C HAPTER 10: F AMILY D YNAMICS
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse suspects that there is physical abuse present after visiting the
client in the home. In recognition of the pattern of famil y violence, the
nurse knows that:
A. Child abuse is declining in freque ncy
B. Spouses are the most frequent abusers
C. Mental illness is a major cause of abuse
D. Abuse is primaril y seen in lower income families
ANS: B
In recognition of the pattern of famil y violence, the nurse knows that
spouses are the most frequent abusers. Child abuse is increasing, not
decreasing. Mental illness may increase the incidence of abuse within a
famil y, but is not a major cause of abuse. Emotional, physical, and
sexual abuse occurs across all social classes.
DIF: A REF: 124 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance/Family S ystems;
Psychosocial Integrity/Famil y Dynamics
2. The primary goal of famil y-centered nursing is to:
, A. Promote the wellness of the famil y and its members
B. Implement appropriate care for the famil y and its members
C. Provide support and care for the famil y and its individual members
D. Identify physical and emotional problems affecting the famil y as a
unit
ANS: C
The goal of famil y-centered nursing care is to promote, support, and
provide for the well -being and health of the famil y and individual
famil y members. While the other options are appropriate goals, they
are not the primary goal because promoting, supporting, and providing
for the well - being and health of the family and individual famil y
members will result in this option
DIF: C REF: 122 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/Famil y S ystems; Psychosocial
Integrit y/Famil y Dynamics
3. A nurse who is sensitive to the care of families recognizes that the term
famil y is primaril y defined:
A. As individuals legally bound to the client
B. As people with biological connections to the client
C. In terms generall y accepted by the majority of clients
D. By the client as individuals important to the client
ANS: D
, A nurse can think of the famil y as a set of relationships that the client
identifies as famil y or as a network of individuals who influence each
others lives. People related legall y and biologicall y may b e criterion
used to determine famil y. General terms may not be correct in todays
diversified world.
DIF: C REF: 122 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/Famil y S ystems; Psychosoci al
Integrit y/Famil y Dynamics
4. The nurse is preparing a new mother for discharge when the woman shares
that she is worried about going back to work and its effects on m y infant.
The most therapeutic response by the nurse is:
A. Do you want to go back to work?
B. Just be sure you have an excellent baby sitter.
C. There is no proof that working will harm your baby.
D. Can your husband share in the child care responsibilities?
ANS: C
Balancing employment and famil y life creates a variet y of challenges
in terms of child car e and household work for both parents. There is no
proof maternal employment is damaging for children (Shpancer and
others, 2006; Hill, 2005). Although the other options may be true or
attempt to offer a solution, they do not address her concerns regarding
the effects on her child.
DIF: C REF: 123 OBJ: Anal ysis TOP: Nursing Process:
Implementation MSC: NC LEX test plan designation: Health
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse suspects that there is physical abuse present after visiting the
client in the home. In recognition of the pattern of famil y violence, the
nurse knows that:
A. Child abuse is declining in freque ncy
B. Spouses are the most frequent abusers
C. Mental illness is a major cause of abuse
D. Abuse is primaril y seen in lower income families
ANS: B
In recognition of the pattern of famil y violence, the nurse knows that
spouses are the most frequent abusers. Child abuse is increasing, not
decreasing. Mental illness may increase the incidence of abuse within a
famil y, but is not a major cause of abuse. Emotional, physical, and
sexual abuse occurs across all social classes.
DIF: A REF: 124 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Health Promotion and Maintenance/Family S ystems;
Psychosocial Integrity/Famil y Dynamics
2. The primary goal of famil y-centered nursing is to:
, A. Promote the wellness of the famil y and its members
B. Implement appropriate care for the famil y and its members
C. Provide support and care for the famil y and its individual members
D. Identify physical and emotional problems affecting the famil y as a
unit
ANS: C
The goal of famil y-centered nursing care is to promote, support, and
provide for the well -being and health of the famil y and individual
famil y members. While the other options are appropriate goals, they
are not the primary goal because promoting, supporting, and providing
for the well - being and health of the family and individual famil y
members will result in this option
DIF: C REF: 122 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/Famil y S ystems; Psychosocial
Integrit y/Famil y Dynamics
3. A nurse who is sensitive to the care of families recognizes that the term
famil y is primaril y defined:
A. As individuals legally bound to the client
B. As people with biological connections to the client
C. In terms generall y accepted by the majority of clients
D. By the client as individuals important to the client
ANS: D
, A nurse can think of the famil y as a set of relationships that the client
identifies as famil y or as a network of individuals who influence each
others lives. People related legall y and biologicall y may b e criterion
used to determine famil y. General terms may not be correct in todays
diversified world.
DIF: C REF: 122 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/Famil y S ystems; Psychosoci al
Integrit y/Famil y Dynamics
4. The nurse is preparing a new mother for discharge when the woman shares
that she is worried about going back to work and its effects on m y infant.
The most therapeutic response by the nurse is:
A. Do you want to go back to work?
B. Just be sure you have an excellent baby sitter.
C. There is no proof that working will harm your baby.
D. Can your husband share in the child care responsibilities?
ANS: C
Balancing employment and famil y life creates a variet y of challenges
in terms of child car e and household work for both parents. There is no
proof maternal employment is damaging for children (Shpancer and
others, 2006; Hill, 2005). Although the other options may be true or
attempt to offer a solution, they do not address her concerns regarding
the effects on her child.
DIF: C REF: 123 OBJ: Anal ysis TOP: Nursing Process:
Implementation MSC: NC LEX test plan designation: Health
