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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022), Chapter 1-19 | All Chapters

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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022), Chapter 1-19 | All Chapters

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Family Health Care Nursing, 7th Edition
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Family Health Care Nursing, 7th Edition

















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Institution
Family Health Care Nursing, 7th Edition
Course
Family Health Care Nursing, 7th Edition

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TEST BANK
Family Health Care Nursing: Theory, Practice, and Research


Melissa Robinson, Deborah Padgett Coehlo, and Paul S. Smith

7th Edition

,Table of Contents

Chapter 01 Family Health Care Nursing: An Introduction 1
Chapter 02 Theoretical Foundations for the Nursing of Families 7
Chapter 03 Family Demography: Continuity and Change in North American Families 12
Chapter 04 Families and Health Policy: The Intersection of Family Policies, Health
Disparities, and Health Care Policies 20
Chapter 05 Family Nursing Assessment and Intervention 28
Chapter 06 Environmental Health and Families 35
Chapter 07 Family Health Promotion 41
Chapter 08 Nursing Care of LGBTQ+ Families 48
Chapter 09 Genomics and Family Nursing Across the Life Span 56
Chapter 10 Families Living With Chronic Illness 64
Chapter 11 Families in Palliative and End-of-Life Care 72
Chapter 12 Trauma and Family Nursing 81
Chapter 13 Relational Nursing and Family Nursing in Canada 90
Chapter 14 Family Nursing With Childbearing Families 93
Chapter 15 Family Child Health Nursing 100
Chapter 16 Family Nursing in Acute-Care Adult Settings 107
Chapter 17 Families and Aging 115
Chapter 18 Family Mental Health Nursing 122
Chapter 19 Families and Population Health 129

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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

Chapter 1: Family Health Care Nursing: An Introduction


MULTIPLE CHOICE

1. The nurse is transferring to a care area that focuses on family nursing practice. What should
the nurse realize about this approach to care?
a. Interventions in family care address the future plans for the family.
b. Family members must be present before the implementation of family care.
c. Resources are placed to support a family member experiencing illness with the
greatest chance for recovery.
d. The nurse and family together define the family and where therapeutic energy
should be placed.
ANS: D

Feedback
A Family care is concerned with the experience of the family over time. It
considers both the history and the future of the family group.
B The physical absence of family members does not preclude the nurse from
offering family care.
C Family nursing is directed at families whose members are both healthy and ill
regardless of the severity of the illness in the family member.
D The intervention that “family nurses must define with the family which persons
constitute the family and where therapeutic energy should be placed” is used by
family nurses to provide structure to working with families regardless of the
theoretical underpinning of the nursing approach. This is an enduring idea that
supports the practice of family nursing.

REF: Page: 9

2. The nurse notes that a client has been previously married and participates in raising the
current spouse’s children from a previous marriage. How should the nurse document this
family type?
a. Extended
b. Cohabitation
c. Nuclear dyad
d. Blended
ANS: D

Feedback
A An extended family is defined as two or more adult generations and one that
includes grandparents and grandchildren living in the same household.
B A cohabitation family type is defined as an unmarried couple sharing a
household who are involved in an emotional and/or sexually intimate
relationship.
C A nuclear dyad is defined as a married couple with no children.
D A blended or reconstituted family type is defined as an arrangement in which
one or more of the parents was previously married and brings children from the



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previous marriage into the current marriage.

REF: Page: 16

3. The nurse prepares an in-service program on family nursing for new graduate employees.
Which definition of family is the best one for the nurse to use?
a. Members of a family are self-defined
b. People who share strong emotional ties
c. A family is defined by blood ties, adoption, and marriage
d. A group of people who live together with or without legal or biological ties
ANS: A

Feedback
A The definition of family that is most inclusive and takes the individual family
members into consideration is that the members of a family are self-defined.
B The definition that a family is made up of people who share strong emotional
ties is a psychological definition of a family.
C The definition that a family is defined by blood ties, adoption, and marriage is a
legal definition of a family.
D The definition that a family is a group of people who live together with or
without legal or biological ties is a sociological definition of a family.

REF: Page: 5

4. The nurse prepares to assess a client whose family is being used as a resource. Which
approach to family nursing care is the nurse implementing?
a. Family as client
b. Family as system
c. Family as context
d. Family as component of society
ANS: C

Feedback
A The second approach to family nursing care centers on the assessment of all
family members. The family nurse is interested in the way all the family
members are individually affected by the health event of one family member. In
this approach, all members of the family are in the foreground.
B The third approach to care views the family as a system. The focus in this
approach is on the family as the client; the family is viewed as an interactional
system in which the whole is more than the sum of its parts. In other words, the
interactions between family members become the target for the nursing
interventions.
C The first approach to family nursing care focuses on the assessment and care of
an individual client where the family is the context. This is the traditional
nursing focus, in which the individual is foreground and the family is
background. The family serves as context for the individual as either a resource
or a stressor to the individual’s health and illness.




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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

D The fourth approach to care looks at the family as a component of society, in
which the family is viewed as one of many institutions in society, similar to
health, educational, religious, or economic institutions. The family is a basic or
primary unit of society, and it is a part of the larger system of society.

REF: Page: 11

5. During a home visit the nurse teaches the client and family about actions to reduce the
spread of infection between the family members. Which role is the nurse implementing?
a. Counselor
b. Care deliverer
c. Health teacher
d. Family advocate
ANS: C

Feedback
A As a counselor, the family nurse has a therapeutic role in helping individuals and
families solve problems or change behavior.
B As a care deliverer, the family nurse either delivers or supervises the care that
families receive in various settings. To do this, the nurse must be a technical
expert in terms of both knowledge and skill.
C The family nurse teaches about family wellness, illness, relations, and parenting.
D As an advocate the family nurse advocates for families and empowers family
members to speak with their own voices, or the nurse speaks out for the family.

REF: Page: 14

6. The nurse is preparing the client for their first chemotherapy treatment and a family member
has accompanied the client to the clinic. The nurse explains to the client and family what to
expect from the treatment, including how long it will take, how the treatment will be
administered, and potential side effects. The nurse has provided time for the client and
family to ask questions and express concerns. Which role is the nurse implementing with the
client?
a. Surrogate
b. Researcher
c. Role model
d. Case manager
ANS: A

Feedback
A The family nurse is demonstrating care and compassion through skilled
communication with the client and family.
B As a researcher, the family nurse identifies practice problems and finds the best
solution for dealing with these problems through the process of scientific
investigation.
C The family nurse is continually serving as a role model to other people,
demonstrating positive health actions and strategies.




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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

D As a case manager, the nurse coordinates and collaborates between a family and
the health care system.

REF: Page: 15

7. The spouse of a client with complex care needs is unavailable to attend a care conference at
2 p.m. What should the nurse do to support family nursing care?
a. Have the client attend in place of the spouse
b. Schedule the conference when the spouse is available
c. Ask the spouse to telephone in during the time of the conference
d. Provide the spouse with outcomes determined during the meeting
ANS: B

Feedback
A It is inappropriate to expect an ill client to attend a care conference.
B One obstacle to family nursing practice is the hours for care. Because the spouse
is not available during the scheduled meeting, the approach to overcome this
obstacle is to schedule the meeting when the spouse can attend.
C The spouse is not available. Telephoning in for the conference is not appropriate.
D Providing the spouse with the outcomes of the meeting does not take the
family’s needs into consideration and violates the purpose of the meeting.

REF: Page: 22

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 family unit demonstrate?
a. Affective
b. Economic
c. Health care
d. Socialization
ANS: A

Feedback
A The affective function, one of the basic functions of family, is essential for
creating a harmonious and stable environment, and optimal for healthy child
development and for the satisfaction of all family members. Affective function
has to do with the ways family members relate to one another and those outside
the immediate family boundaries. Well-functioning families can maintain a
consistent level of involvement with one another, yet at the same time not
become too involved in each other’s lives.
B The economic function of the family is focused on providing the necessities of
food, clothing, and shelter for the family members.
C The health care function of the family is when the family learns how to maintain,
protect, and restore health.
D The family is the first and one of the most influential settings for socialization.
Families are the primary source of individual development and the primary
setting in which children begin to acquire the beliefs, attitudes, values, and



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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

behaviors considered appropriate to society. This situation does not demonstrate
family socialization.

REF: Page: 18–19

9. The adult daughter of an older client is expected to be at the client’s bedside, yet personal
family responsibilities are not being completed. Which family interactional process is the
daughter experiencing?
a. Role strain
b. Role conflict
c. Role ambiguity
d. Role expectations
ANS: B

Feedback
A Role strain occurs when the person lacks knowledge about performance of a
role.
B Role conflict occurs when expectations about familial roles are incompatible.
The adult daughter needs to help an aging parent; however, she is also expected
to maintain personal role functions.
C Role ambiguity occurs when the person does not know what to do in a situation.
D Role expectations occur when a person who is performing a role is expected to
pick up additional responsibilities and incorporate them into the current role.

REF: Page: 21

MULTIPLE RESPONSE

10. The nurse prepares to assess a family during a home visit. Which traits should the nurse
expect that demonstrate a healthy family? Select all that apply.
a. Develops suspicion among members
b. Exhibits a sense of shared responsibility
c. Admits to and seeks help with problems
d. Enforces participation in rituals and tradition
e. Shares leisure time
ANS: B, C, E

Feedback
A A healthy family fosters trust and respect instead of fostering suspicion.
B A trait common to healthy families is exhibiting a sense of shared
responsibility.
C A trait common to healthy families is admitting to and seeking help with
problems.
D A healthy family welcomes rituals and traditions but does not enforce
participation in such family practices.
E A trait common to healthy families is sharing leisure time.




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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

REF: Page: 6-7




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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

Chapter 2: Theoretical Foundations for the Nursing of Families


MULTIPLE CHOICE

1. The nurse reviews potential theories to use as a guide for providing care to a family in the
community. What should the nurse keep in mind as a primary function of theory in family
nursing?
a. Identifies a specific hypothesis
b. Answers “How?” or “Why?” questions
c. Examines how the concepts create a meaningful pattern
d. Improves nursing services provided to families
ANS: D

Feedback
A Theories construct hypotheses, or the question, “What is expected to happen?”
B Theories in general explain what is happening. They provide answers to “How?”
and “Why?” questions, help to interpret and make sense of complex phenomena,
and predict what could happen in the future based on careful thought and study
about what has happened in the past.
C Theories are designed to make sense of the world by showing how one concept
is related to another and how together they make a meaningful pattern that can
predict the consequences of certain clusters of characteristics or events.
D The primary function of theory in family nursing is to provide knowledge and
understanding that improves nursing services to families.

REF: Page: 27

2. The nurse reviews a theory for applicability to a family health situation. On which part of
the theory should the nurse focus to understand the expected relationship between the
theory’s concepts?
a. System
b. Hypothesis
c. Propositions
d. Conceptual model
ANS: B

Feedback
A System is not part of a theory.
B A hypothesis is a way of stating an expected relationship between concepts or an
expected proposition.
C Propositions are statements about the proposed relationship between two or more
concepts.
D A conceptual model is a set of general propositions that integrate concepts into
meaningful configurations or patterns.

REF: Page: 27




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Test Bank - Family Health Care Nursing: Theory, Practice, and Research, 7th Edition (Robinson, 2022)

3. The nurse prepares to assess a family according to a family development theory. Which
action will the nurse complete first during this assessment?
a. Health of individual members
b. Employment status of the parents
c. Family structure and life cycle stages
d. Education status of the children
ANS: C

Feedback
A The health of individual members is analyzed according to the impact on the
entire family unit.
B The employment status of the parents is not a specific feature of family
development theory.
C When conducting family assessments using the developmental model, nurses
begin by determining the family structure and where this family falls in the
family life cycle stages.
D The children’s education is addressed after the family structure and life cycle
stage are identified.

REF: Page: 39-45

4. The nurse is struggling with using a developmental model when assessing a family new to a
community. Which data could explain the difficulty the nurse is having using this model?
a. The parental units are same-sexed.
b. The youngest son is beginning college.
c. The middle child is attending high school.
d. The oldest daughter has just gotten married.
ANS: A

Feedback
A A primary criticism of family development theory is that it best describes the
trajectory of intact, two-parent, heterosexual nuclear families. It does not
consider same-sex couples and normalizes one type of family while ignoring
others.
B Children leaving home to go to college would be an expected trajectory within
the developmental model.
C Children progressing through basic education would be an expected trajectory
within the developmental model.
D Children leaving home or “launching” is an expected trajectory within the
developmental model.

REF: Page: 45

5. The nurse uses the bioecological system theory to assess a family. On which system should
the nurse focus to determine the impact of the mother’s change in employment?
a. Mesosystem
b. Exosystem
c. Microsystem


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