[community Public Health] Chapter 12: A Family Perspective In Community/Public Health
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- 1.
When a home health nurse visits a family for the first time, what is the nurses primary goal?
- A.
Complete physical examinations on as many family members as time allows.
- B.
Have the family complete as many assessment tools as time allows.
- C.
Make sure all records, including third-party payer information, are accurate.
- D.
Observe and interview the family to identify family strengths and needs.
Correct Answer
D. Observe and interview the family to identify family strengths and needs.Explanation
The nurse's primary goal when visiting a family for the first time is to observe and interview the family to identify their strengths and needs. This allows the nurse to gather important information about the family's health status, living conditions, support systems, and any specific challenges they may be facing. By understanding the family's strengths and needs, the nurse can develop a personalized care plan and provide appropriate support and resources to promote the family's well-being.Rate this question:
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- 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.
Making the husband proud that he had married his wife
- B.
Making the wife feel very complimented and positive
- C.
Encouraging the wife to volunteer to follow through on all the needed actions
- D.
Reinforcing for the family some of the strengths of one of their family members
Correct Answer
D. Reinforcing for the family some of the strengths of one of their family membersExplanation
The nurse is trying to reinforce for the family some of the strengths of the wife by referring to her as an incredible organizer. This statement is aimed at highlighting the wife's positive qualities and acknowledging her ability to effectively manage tasks and responsibilities. It serves as a way to boost the wife's self-esteem and confidence, while also emphasizing the value she brings to the family dynamic. By recognizing and reinforcing her strengths, the nurse is promoting a positive and supportive environment within the family.Rate this question:
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- 3.
Upon what variable are Duvalls developmental stages based?
- A.
Age of the oldest child
- B.
Age of the parent or parents
- C.
Family function
- D.
Family structure
Correct Answer
A. Age of the oldest childExplanation
Duvall's developmental stages are based on the age of the oldest child in the family. These stages describe the different tasks and challenges that families face as their children grow and develop. The age of the oldest child is important because it determines the specific needs and demands that parents and families will experience at each stage. By understanding the age of the oldest child, Duvall's model helps professionals and researchers to better understand and support families throughout their developmental journey.Rate this question:
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- 4.
Why would a family strenuously resist the nurses efforts to be helpful?
- A.
People have the tendency to want to stay the same.
- B.
The family as a system operates on the principle of equifinality.
- C.
The nurse crossed the familys coping boundary.
- D.
The family system is trying to achieve entropy.
Correct Answer
A. People have the tendency to want to stay the same.Explanation
The correct answer is "People have the tendency to want to stay the same." This answer suggests that the family may resist the nurse's efforts to be helpful because they are resistant to change. It implies that the family prefers to maintain the status quo and may be uncomfortable with any disruptions or interventions that could potentially alter their current situation.Rate this question:
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- 5.
After completing an assessment and discussing the plan of care with the family, upon which member would the nurse focus effort?
- A.
The adult patient with the acute flare-up of chronic illness
- B.
The child who, being young, was energetic and enthusiastic
- C.
The extended family, who had to learn to become a resource
- D.
The spouse, who was flexible and able to cope
Correct Answer
D. The spouse, who was flexible and able to copeExplanation
The nurse would focus effort on the spouse because they are described as flexible and able to cope. This indicates that the spouse may be better equipped to handle the challenges of the patient's illness and provide support. Additionally, focusing on the spouse can help ensure that they are supported and able to continue providing care for the patient.Rate this question:
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- 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.
Anger reduction strategies
- B.
Double-bind communication
- C.
Circumplex modeling
- D.
Triangling
Correct Answer
D. TrianglingExplanation
Triangling is a mechanism that the nurse would recognize the family members are using in this situation. Triangling refers to a pattern where one family member, usually a child, becomes the focus of conflict between two other family members, often the parents. In this case, the family members are distancing themselves from each other, which indicates that they may be using the triangling mechanism as a way to cope with their anxiety and concern over the new diagnosis. This pattern allows them to avoid direct communication and confrontation with each other, instead using the child as a buffer or a distraction from their own issues.Rate this question:
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- 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.
Being supportive as the family debates what should be done about the problems
- B.
Calmly discussing the families perception of their problems and coping mechanisms
- C.
Sharing with the family the interventions to be made and the goal of the interventions
- D.
Telling the family what should be done to reduce their anxiety and fearfulness
Correct Answer
B. Calmly discussing the families perception of their problems and coping mechanismsExplanation
Calmly discussing the family's perception of their problems and coping mechanisms would be the most appropriate nursing intervention because it acknowledges the family's anxiety and tension while providing a supportive and understanding approach. By discussing their perception of the problems, the nurse can gain insight into their concerns and fears, allowing for a more personalized and effective care plan. Additionally, discussing coping mechanisms can help the family develop strategies to manage their anxiety and tension in a healthy way.Rate this question:
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- 8.
Which of the following would be better understood by the nurse after using a family map?
- A.
Recognition of the communicator and leader who speaks for the family
- B.
Description of the genogram or family tree of the family
- C.
Identification of the geographic location of neighborhood resources for the family
- D.
Roles and relationships within the family
Correct Answer
D. Roles and relationships within the familyExplanation
Using a family map helps the nurse to better understand the roles and relationships within the family. A family map is a visual representation that shows the connections and dynamics between family members. By creating and analyzing this map, the nurse can gain insight into the various roles each family member plays and the relationships between them. This understanding is important for providing effective care and support to the family.Rate this question:
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- 9.
Which of the following statements would be the most accurate description of symbolic interaction in a family?
- A.
Behaviors of one person are the cause of behaviors in another family member.
- B.
Behaviors of one person are the effect of behaviors in another family member.
- C.
Behaviors of one person are both the cause and the effect of behaviors in another family member.
- D.
Behavior within the family is consistent, patterned, and repetitious.
Correct Answer
C. Behaviors of one person are both the cause and the effect of behaviors in another family member.Explanation
Symbolic interaction in a family refers to the idea that the behaviors of one person in the family can both influence and be influenced by the behaviors of another family member. This means that the actions and interactions between family members are reciprocal, with each person affecting the behavior of the other. This understanding recognizes that family dynamics are complex and that individuals within the family system have a mutual influence on each other's behavior.Rate this question:
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- 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.
Family members communicate through behaviors and verbal statements.
- B.
Family members use rules to regulate behaviors in the family.
- C.
Family members use double-bind messages.
- D.
Family members communicate through metacommunication.
Correct Answer
C. Family members use double-bind messages.Explanation
Double-bind messages are contradictory or confusing messages that can create a sense of powerlessness and confusion for the receiver. This can be detrimental to effective communication within the family and may indicate underlying issues or dysfunctional dynamics. The nurse would be concerned because double-bind messages can lead to misunderstandings, conflict, and difficulty in resolving problems. It is important for effective communication that messages are clear, consistent, and congruent.Rate this question:
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- 11.
A nurse has completed an assessment and diagnosed a families problems. Which of the following actions should the nurse take next?
- A.
Determining which problem should be addressed first
- B.
Emphasizing the families adaptability, strengths, and resources
- C.
Sharing conclusions with the nurses employing agency
- D.
Writing the diagnoses in the order of their priority
Correct Answer
B. Emphasizing the families adaptability, strengths, and resourcesExplanation
After completing the assessment and diagnosing the family's problems, the nurse should emphasize the family's adaptability, strengths, and resources. This is important because it helps to empower the family and encourages them to take an active role in their own healthcare. By focusing on their strengths and resources, the nurse can help the family to identify and utilize their existing abilities and support systems, which can ultimately lead to better outcomes. This approach also promotes a more holistic and patient-centered approach to care.Rate this question:
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- 12.
According to the ABCX model, with which of the following feelings or behaviors will a typical family react after a crisis occurs?
- A.
Disorganization, recovery, and then reorganization
- B.
Grief, anger, denial, and then frustration
- C.
Loss, confusion, and then seeking answers
- D.
Shock, denial, and then acceptance
Correct Answer
A. Disorganization, recovery, and then reorganizationExplanation
The ABCX model suggests that a typical family will react to a crisis by going through a process of disorganization, followed by a period of recovery, and finally reorganization. This means that initially, the family may feel overwhelmed and disoriented as they try to cope with the crisis. Then, they will gradually start to recover and regain their stability. Finally, they will work towards reorganizing their lives and adapting to the changes brought about by the crisis. This model highlights the natural progression of emotions and behaviors that families go through in response to a crisis.Rate this question:
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- 13.
What are the two phases that families experience after a major life event?
- A.
Asking for help and accepting assistance
- B.
Seeking assistance and relying on the families own resources
- C.
Temporary adjustment and long-term adaptation
- D.
Reduction of stressors and adapting to reduce tensions
Correct Answer
C. Temporary adjustment and long-term adaptationExplanation
After a major life event, families go through two phases: temporary adjustment and long-term adaptation. In the temporary adjustment phase, families make immediate changes to cope with the new situation. This phase involves finding temporary solutions and strategies to deal with the challenges brought by the life event. Once the initial adjustment is made, families move towards long-term adaptation, where they make more permanent changes to their lifestyle and routines. During this phase, families learn to adapt to the new circumstances and find ways to integrate the changes into their daily lives.Rate this question:
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- 14.
Which of the following variables makes some families more vulnerable to dysfunction than others in facing a particular crisis?
- A.
A family members moving away
- B.
Addition of a new family member
- C.
Additional stressful events
- D.
Previous experience with stressful events
Correct Answer
C. Additional stressful eventsExplanation
Additional stressful events can make some families more vulnerable to dysfunction than others in facing a particular crisis. When a family is already experiencing multiple stressors, such as financial difficulties, health problems, or relationship issues, the added pressure of a crisis can further strain their ability to cope. This can lead to increased dysfunction within the family, as they may struggle to effectively communicate, problem-solve, or provide support to one another. In contrast, families with fewer existing stressors may be better equipped to handle a crisis and maintain functioning.Rate this question:
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- 15.
Which of the following actions should a community/public health nurse perform when providing care with the use of a family perspective?
- A.
Assessing all individuals for necessary services and interventions
- B.
Engaging in therapy on the basis of theories of communication and symbolic interaction
- C.
Maximizing the health and well-being of all individuals within a family
- D.
Suggesting appropriate roles for various family members during a crisis
Correct Answer
C. Maximizing the health and well-being of all individuals within a familyExplanation
A community/public health nurse should perform the action of maximizing the health and well-being of all individuals within a family when providing care with the use of a family perspective. This means that the nurse should focus on promoting the health and well-being of every member of the family, taking into consideration their individual needs and circumstances. By doing so, the nurse can ensure that the entire family unit is supported and empowered to achieve optimal health outcomes.Rate this question:
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Mar 16, 2023Quiz Edited by
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May 06, 2020Quiz Created by
Draconisnightman
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