Chapter 10 Family Dynamics-Fundamentals of Nursing

Chapter 10: Family Dynamics
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MULTIPLE CHOICE ra




1. A nursing attendant is assessing the family unit to determine their ability to adapt to th
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e change required of a member having surgery. Which area is the nursing attendant mo
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nitoring?
a. Family durability ra




b. Family resiliency ra




c. Family diversity ra



d. Family forms ra




ACCURATE ar



ANSWER:-B
Family resiliency is the ability of the family to cope with expected and unexpected stressors;
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it’s the families’ ability to adapt to changes. Family diversity is the uniqueness of each family un
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it. Every person within a family unit has specific needs, strengths, and important developme
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ntal considerations. Family durability is a system of support and structure within a family th
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at extends beyond the walls of the household. Family forms are patterns of people considere
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d by family members to be included in the family.
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DIF:Apply (application) ra



OBJ:Discuss how the term family reflects family diversity. ra ra ra ra ra ra ra TOPIC: Assessment MSC: ar ra ra



Psychosocial Integrity ra




2. A nursing attendant reviews the current trends affecting today’s family. Which trend will th
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e nursing attendant find?
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a. More mothers are full time at home parents. ra ra ra ra ra ra ra




b. Adolescent mothers usually live on their own. ra ra ra ra ra ra




c. More grandparents are raising their grandchildren. ra ra ra ra ra




d. Teenage fathers usually have stronger support systems. ra ra ra ra ra ra




ACCURATE ar



ANSWER:-C
More grandparents are raising their grandchildren. The majority of women work outside the
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home, and about 70% of mothers with children under the age of 18 are in the workforce. The ma
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jority of adolescent mothers continue to live with their families. Teenage fathers usually have
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poorer support systems and fewer resources to teach them how to parent.
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DIF:Understand (comprehension) ra



OBJ:Examine current trends affecting the American family. ra ra ra ra ra ra TOPIC: Assessment MSC: ar ra ra



Psychosocial Integrity ra




3. A spouse brings the children in to visit their mother in the hospital. The nursing attendant
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asks how the family is doing. The husband states, ―None of her jobs are getting done, and I d
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on’t do those jobs, so the house and the kids are falling apart.‖ How will the nursing attend
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ant interpret this finding?
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, a. The family structure is resilient.
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b. The family structure is flexible.
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c. The family structure is hardy.
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d. The family structure is rigid.
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ACCURATE ar



ANSWER:-D
A rigid structure specifically dictates who is able to accomplish different tasks and also limits
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the number of persons outside the immediate family allowed to assume these tasks. Resiliency
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helps to evaluate healthy responses when individuals and families are experiencing stressful e
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vents. An extremely flexible structure also presents problems for the family. There is sometim
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es an absence of stability that would otherwise lead to automatic action during a crisis or rapid
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change. Hardiness is the internal strength and durability of the family unit characterized by a
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sense of control over the outcome of life and an active, rather than passive, orientation in adap
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ting to stressful events.
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DIF:Apply (application) ra



OBJ:Explain how the relationship between family structure and patterns of functioning affects the h
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eal th of individuals within the family and the family as a whole. TOPIC:-Assessment MSC:
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Psychosocial Integrity ra




4.
A nursing attendant cares for the family’s as well as the hospital client ’s needs using
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a
ar vailable resources. Which approach is the nursing attendant using? a. ra ra ra ra ra ra ra ra



Family as context ra ra




b. Family as hospital client ra ra ra




c. Family as system ra ra




d. Family as nursing attendant s ra ra ra ra




ACCURATE ANSWER:-C ra



When you care for the family as a system, you are caring for each family member (family as c
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ontext) and the family unit (family as hospital client ), using all available environmental, soc
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ial, psychological, and community resources. When you view the family as context, the prim
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ary focus is on the health and development of an individual member existing within a specifi
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c environment (i.e., the hospital client ’s family). When you view the family as hospital clien
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t , the family processes and relationships (e.g., parenting or family caregiving) are the primar
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y focuses of nursing care. There is no approach for family as nursing attendant s; rather, it is a
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term to describe family members caring for other family members usually at home.
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DIF:Understand (comprehension) ra



OBJ:Compare nursing care that views family as context, family as hospital client , and family as a sys
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te m and explain how these different perspectives influence nursing practice.
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TOPIC:-Implementation MSC: Management of Care ra ra ra




5. A nursing attendant is caring for a hospital client
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who needs constant care in the home settin
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g and for whom most of the care is provided by the hospital client ’s family. Which actio
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n sho uld the nursing attendant take to help relieve stress?
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a. Encourage nursing attendant to do as much as possible. ra ra ra ra ra ra ra ra




b. Focus primarily on the hospital client . ra ra ra ra ra ra




c. Point out weaknesses. ra ra




d. Provide education. ra

, ACCURATE ANSWER:-D ra



Providing education to the family and nursing attendant helps relieve some of the stress of ca
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regiving. Help the family focus on their strengths instead of on problems and weaknesses. W
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hile nursing attendant s desire to care for the loved one, they often feel extreme pressure to do
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everything; therefore, encouraging the nursing attendant to do more will add stress.
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Focusing primarily on the hospital client will not be beneficial; the entire family is the hospital cl
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i ent . ra




DIF:Apply (application) ra



OBJ:Discuss the role of families and family members as nursing attendant s. T ra ra ra ra ra ra ra ra ra ra ra ar



OPIC:-Implementation MSC: Psychosocial Integrity ra ra




6. A nursing attendant is working with a hospital client . When the nursing attendant asks
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about family members, the hospital client states that it includes my spouse, children, an
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d aunt and uncle. How will the nursing attendant describe this type of family? a.
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Nuclear
b. Blended
c. Extended
d. Alternative
ACCURATE ANSWER:-C ra



The extended family includes relatives (aunts, uncles, grandparents, and cousins) in addition
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to the nuclear family. The nuclear family consists of husband and wife (and perhaps one or m
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ore children). The blended family is formed when parents bring unrelated children from prior
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adoptive or foster parenting relationships into a new, joint living situation. Relationships inclu
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de multi- ra




adult households, ―skipgeneration‖ families (grandparents caring for grandchildren), communa
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l groups with childre
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n, ―nonfamilies‖ (adults living alone), cohabitating partners, and homosexual couples.
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DIF:Understand (comprehension) ra



OBJ:Discuss factors that affect family forms and their impact on a family’s health. T OPIC:-
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Assessment MSC: Psychosocial Integrity ra ra ra




7. An emergency department nursing attendant is assessing a child that lives in a car wit
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h family members. Which area should the nursing attendant assess closely? a. Ears
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b. Eyes
c. Head
d. Hands
ACCURATE ANSWER:-A ra



Children of homeless families are often in fair or poor health and have higher rates of asthma, ea
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r infections, stomach problems, and mental illness. Eyes, head, and hands are not as likely to
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be negatively affected as the ears.
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DIF:Apply (application) ra



OBJ:Discuss factors that promote or impede family health. ra ra ra ra ra ra ra TOPIC: Assessment MSC: ar ra ra



Health Promotion and Maintenance ra ra ra




8. The nursing attendant is interviewing a hospital client who is being admitted to the h
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ospital. ar



The hospital client ’s family went home before the nursing attendant ’s interview. The
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nursi