NURSING FUNDAMENTALS

1.

Which of the following is a current trend in families or family living?
- A.
  
  People marrying earlier
- B.
  
  Reduction in the divorce rate
- C.
  
  People having more children
- D.
  
  More people choosing to live alone
Correct Answer
D. More people choosing to live alone

Explanation
The number of people living alone is expanding rapidly and represents approximately 26% of all households. People are marrying later, not earlier. The rate of divorce appears to have stabilized, with approximately 55% of marriages ending in divorce. Couples are choosing to have fewer children or none at all.

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2.

The best communicator is the nurse who:
- A.
  
  Thinks critically
- B.
  
  Is a good listener
- C.
  
  Is comfortable talking
- D.
  
  Empathizes with the client
Correct Answer
A. Thinks critically

Explanation
Nurses who develop good critical thinking skills make the best communicators. The remaining options identify components of good communication.

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3.

Initially, the nurse should begin by doing what in completing a client’s family assessment?
- A.
  
  Collecting health data from all the family members
- B.
  
  Testing the family’s ability to cope with normal stressors
- C.
  
  Evaluating the family’s interpersonal communication patterns
- D.
  
  Determining the client’s definition of familiar structure and attitudes
Correct Answer
D. Determining the client’s definition of familiar structure and attitudes

Explanation
The nurse begins the family assessment by determining the client’s definition of and attitude toward family and the extent to which the family may be incorporated into nursing care. The nurse also assesses family form and membership. Gathering health data from the family members is not the starting point for a family assessment. Testing a family’s ability to cope is not where the nurse should begin a family assessment. Evaluating communication barriers would not be an initial action of the nurse when completing a client’s family assessment.

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4.

What would a nurse expect to find in an assessment of a healthy family?
- A.
  
  Change is viewed as detrimental to the family.
- B.
  
  There is a passive response to most stressors.
- C.
  
  The structure is flexible enough to adapt to crises.
- D.
  
  Minimum influence is being exerted on the environment.
Correct Answer
C. The structure is flexible enough to adapt to crises.

Explanation
A healthy family has a flexible structure that allows adaptable performance of tasks and acceptance of help from outside the family system. The structure is flexible enough to allow adaptability but not so flexible that the family lacks cohesiveness and a sense of stability. The healthy family is able to integrate the need for stability with the need for growth and change. It does not view change as detrimental to family processes. The healthy family demonstrates control over the environment and does not passively respond to stressors. The healthy family exerts influence on the immediate environment of home, neighborhood, and school.

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5.

The primary goal of family-centered nursing is to:
- A.
  
  Promote the wellness of the family and its members
- B.
  
  Implement appropriate care for the family and its members
- C.
  
  Provide support and care for the family and its individual members
- D.
  
  Identify physical and emotional problems affecting the family as a unit
Correct Answer
C. Provide support and care for the family and its individual members

Explanation
The goal of family-centered nursing care is to promote, support, and provide for the well-being and health of the family and individual family 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 family members will result in this option

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Nursing Fundamentals

Which of the following is a current trend in families or family living?

The best communicator is the nurse who:

Initially, the nurse should begin by doing what in completing a client’s family assessment?

What would a nurse expect to find in an assessment of a healthy family?

The primary goal of family-centered nursing is to: