patient. What should the nurse do next? a. Assess family patterns versus individual characteristics. b. Assess how much the family provides the patient’s basic needs. c. Use “family as patient” and “family as contex” approaches simultaneously. d. Plan care to meet not only the patient’s needs but also those of the family as well.

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C HAPTER 10: F AMILY D YNAMICS
Potter: Fundamentals of Nursing, 11th Edition



MULTIPLE CHOICE


1. The nurse is interviewing a patient who is being admitted to the hospital.
The patient’s famil y went home before the nurse’s in terview. The nurse
asks the patient, “Who decides when to come to the hospital? ” What is the
rationale for the nurse’s action?
a. To assess the famil y form
b. To assess the famil y function
c. To assess the famil y structure
d. To assess the famil y generalization



ANS: C



To assess the famil y structure, the nurse asks questions that determine
the power structure and patterning of roles and tasks (e.g., “Who
decides where to go on vacation? ”). When focusing on famil y form, the
nurse should begin the famil y assessment by d etermining the patient’s
definition of famil y. Famil y function is the abilit y of the family to
provide emotional support and to cope with health problems or
situations. The question asked by the nurse will not assess that. Nurses
do not assess famil y gener alization.



DIF: Appl y (application) OBJ: Explain how the relationship
between famil y structure and patterns of functioning affects the

, health of individuals within the famil y and the famil y as a whole.
TOP: Assessment MSC: Psychosocial Integrit y



2. A nurse is caring for a patient injured in a motor vehicle accident. Which
action by the unlicensed assistive personnel will cause the nurse to
intervene?
a. Tells the famil y not to leave the bedside.
b. Offers the famil y a sandwich.
c. Gives the famil y a blanket.
d. Sits with the famil y.



ANS: A



The action of telling the famil y not to leave is inappropriate and should
be corrected. Sometimes telling the family that you will stay with their
loved one while they are gone is all they need to feel comfortable in
leaving. Offering a sandwich, giving a blanket, and sitting with the
famil y are appropriate and do not require the nurse to intervene. When
the victim of trauma is hospitalized, take time to make sure that the
famil y is comfortable. You can bring them something to eat o r drink,
give them a blanket, or encourage them to get a meal.



DIF: Anal yze (anal ysis) OBJ: Discuss factors that promote or
impede famil y health. TOP: Implementation MSC:
Management of Care



3. A nurse is using the famil y as context approach to provide care to a
patient. What should the nurse do next?
a. Assess famil y patterns versus individual characteristics.
b. Assess how much the famil y provides the patient’s basic needs.

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