Family Health Care Nursing Theory Practice and Research 6 Edition Kaakinen Test Bank Chapter 1: Family Health Care Nursing: An Introduction Multiple Choice: 1. The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care? 1. Interventions in family care address the future plans for the family. 2. Family members must be present before the implementation of family care. 3. Resources are placed to support an ill family member with the greatest chance for recovery. 4. The nurse and family together define the family and where therapeutic energy should be placed. 2. The nurse notes that a client has been previously married and participates in raising the current spouse’s children from a previous marriage. How should the nurse document this family type? 1. Extended 2. Cohabitation 3. Nuclear dyad 4. Reconstituted 3. The nurse prepares an in-service program on family nursing for new graduate employees. Which definition of family is the best one for the nurse to use? 1. Members of a family are self-defined 2. People who share strong emotional ties 3. A family is defined by blood ties, adoption, and marriage 4. A group of people who live together with or without legal or biological ties 4. The nurse prepares to assess a client whose family is being used as a resource. Which approach to family nursing care is the nurse implementing? 1. Family as client Family Health Care Nursing Theory Practice and Research 6 Edition Kaakinen Test Bank 2. Family as system 3. Family as context 4. Family as component of society 5. During a home visit the nurse teaches the client and family about actions to reduce the spread of infection between the family members. Which role is the nurse implementing? 1. Counselor 2. Care deliverer 3. Health teacher 4. Family advocate 6. The nurse stays with a client who is having chemotherapy for the first time until the family arrives. Which role is the nurse implementing with the client? 1. Surrogate 2. Researcher 3. Role model 4. Case manager 7. The spouse of a client with complex care needs is unavailable to attend a care conference at 2 p.m. What should the nurse do to support family nursing care? 1. Have the client attend in place of the spouse 2. Schedule the conference when the spouse is available 3. Ask the spouse to telephone in during the time of the conference 4. Provide the spouse with outcomes determined during the meeting 8. The nurse observes parents discussing an adolescent’s plans for the weekend and setting boundaries to which the adolescent agrees. Which function did this family unit demonstrate? 1. Affective 2. Economic 3. Health care Family Health Care Nursing Theory Practice and Research 6 Edition Kaakinen Test Bank 4. Socialization 9. The adult daughter of an older client is expected to be at the client’s bedside yet personal family responsibilities are not being completed. Which family interactional process is the daughter experiencing? 1. Role strain 2. Role conflict 3. Role ambiguity 4. Role expectations Multiple Response: 10. The nurse prepares to assess a family during a home visit. Which traits should the nurse expect that demonstrate a healthy family? Select all that apply. 1. Develops suspicion among members 2. Exhibits a sense of shared responsibility 3. Admits to and seeks help with problems 4. Enforces participation in rituals and tradition 5. Shares leisure time Family Health Care Nursing Theory Practice and Research 6 Edition Kaakinen Test Bank Answers: 1. The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care? Ans: 4 Page: 9 Feedback 1. Family care is concerned with the experience of the family over time. It considers both the history and the future of the family group. 2. The physical absence of family members does not preclude the nurse from offering family care. 3. Family nursing is directed at families whose members are both healthy and ill regardless of the severity of the illness in the family member. 4. The intervention that “family nurses must define with the family which persons constitute the family and where they will place their therapeutic energies” is an intervention used by family nurses to provide structure to working with families regardless of the theoretical underpinning of the nursing approach. This is an enduring idea that supports the practice of family nursing. 2. The nurse notes that a client has been previously married and participates in raising the current spouse’s children from a previous marriage. How should the nurse document this family type? Ans: 4 Page: 16 Feedback 1. An extended family is defined as two or more adult generations and one that includes grandparents and grandchildren living in the same household. 2. A cohabitation family type is defined as an unmarried couple sharing a household who are involved in an emotional and/or sexually intimate relationship. 3. A nuclear dyad is defined as a married couple with no children. 4. A reconstituted or blended family type is defined as an arrangement in which one or more of the parents was previously married and brings children from the previous marriage into the current marriage.
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