[community Public Health] Chapter 13: Family Case Management

24 Questions | Total Attempts: 30

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[community Public Health] Chapter 13: Family Case Management

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Questions and Answers
  • 1. 
    Why do community/public health nurses focus on families?
    • A. 

      Families will understand the higher cost of care if they are active participants.

    • B. 

       Improving the health of a family improves the health of a community.

    • C. 

       Nurses find such a focus much easier than trying to focus on the community.

    • D. 

      Nurses allow family members to receive respite by providing this type of care.

  • 2. 
    A community/public health nurse is visiting a family for the first time. Which of the following should be the priority action for the nurse?
    • A. 

      Assessing how the family is adjusting to the illness of the sick family member

    • B. 

      Clarifying what insurance or third-party payer is reimbursing this care

    • C. 

      Determining the problem or reason for the referral

    • D. 

      Establishing a relationship with the family

  • 3. 
    What is the primary goal of case management of families?
    • A. 

      To ensure the care is given in the most cost-effective manner possible

    • B. 

      To coordinate all of the community agencies involved in care of the family

    • C. 

      To focus on communication, counseling, and teaching

    • D. 

      To work to maximize the families self-care capabilities

  • 4. 
    A community/public health nurse is conducting a family assessment. Which source of data would be most helpful?
    • A. 

      Information from other cooperating health care agencies

    • B. 

       Input from other professional health care providers

    • C. 

       Observation and interaction with the family members

    • D. 

      Review of family members charts and medical record data

  • 5. 
    A nurse met with a client before hospital discharge to make arrangements to visit the client at home. Why would the nurse visit the clients home when the assessment could be completed while the client is still in the hospital?
    • A. 

      The client may not realize all of the assistance that is needed until he or she returns home.

    • B. 

       The client needed time to consider the community resources that would be used in the future.

    • C. 

      The nurse wanted to include family and environmental conditions in the assessment.

    • D. 

      The nurse wanted to ask the client questions in a private setting.

  • 6. 
    A home health nurse was making an initial visit to an elderly man. As the nurse began the assessment, the mans wife gave all of the information requested. Which of the following actions should the nurse take next?
    • A. 

      Agreeing on appropriate interventions with the family

    • B. 

      Determining appropriate nursing diagnoses

    • C. 

      Assessing the environment of the wider community

    • D. 

       Confirming the information with the client

  • 7. 
    A nurse is assigned to care for a client who has just been discharged from the hospital. What should be the nurses priority assessment after discovering that other family members desperately need health care as well?
    • A. 

      Focusing on identified problems and the person with the most problems

    • B. 

      Reviewing the home and the immediate environment for external problems

    • C. 

      Interviewing the family members to get an overall picture of family functioning

    • D. 

      Providing care for the client who has been discharged from the hospital

  • 8. 
    The community/public health nurse asks a married couple to review important family events. What is the nurse accomplishing through this review?
    • A. 

      Giving the family members an opportunity to emote about negative events

    • B. 

      Recognizing how past events have changed their lives

    • C. 

       Providing an opportunity to review how they interact with each other

    • D. 

      Putting distance between past events and current reality

  • 9. 
    When a clients wife asked whether the nurse would like a tour of the yard and her gardens, the nurse agreed immediately. Considering the limited time the nurse had to spend with the family, why did the nurse agree to tour the gardens?
    • A. 

       Accepting the invitation encourages the wife to speak privately to the nurse.

    • B. 

      Completing the environmental assessment will assist with drawing a genogram.

    • C. 

      Examining of the environment helps identify potential health or safety problems.

    • D. 

       Touring the grounds allows the nurse to learn more about the family.

  • 10. 
    A nurse asked quite a few questions about what each family member did during the day, including school, work, and recreation outside the home. What was the nurse accomplishing by asking these questions?
    • A. 

      Assessing the community environment for possible community-wide problems

    • B. 

      Creating a picture of the families relationships with outside agencies and resources

    • C. 

      Looking for topics the nurse might have in common with a family member

    • D. 

      Seeking an appropriate topic around which to establish rapport

  • 11. 
    The nurse used multiple assessment tools to gather data on the family, which resulted in the nurses feeling overwhelmed. What action should the nurse take next?
    • A. 

      Meet with the agency supervisor and review the data together.

    • B. 

      Summarize all the data into five or six categories.

    • C. 

      Talk to a colleague and share the information gathered.

    • D. 

      Work with the family at the next visit to draw conclusions.

  • 12. 
    A mother was very upset and said to a nurse, My mother would never have allowed such behavior. I punish the baby for doing it, and she just does it again. What conclusion can the nurse make from this interaction?
    • A. 

      The family should be referred to community resources such as a daycare center.

    • B. 

      The infant may be developmentally delayed.

    • C. 

      The family needs assistance with growth and development education.

    • D. 

      The mothers actions need to be reported to children protective services.

  • 13. 
    After a family and a nurse discussed the family needs, they began to discuss what each member of the family might be willing to contribute. Which of the following would be the most important variable in determining the probable success of the plan?
    • A. 

      What is involved in the plan

    • B. 

      When the plan is scheduled to be implemented

    • C. 

      Where the plan will be implemented

    • D. 

      Who agreed to implementing the plan

  • 14. 
    A community/public health nurse is teaching a family about how to care for an ill member of the family. Upon which family member should the nurse focus on teaching?
    • A. 

      Teach the family member with the most resilience and competence to do what must be done to ensure that it gets done.

    • B. 

      Teach the ill member what must be done because he or she is responsible for his or her own care.

    • C. 

      Teach the weakest family member what must be done because that will strengthen his or her position in the family.

    • D. 

      Teach the wife or mother what must be done because caring for others is a female role and expectation.

  • 15. 
    After assessment and discussion with a family, a nurse had a list of 12 areas of need, none of which involved life-threatening issues. Which of the following needs should the nurse address first?
    • A. 

      The area in which the nurse is most expert

    • B. 

      The area the family wants to address first

    • C. 

      The area in which the nurse is most able to obtain resources to assist

    • D. 

      The area that matches the agencies current marketing plan

  • 16. 
    A community/public health nurse is providing care in the home of a family with children. The father returned from the physician during the nurses visit and reported that the physician wanted several diagnostic tests performed. The father believed that the physician had looked quite serious. Which of the following actions would be most appropriate for the nurse?
    • A. 

      Assisting both parents with recognizing and meeting their children needs

    • B. 

      Discussing illness management skills with the father and mother

    • C. 

      Sharing literature about hospice and family needs at the end of life

    • D. 

      Helping the family deal with anxiety and uncertainty

  • 17. 
     The father of a family was told he had metastatic pancreatic cancer too advanced for any treatment. Which of the following is the most appropriate intervention for the nurse?
    • A. 

      Assisting the family in finding a physician who can offer hope and possible treatment

    • B. 

      Helping the family deal with anxiety and uncertainty

    • C. 

      Sharing information about hospice and family needs at the end of life

    • D. 

      Trying to help the family find meaning in their situation

  • 18. 
    The teenage mother admitted to the nurse that sometimes she was sorry she had the baby, and all she wanted was to be able to sleep all night. Which of the following is the most appropriate action for the nurse to take?
    • A. 

      Ask the grandmother if she could take the baby for a few nights so the teenager could catch up on her sleep.

    • B. 

       Assure the mother that her feelings were normal and that no one likes being exhausted.

    • C. 

      Call Children Protective Services as this mother is at high risk for child abuse.

    • D. 

      Explain normal growth and development for toddlers.

  • 19. 
     A family had just moved to the city when the illness struck the father. The wife had always been a stay-at-home mother with the three young children. The nurse developed a list of short-term resources for the family. Which of the following actions should the nurse take next?
    • A. 

      Give the family the complete list, including the free transportation assistance program.

    • B. 

       Involve the family with a local church where people could educate the family about the community and be supportive.

    • C. 

      Share with the family two resources that are the most immediate needs: namely, housing and food.

    • D. 

      Tell the family about all the resources and let the family decide what to do with the list.

  • 20. 
    A community/public health nurse is working with a family whose members are experiencing an incredible amount of stress. Which source of social support should the nurse encourage the family to use?
    • A. 

       Family service workers from the agency

    • B. 

      Close friends and neighbors

    • C. 

      Family self-help groups

    • D. 

      Mental health counseling centers

  • 21. 
    The nurse has suggested that a family make several changes to make the care for their technology-dependent child easier, more effective, and even faster. However, the family took no action. Which of the following would explain the lack of response by the family?
    • A. 

      The family did not like the nurses suggestions but were too polite to tell the nurse.

    • B. 

      The family did not really understand the nurses suggestions.

    • C. 

      The family lacked the resources necessary to implement the nurses suggestions.

    • D. 

       All families have a tendency to resist change, even if it is helpful.

  • 22. 
    Two nurses were discussing a family that was undergoing two major crises simultaneously. The nurse assigned to the family decided to work on helping the family learn better coping mechanisms. The colleague asked why the nurse would try to create change when the family was under so much stress at the moment. Which of the following responses would be the most appropriate?
    • A. 

      At the moment, I dont think the family will even notice Im helping them change.

    • B. 

      Im only focusing on one person because if I can get one member to change, the others will change as well.

    • C. 

      Now is when the family may recognize the need for change.

    • D. 

      The family is under so much stress that one more stressor wont matter.

  • 23. 
    Which of the following interventions would a nurse use to keep a family interaction focused on the problems that need to be resolved or improved?
    • A. 

      Clarifying the consequences if the problems are not resolved

    • B. 

      Emphasizing how many sessions the family may receive

    • C. 

      Stressing the seriousness of the problems that are confronting the family

    • D. 

       Demonstrating that there is no one else to help the family unless they act now

  • 24. 
    Which of the following actions best demonstrates the use of summative evaluation?
    • A. 

      Explaining the goals of blood glucose control and the diabetic diet plan

    • B. 

      Asking a diabetic client what he ate for the last three meals to see whether it fits the diet plan

    • C. 

      Reviewing the daily blood glucose levels each week with a diabetic client

    • D. 

      Quizzing a diabetic client about his current diabetic medications before discharge

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