Family Demography North America Test Bank Answers Ch.3

Chapter 3: Family Demography: Continuity and Change in North American Families

Multiple Choice:

1. The nurse prepares to assess a female client who is 25 years old. What should the nurse consider as a possibility when assessing this client’s family structure?

1. Attends college

2. Married with one child

3. Lives with a romantic partner

4. Lives at home with parents

2. Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse?

1. There will be fewer clients from outside of the United States.

2. Chinese interpreters will be needed most often.

3. A large number of clients will be considered undocumented immigrants.

4. Refugees will have access to health care through resettlement programs.

3. The nurse learns that a middle-aged client lives alone. What should the nurse consider when planning this client’s care?

1. A transfer to a skilled facility is required.

2. There is no one to help with care needs at home.

3. The client has the finances to purchase necessary supplies.

4. The client’s health insurance covers home care.

4. The nurse learns that an older female client lives alone. Which statement best explains the reason for this client’s living arrangement?

1. Older adult women are more likely to prefer living alone when compared with men.

2. Older adult women are more financially secure and able to live alone when compared with men.

3. Older adult women tend not to get along with their adult children, and therefore have no choice but to live alone.

4. Older adult women live longer than men, and therefore find themselves outliving their spouse or partner and living alone.

5. The nurse prepares an educational program on the living arrangements of young adults for a community health fair. What should the nurse explain as an important difference between the young adults of today and those of previous generations?

1. Young adults are marrying younger today than before.

2. Young adults are entering the military more than before.

3. Young adults are spending more years living with their parents than before.

4. Young adults are entering the workforce at younger ages than before.

6. The nurse notes that a young female client lives in a homeless shelter with her children. Which characteristic is most likely associated with this client?

1. Widowhood

2. Never married

3. Divorced from a spouse

4. Separated from a spouse

7. The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse?

1. Higher risk for divorce if the couple marries

2. Financial inability to obtain needed health care

3. Children are at higher risk for behavioral problems

4. Health care decisions can be made on behalf of each other

8. When considering nursing care of families today, how will changing demographics affect the nurse’s approach to care?

1. Adult children will provide primary care for aging parents.

2. Fathers are not involved with the health care of their children.

3. More fathers are awarded the custody of children after a divorce.

4. More children live in nontraditional families, which negatively affects their well-being.

9. The nurse notes that a preadolescent male with same-sex parents is scheduled for a wellness examination. Which of the following should the nurse keep in mind when caring for this client?

1. Most likely this client is less psychologically developed than his peers.

2. Most likely this client is less emotionally developed than his peers.

3. Most likely this client is at greater risk for emotional distress.

4. Most likely this client is cognitively delayed in school performance.

Multiple Response:

10. The community health nurse notes a large number of cohabitation households in the community. Which statement could explain the reason for this? Select all that apply.

1. Wider availability of reliable birth control

2. Increased uncertainty about the stability of marriage

3. Easier to separate when compared with a married relationship

4. Loss of stigma associated with cohabitation and sexual relations outside of marriage

5. Desire to express that unmarried cohabitation is different from the life of married couples

11. Divorce is a stressful life event regardless of the ages of the partners. Which statement could suggest uniquely positive outcomes for older adults? Select all that apply.

1. For partners who are financially secure, divorce may provide reduced stress.
2. For partners who are in good health, divorce may provide an increased sense of freedom.
3. For partners who are not financially secure, divorce may result in delayed retirement.
4. For partners who have achieved their career goals, divorce may risk isolation during retirement.
5. For partners who have delayed life events until later in life, divorce might result in unfulfilled goals or wishes.

12. During a community fair presentation, a participant asks why health care costs continue to increase in the United States. How should the nurse respond? Select all that apply.

1. Rising incomes

2. Insurance coverage fees

3. Care of children in poverty

4. Changes in medical technology

5. Increased use of pharmaceuticals

13. Nurses work in a variety of community and public health settings. Which nurse benefits from the knowledge of trends in family demographics? Select all that apply.

1. Clinic nurse working with refugee families
2. Nurse volunteer caring for families during a global disaster
3. Public health nurse leading a disease outbreak investigation
4. School nurse working in an inner-city high school
5. Clinic nurse working in family planning

14. Demographic trends project a more culturally diverse population in the near future for Canada and the United States. Which trends are anticipated? Select all that apply.

1. Racial and ethnic minorities will make up an increasing share of the population.
2. First- and second-generation immigrants make up an increasing share of the population.
3. The life expectance of immigrants has increased and the overall population in North American is aging.
4. Families living in intergenerational homes are living longer.
5. Families are increasingly diverse which provides a broader context for their circumstances.

15. Family demography has a significant impact on the health care community. Knowledge of family demography is important for nurses for the following reasons (select all that apply).

1. Provides a foundation for best practices in patient interaction, treatment, and caring interventions.
2. Ensures awareness of the relevant structural and institutional factors that intersect with families and populations.
3. Enhances the nurse’s curiosity about individual and family beliefs and preferences.
4. Improves understanding of specific circumstances of individuals and families that have a direct impact on health.
5. Sensitizes nurses to the challenges that may exist for diverse families in the community.