Chapter 12: A Family Perspective In Community/Public Health Nursing

15 Questions | Total Attempts: 35

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Chapter 12: A Family Perspective In Community/Public Health Nursing

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Questions and Answers
  • 1. 
    1. When a home health nurse visits a family for the first time, what is the nurses primary goal?
    • A. 

      A. Complete physical examinations on as many family members as time allows.

    • B. 

      B. Have the family complete as many assessment tools as time allows.

    • C. 

      C. Make sure all records, including third-party payer information, are accurate.

    • D. 

      D. Observe and interview the family to identify family strengths and needs.

  • 2. 
    2. After completing an assessment, the nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an incredible organizer. Which of the following goals is the nurse trying to achieve by making this statement?
    • A. 

      A. Making the husband proud that he had married his wife

    • B. 

      B. Making the wife feel very complimented and positive

    • C. 

      C. Encouraging the wife to volunteer to follow through on all the needed actions

    • D. 

      D. Reinforcing for the family some of the strengths of one of their family members

  • 3. 
    3. Upon what variable are Duvalls developmental stages based?
    • A. 

      A. Age of the oldest child

    • B. 

      B. Age of the parent or parents

    • C. 

      C. Family function

    • D. 

      D. Family structure

  • 4. 
    4. Why would a family strenuously resist the nurses efforts to be helpful?
    • A. 

      A. People have the tendency to want to stay the same.

    • B. 

      B. The family as a system operates on the principle of equifinality.

    • C. 

      C. The nurse crossed the familys coping boundary.

    • D. 

      D. The family system is trying to achieve entropy.

  • 5. 
    5. After completing an assessment and discussing the plan of care with the family, upon which member would the nurse focus effort?
    • A. 

      A. The adult patient with the acute flare-up of chronic illness

    • B. 

      B. The child who, being young, was energetic and enthusiastic

    • C. 

      C. The extended family, who had to learn to become a resource

    • D. 

      D. The spouse, who was flexible and able to cope

  • 6. 
    6. In the midst of anxiety and concern over the new diagnosis, it seems that every family member was distancing himself or herself from the rest of the family. What mechanism would the nurse recognize that the family members are using?
    • A. 

      A. Anger reduction strategies

    • B. 

      B. Double-bind communication

    • C. 

      C. Circumplex modeling

    • D. 

      D. Triangling

  • 7. 
    7. The nurse is caring for a family who is very anxious and tense. Which of the following would be the most appropriate nursing intervention?
    • A. 

      A. Being supportive as the family debates what should be done about the problems

    • B. 

      B. Calmly discussing the familys perception of their problems and coping mechanisms

    • C. 

      C. Sharing with the family the interventions to be made and the goal of the interventions

    • D. 

      D. Telling the family what should be done to reduce their anxiety and fearfulness

  • 8. 
    8. Which of the following would be better understood by the nurse after using a family map?
    • A. 

      A. Recognition of the communicator and leader who speaks for the family

    • B. 

      B. Description of the genogram or family tree of the family

    • C. 

      C. Identification of the geographic location of neighborhood resources for the family

    • D. 

      D. Roles and relationships within the family

  • 9. 
    9. Which of the following statements would be the most accurate description of symbolic interaction in a family?
    • A. 

      A. Behaviors of one person are the cause of behaviors in another family member.

    • B. 

      B. Behaviors of one person are the effect of behaviors in another family member.

    • C. 

      C. Behaviors of one person are both the cause and the effect of behaviors in another family member.

    • D. 

      D. Behavior within the family is consistent, patterned, and repetitious.

  • 10. 
    10. A community/public health nurse is working with a family who is having difficulty with communication. Which of the following behaviors would cause the nurse to be concerned?
    • A. 

      A. Family members communicate through behaviors and verbal statements.

    • B. 

      B. Family members use rules to regulate behaviors in the family.

    • C. 

      C. Family members use double-bind messages.

    • D. 

      D. Family members communicate through metacommunication.

  • 11. 
    11. A nurse has completed an assessment and diagnosed a familys problems. Which of the following actions should the nurse take next?
    • A. 

      A. Determining which problem should be addressed first

    • B. 

      B. Emphasizing the familys adaptability, strengths, and resources

    • C. 

      D. Writing the diagnoses in the order of their priority

    • D. 

      D. Writing the diagnoses in the order of their priority

  • 12. 
    12. According to the ABCX model, with which of the following feelings or behaviors will a typical family react after a crisis occurs?
    • A. 

      A. Disorganization, recovery, and then reorganization

    • B. 

      B. Grief, anger, denial, and then frustration

    • C. 

      C. Loss, confusion, and then seeking answers

    • D. 

      D. Shock, denial, and then acceptance

  • 13. 
    13. What are the two phases that families experience after a major life event?
    • A. 

      A. Asking for help and accepting assistance

    • B. 

      B. Seeking assistance and relying on the familys own resources

    • C. 

      C. Temporary adjustment and long-term adaptation

    • D. 

      D. Reduction of stressors and adapting to reduce tensions

  • 14. 
    14. Which of the following variables makes some families more vulnerable to dysfunction than others in facing a particular crisis?
    • A. 

      A. A family members moving away

    • B. 

      B. Addition of a new family member

    • C. 

      C. Additional stressful events

    • D. 

      D. Previous experience with stressful events

  • 15. 
    15. Which of the following actions should a community/public health nurse perform when providing care with the use of a family perspective?
    • A. 

      A. Assessing all individuals for necessary services and interventions

    • B. 

      B. Engaging in therapy on the basis of theories of communication and symbolic interaction

    • C. 

      C. Maximizing the health and well-being of all individuals within a family

    • D. 

      D. Suggesting appropriate roles for various family members during a crisis

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