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.