1. A nurse is taking a history from a woman and her common-law husband.
What is the best description of this type of family?
A. Family
B. Family of origin
C. Family of choice
D. Extended family:
Answer: C
2. An obstetric nurse understands and works within the systems theory of
family interaction. This nurse is aware that an integral part of the nursing
role
is to facilitate the development of a bond between the
A. new subsystem of mother/infant and the father.
B. subsystem of mother/father and the new infant.
C. subsystem of mother/father/infant and extended family.
D. new subsystem of mother/infant and significant others.:
Answer: D
3. The pediatric nurse understands and works within the developmental
theory of families. According to this theory, which information would be
most important to provide to families with preschool children?
A. Injury prevention and immunizations
B. Sibling rivalry
C. Sleep-wake patterns
,D. Couple-building and family adjustment:
Answer: a
4. 4. The clinic nurse is providing assistance to a family who lost their son in
a motorcycle collision. Future planning would include counseling the family
that one of the most critical times in the grieving process usually takes
place in the
A. first two weeks.
B. third to fourth week.
C. fifth to sixth week.
D. eighth to tenth week.:
Answer: b
5. A nurse is working with a family whose members appear cold and distant
toward each other. None of the family members seems able to manage
stress. Which familial role has not been met by this family?
A. Affective and coping needs
B. Economic needs
C. Physical needs
D. Socialization needs:
Answer:a
6. A nurse is planning interventions to assist a family that has had a death
in the immediate family group. The nurse is helping other family members to
,take on some of the roles left by the deceased person. Under which family
theory is this nurse working?
A. Communication Theory
B. Family Developmental Stages and Theory
C. Family Systems Theory
D. Structural-Functional Theory:
Answer : d
7. A nurse is planning to assess a family using a standardized tool. Before
beginning the assessment, which action by the nurse is most important?
A. Ensure the family that the nurse will maintain strict confidentiality of all
data.
B. Inform the family that all assessments will be shared with the health-care
team.
C. Instruct the family on the various types of tools available for use.
D. Obtain agreements over the confidentiality of the information obtained.
Answer: d
8. A nurse has assessed a family that has difficulty with communication and
blurring of roles, affecting daily function. Which nursing diagnosis best fits
this situation?
A. Altered Family Processes
B. Caregiver Role Strain
C. Readiness for Enhanced Coping
D. Situational Family Dysfunction:
, Answer :a
9. A patient admitted to the hospital is from a culture with which the nurse
is unfamiliar. The patient has limited English skills. The patient needs
surgery but will not consent until her oldest son arrives. Which action by the
nurse is est?
A. Describe all the complications that can occur if the operation is delayed.
B. Make the patient as comfortable as possible while waiting for the son.
C. Teach the patient about the value of autonomy in American health care.
D. Using an interpreter, attempt to convince the patient to consent.
Answer: b
10. A nurse is working with a patient who became critically ill and was
admitted emergently. The patient's large family is coming to the hospital
from several different states over several different days. Which of the
following would be the best intervention to promote family cohesion and
function?
A. Arrange for visitation by the hospital or family clergy member.
B. Ask the family to appoint a single spokesperson who will get all
informa-tion.
C. Create a visitation schedule so that the nurses are not overwhelmed by
the family.
D. Schedule a family conference when all family members have arrived.
Answer: d