[community Public Health] Chapter 14: Multiproblem Families
![[community Public Health] Chapter 14: Multiproblem Families - Quiz](https://media.proprofs.com/images/QM/user_images/1826446/New%20Project%20(10)(41).webp "[community Public Health] Chapter 14: Multiproblem Families - Quiz")
- 1.
A community/public health nurse has been having difficulty interacting with a family with multiple problems and has asked the agency supervisor for advice. Which of the following actions will most likely be suggested?
- A.
Exchange caseloads with another nurse at periodic intervals to obtain fresh insight
- B.
Reassure the family that things will eventually be alright.
- C.
Help the family recognize how they are responsible for their own problems.
- D.
Recognize that the family has potential for improvement.
Correct Answer
D. Recognize that the family has potential for improvement.Explanation
The correct answer suggests that the agency supervisor will most likely advise the nurse to recognize that the family has the potential for improvement. This implies that the nurse should approach the family with a positive and optimistic mindset, acknowledging that they have the ability to overcome their problems. By recognizing their potential for improvement, the nurse can provide support and guidance to help the family make positive changes in their lives. This approach is more constructive and empowering compared to simply reassuring the family or placing blame on them.Rate this question:
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- 2.
A home health nurse felt overwhelmed and asked to be assigned to a better neighborhood. Why would the agency supervisor decline to change the nurses assignment?
- A.
Although the nurse is just beginning to assess the families, the nurses continued efforts to visit and support the families will be therapeutic.
- B.
Lots of nurses are willing to work in nice neighborhoods; most agencies need nurses who are willing to work in poor, needy neighborhoods
- C.
The nurse had signed a contract and must work where assigned, regardless of personal feelings.
- D.
The nurse is capable of learning about how to improve interactions with these families and will do better with experience.
Correct Answer
A. Although the nurse is just beginning to assess the families, the nurses continued efforts to visit and support the families will be therapeutic.Explanation
The agency supervisor would decline to change the nurse's assignment because the nurse's continued efforts to visit and support the families will be therapeutic. This suggests that the nurse's presence and support are important for the well-being of the families in the neighborhood. It implies that the nurse's role goes beyond just assessing the families and that the agency values the nurse's ability to provide ongoing care and support to the families in need.Rate this question:
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- 3.
Which of the following is the most crucial factor in how a family responds to a natural disaster that almost destroyed their house?
- A.
How many of the families relatives will allow them to move in temporarily
- B.
How much of house is repairable
- C.
How much governmental aid will be given to them to rebuild their house
- D.
How the family perceives the disaster and their ability to cope
Correct Answer
D. How the family perceives the disaster and their ability to copeExplanation
The most crucial factor in how a family responds to a natural disaster that almost destroyed their house is how the family perceives the disaster and their ability to cope. This is because one's perception of the disaster and their mindset can greatly influence their emotional and psychological response to the situation. It can determine whether they feel overwhelmed and helpless or resilient and determined to rebuild. Additionally, their ability to cope, which includes their resilience, support system, and access to resources, plays a significant role in their ability to recover and rebuild their lives after the disaster.Rate this question:
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- 4.
Which of the following is the most probable reason that some families have multiple problems?
- A.
Presence of multiple, ongoing, intense stressors beyond their resources
- B.
Lack of cultural integration into mainstream society
- C.
Being supported by government resources for several generations
- D.
Being unwilling to change or consider new approaches to problems
Correct Answer
A. Presence of multiple, ongoing, intense stressors beyond their resourcesExplanation
Some families may have multiple problems because they are facing multiple, ongoing, intense stressors that exceed their available resources. These stressors could include financial difficulties, health issues, relationship problems, or other challenging circumstances that put a strain on the family's ability to cope and find solutions. These stressors can create a cycle of problems that are difficult to break free from, leading to a multitude of issues within the family.Rate this question:
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- 5.
Having completed an initial assessment, a nurse was overwhelmed with the current problems the family was facing. Which of the following actions should the nurse take first?
- A.
Arranging for tangible sources of external support
- B.
Helping the family explore current and alternative coping mechanisms
- C.
Providing information on crisis management and the health issues that the family is facing
- D.
Recognizing sources of family resiliency and strength
Correct Answer
D. Recognizing sources of family resiliency and strengthExplanation
The nurse should first recognize sources of family resiliency and strength. This is important because it allows the nurse to identify the existing strengths and resources within the family that can help them cope with their current problems. By acknowledging these sources of resilience, the nurse can build upon them and provide support that aligns with the family's strengths. This approach can empower the family and promote their ability to overcome challenges.Rate this question:
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- 6.
Which of the following would make a family with a newborn who is severely handicapped be considered a vulnerable family?
- A.
When all of the choices related to the situation have negative consequences
- B.
When there are no backup caregivers to care for the severely handicapped infant
- C.
When the family welcomes someone else taking responsibility for them
- D.
When the family has to choose a lifestyle that is dependent on others
Correct Answer
A. When all of the choices related to the situation have negative consequencesExplanation
When all of the choices related to the situation have negative consequences, it indicates that the family is facing multiple challenges and difficulties in caring for their severely handicapped newborn. This vulnerability arises from the fact that no matter which option they choose, they will have to face negative outcomes. This suggests that the family is in a particularly difficult and vulnerable situation, as they have limited options and are likely to experience significant hardships in caring for their child.Rate this question:
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- 7.
Statistically, what are poverty-stricken families more likely to have demographically?
- A.
A female head of the family, with few social and financial resources
- B.
Employment outside the immediate neighborhood
- C.
More children than the male head of household can support
- D.
Ongoing predictable life events
Correct Answer
A. A female head of the family, with few social and financial resourcesExplanation
Poverty-stricken families are more likely to have a female head of the family with few social and financial resources. This is because women often face disadvantages in terms of employment opportunities and wages, making it harder for them to escape poverty. Additionally, limited access to education and healthcare can further contribute to their lack of resources. This demographic characteristic increases the vulnerability of poverty-stricken families and makes it more challenging for them to improve their financial situation.Rate this question:
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- 8.
In addition to having low income and few resources, how are poverty-stricken families often notably different from mainstream families?
- A.
Children have been removed from the household by Children Protective Services.
- B.
Many predictable life events occur for which they do not prepare.
- C.
The time for each developmental period is shorter, with ambiguous transitions.
- D.
They have relationships with controlling family members.
Correct Answer
C. The time for each developmental period is shorter, with ambiguous transitions.Explanation
Poverty-stricken families are often notably different from mainstream families because the time for each developmental period is shorter, with ambiguous transitions. This means that children in poverty may not have the same opportunities for growth and development as those in more affluent families. They may be forced to grow up faster and face uncertain transitions between different stages of their lives. This can have long-term effects on their overall well-being and success in life.Rate this question:
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- 9.
Which of the following statements is a reality regarding disturbances in family dynamics and high-risk problems in families?
- A.
Chronic ongoing problems have no relationship to disturbed family dynamics.
- B.
Chronic family problems lead to difficulties in family dynamics.
- C.
Disturbances in these areas lead to the majority of problems in families.
- D.
It is impossible to state which issue leads to the other.
Correct Answer
D. It is impossible to state which issue leads to the other.Explanation
The given answer states that it is impossible to determine which issue, chronic family problems or disturbances in family dynamics, leads to the other. This implies that there is a complex and reciprocal relationship between these two factors, where one can influence and exacerbate the other. It suggests that both chronic family problems and disturbances in family dynamics are interconnected and contribute to high-risk problems in families.Rate this question:
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- 10.
What typically happens to the adults who grew up in maladaptive families?
- A.
They create very different lifestyles, as they promised themselves when very young
- B.
They look back and laugh at how naive they were.
- C.
They repeat the multigenerational life patterns of their parent or parents.
- D.
They attempt to change, but some behaviors consistent with their parents behaviors remain.
Correct Answer
C. They repeat the multigenerational life patterns of their parent or parents.Explanation
Adults who grew up in maladaptive families often repeat the multigenerational life patterns of their parent or parents. This means that despite their attempts to change, they still find themselves engaging in behaviors that are consistent with those of their parents. This can be due to the deep-rooted influence and conditioning they experienced during their upbringing, making it difficult to break free from these patterns. Despite their initial intentions to create different lifestyles, they often find themselves replicating the dysfunctional dynamics they were exposed to as children.Rate this question:
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- 11.
A community/public health nurse is visiting a new teenage mother in her home. As the teenage mother walked into the room, the babies grandmother stated, This whole thing is your fault. Why are you still in this house? The teenager walked out the front door with her baby. Which of the following reasons explains why the grandmother would say such a thing to her teenage daughter?
- A.
The teenager created the problem; therefore, she should be the one to cope with it.
- B.
The grandmother is jealous that the teenager is young and lacks responsibility.
- C.
The use of scapegoating is an attempt to decrease overwhelming anxiety.
- D.
The fight had begun earlier, and the nurse just witnessed a part of the conversation.
Correct Answer
C. The use of scapegoating is an attempt to decrease overwhelming anxiety.Explanation
The grandmother's statement blaming the teenage mother for the situation and asking why she is still in the house suggests that she is using scapegoating as a defense mechanism. By blaming the teenager, the grandmother is attempting to shift the responsibility and decrease her own overwhelming anxiety about the situation. This behavior allows the grandmother to avoid facing her own feelings of guilt, shame, or fear, and instead directs them towards the teenager.Rate this question:
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- 12.
Which of the following internal coping strategies is often used by resilient and adaptive families?
- A.
Expressing their hopelessness with other family members
- B.
Supporting other family members while communicating information
- C.
Refusing to change lifestyles or functions until the crisis is over
- D.
Seeking financial assistance and information from community resources
Correct Answer
B. Supporting other family members while communicating informationExplanation
Resilient and adaptive families often use the internal coping strategy of supporting other family members while communicating information. This means that they provide emotional support and assistance to each other during difficult times, while also sharing important information and updates. By doing so, they create a sense of unity and teamwork within the family, which helps them navigate through crises more effectively. This coping strategy promotes resilience and adaptability by fostering strong relationships and open communication within the family unit.Rate this question:
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- 13.
Although there were many problems, a family was struggling to survive and reached out to others with similar problems. What was this family doing that made the difference between them and families who were not able to cope?
- A.
Expressing their hopelessness and frustration through acting out
- B.
Rearranging roles and tasks of family members while communicating information
- C.
Refusing to change lifestyles or functions until the crisis is over
- D.
Retaining a sense of hope and mutual support
Correct Answer
D. Retaining a sense of hope and mutual supportExplanation
The family was able to cope because they retained a sense of hope and mutual support. Despite facing many problems, they did not give up and instead relied on each other for emotional and practical support. This sense of hope and mutual support allowed them to persevere and find ways to survive.Rate this question:
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- 14.
A community/public health nurse is caring for a family in poverty, who has stated that the nurses visits cause them increased stress. Which of the following assumptions has the family made about health care providers?
- A.
That health care providers blame the family for their problems
- B.
That health care providers expect the family to know about available resources
- C.
That health care providers plan for the short term and do not recognize long-term needs
- D.
That health care providers wait for the family to decide what should be done
Correct Answer
A. That health care providers blame the family for their problemsExplanation
The family assumes that healthcare providers blame them for their problems. This assumption may be based on previous negative experiences or perceptions of judgment from healthcare providers. It is possible that the family feels judged or criticized during the nurse's visits, leading to increased stress. This assumption may affect their willingness to engage with healthcare providers and seek help, potentially impacting their overall health and well-being.Rate this question:
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- 15.
A nurse is planning care for multiproblem families. Which of the following is the most important action for the nurse to take?
- A.
Bring another nurse along to assist.
- B.
Keep goals concrete, realistic, and mutually desired.
- C.
List all needs to be addressed in a systematic, organized manner.
- D.
Plan for longer-than-normal visits.
Correct Answer
B. Keep goals concrete, realistic, and mutually desired.Explanation
The most important action for the nurse to take when planning care for multiproblem families is to keep goals concrete, realistic, and mutually desired. This ensures that the goals set for the family are specific, achievable, and agreed upon by both the nurse and the family. By doing so, the nurse can establish a collaborative and effective care plan that addresses the needs of the family in a practical and meaningful way. This approach promotes engagement and motivation from the family, leading to better outcomes in their overall health and well-being.Rate this question:
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- 16.
After obtaining several resources for a family with multiple problems, a nurse was unprepared when, during the next visit, although two children peeked out the window, no one answered the door. Which of the following best explains why the family did not answer the door?
- A.
They did not want those particular resources.
- B.
They had really expected more from the nurse than they had received.
- C.
They had not had time to clean their house.
- D.
They were testing the nurse to see whether she was really reliable and consistent.
Correct Answer
D. They were testing the nurse to see whether she was really reliable and consistent.Explanation
The best explanation for why the family did not answer the door is that they were testing the nurse to see whether she was really reliable and consistent. This implies that the family wanted to assess the nurse's commitment and dedication to their case before fully engaging with her. By not answering the door, they were intentionally creating a situation to evaluate the nurse's reliability and consistency in her visits and support.Rate this question:
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- 17.
. A home health nurse did not know what to do when a family was home but did not invite the nurse in. Which of the following actions should the nurse take?
- A.
Leave a note saying the nurse would come back, and return as stated in the note.
- B.
Give care to someone who wants nursing care services.
- C.
Report the incident to the agency supervisor and ask to be reassigned elsewhere.
- D.
Stay for awhile; the family might change their mind and let the nurse in.
Correct Answer
A. Leave a note saying the nurse would come back, and return as stated in the note.Explanation
The nurse should leave a note saying that they will come back and return as stated in the note. This is the appropriate action to take when the family is home but does not invite the nurse in. Leaving a note allows the family to know that the nurse was there and provides them with information on when the nurse will return. It is important for the nurse to respect the family's decision and give them the opportunity to reach out if they change their mind.Rate this question:
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- 18.
When working with a multiproblem family, which of the following goals should the nurse approach first?
- A.
The goal that best matches the agencies policies and procedures
- B.
The goal that can be achieved behind the scenes without any effort from the family
- C.
The goal easiest for the nurse to complete because of her or his expertise
- D.
The goal that the family believes is the most important
Correct Answer
D. The goal that the family believes is the most importantExplanation
The goal that the family believes is the most important should be approached first because it ensures that the family's needs and priorities are being addressed. By prioritizing the family's goals, the nurse can establish a trusting and collaborative relationship with the family, which is essential for effective care. Additionally, addressing the family's most important goal can have a positive impact on their motivation and engagement in the care process.Rate this question:
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- 19.
. A home health nurse was visiting an assigned multiproblem family. The grandmother welcomed her in. Two toddlers were playing on the floor, but none of the other adults was present. Which of the following actions should the nurse take?
- A.
Complete a developmental assessment on the two toddlers playing on the floor.
- B.
Focus on interacting with the grandmother, who is caring for the toddlers.
- C.
Refuse to stay because none of the other adults were present.
- D.
Spend the majority of time discussing the need for interaction with the toddlers.
Correct Answer
B. Focus on interacting with the grandmother, who is caring for the toddlers.Explanation
The nurse should focus on interacting with the grandmother, who is caring for the toddlers. This is the most appropriate action because the grandmother is the primary caregiver and responsible for the well-being of the toddlers. By engaging with the grandmother, the nurse can assess her ability to care for the children and provide any necessary support or education. Additionally, building a rapport with the grandmother can help establish trust and open communication, which is essential for the nurse to effectively address any concerns or issues within the family.Rate this question:
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- 20.
A nurse believed that it would be unprofessional to continue in a role that had become intolerable and left the community/public health area to work in acute care. Which of the following actions should the nurse continue to perform?
- A.
Advocate for health legislation and funding supportive of families and professional nursing.
- B.
Encourage new graduates to enter the community/public health nursing area of practice
- C.
Send cards and small gifts to the staff at the nurses former agency.
- D.
Write letters to the newspaper editorial page describing the heroism of the agencies nurses in their ongoing endeavors against great odds.
Correct Answer
A. Advocate for health legislation and funding supportive of families and professional nursing.Explanation
The nurse should continue to advocate for health legislation and funding supportive of families and professional nursing. This action aligns with the nurse's professional role and responsibilities, as it contributes to the improvement of healthcare services and the well-being of the community. By advocating for health legislation and funding, the nurse can help create a supportive environment for families and promote the importance of professional nursing in providing quality care. This action reflects the nurse's commitment to the nursing profession and the betterment of public health.Rate this question:
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- 21.
What is the most important requirement in order for a community/public health nurse to continue to be effective when serving multiproblem families?
- A.
Ongoing graduate study
- B.
Supervision when requested
- C.
Support from other agency staff
- D.
Time for continuing education travel opportunities
Correct Answer
C. Support from other agency staffExplanation
Support from other agency staff is the most important requirement for a community/public health nurse to continue to be effective when serving multiproblem families. This support allows the nurse to collaborate and consult with other professionals, share knowledge and resources, and receive guidance and feedback. It also helps in reducing the workload and stress, promoting a team approach, and enhancing the overall effectiveness and quality of care provided to the families. Supervision when requested, ongoing graduate study, and time for continuing education travel opportunities are also important but not as crucial as the support from other agency staff.Rate this question:
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