Ch5 Family Nursing Assessment And Test Questions & Answers

Chapter 5: Family Nursing Assessment and Intervention

Multiple Choice:

1. The nurse prepares to assess a family which includes several members with chronic health problems. Which definition of assessment will the nurse use when meeting with this family?

1. The use of an instrument to quantify a particular family attribute

2. The use of a tool to collect family information within 15 minutes

3. The collection of subjective and objective data that begins upon first contact with the family

4. The process of assigning numbers or symbols to variables to assist nurses in measuring family member characteristics

2. The nurse plans to use a family genogram during a family assessment. What assessment information does this tool provide?

1. Tension between family members

2. Multigenerational patterns and health conditions

3. Communication patterns among family members

4. Relationships between family members and the community

3. The nurse meets with a family to complete a genogram. How many generations should the nurse ask the family members about?

1. One

2. Two

3. Three

4. Four

4. The nurse begins to assess a family. What best describes the family story?

1. The analysis of outcomes

2. The gathering of data from a variety of sources to see the whole picture of the family experience

3. The process of establishing intervention plans

4. The clustering of data into meaningful groups, identifying pertinent relationships between variables

5. The nurse refers to the Family Reasoning Web when caring for a family. What is the purpose of this tool?

1. Diagrams family members across three generations

2. Diagrams relationships within and external to the immediate family

3. Provides comprehensive data about family structure, development, and function

4. Organizes data into family categories

6. The nurse prepares to use the Family Assessment and Intervention Model when assessing a family. What is this model based on?

1. Orem’s Self-Care Theory

2. Neuman Systems Model of Health Care

3. Rogers’ Theory of Unitary Human Beings

4. Bronfenbrenner’s Bioecological Systems Theory

7. The nurse reviews the Calgary Family Assessment Model (CFAM). What does this model blend?

1. Nursing and family therapy

2. Medicine and nursing

3. Nursing and social work

4. Nursing and ecology

8. The nurse is working with a new graduate nurse about the importance of health literacy when working with families. Which statement by the new graduate nurse requires further education by the nurse?

1. “I understand that the concept of health literacy includes comprehension of medical words.”

2. “I understand that the concept of health literacy includes the ability to follow medical instructions.”

3. “I understand that the concept of health literacy includes the understanding of the consequences when instructions are not followed.”

4. “I understand that the concept of health literacy has no direct impact on health outcomes.”

9. The nurse understands that which of the following is not considered an important aspect of setting up and organizing family appointments?

1. Apologizing for the meeting

2. Stating the purpose of the meeting

3. Providing factual details

4. Confirming the date, time, place, and directions of the meeting

Multiple Response:

10. In which of the following ways does an ecomap help in the assessment of a family? Select all that apply.

1. Pinpoints health conditions

2. Analyzes multigenerational patterns

3. Highlights tension among family members

4. Includes pets and non-blood family members

5. Identifies the relationship between family members and the community

11. The nurse reviews a genogram completed for a family new to a community. What information will the genogram provide? Select all that apply.

1. The types of possible support systems for extended family members

2. A quick snapshot of the family members from an intergenerational perspective

3. The types of social support available to the immediate nuclear family

4. Information on the health status of family members in the immediate and extended family

5. The family unit in relation to the larger community in which it is embedded

12. The nurse learns that a family is moving and will no longer be able to meet with the nurse for continuing care. What should the nurse do as this relationship is terminated? Select all that apply.

1. Write a therapeutic letter

2. Schedule a summary meeting

3. Ask the physician to write a letter

4. Encourage the family to keep in touch

5. Refer to resources in the new community

13. The nurse plans to use the Family Assessment and Intervention Model. What is the purpose of this model? Select all that apply.

1. Health promotion

2. Family change strategies

3. Restoration of family stability and family functioning

4. Family reaction and instability at lines of defense and resistance

5. Large amount of information that may not relate to the family problem

14. Which of the following are characteristics of the Friedman Family Assessment Model? Select all that apply.

1. Family is an open system

2. Views families as subsystems of the wider society

3. Identifies family conflicts and patterns of violence

4. Focuses on family structure, function, and relationships

5. Used when the family-in-community is the setting for care

15. The nurse prepares to use the Calgary Family Assessment Model (CFAM) to assess a family. Which categories of assessment questions will the nurse use? Select all that apply.

1. Process

2. Function

3. Structure

4. Development

5. Evolution of change