Test Questions & Answers Family Nursing With Chapter 14

Chapter 14: Family Nursing With Childbearing Families

Multiple Choice:

1. The nurse suspects that a family has closed boundaries. Why will this family not be amenable to nursing interventions?

1. They are unstable.

2. They do not have children.

3. They do not interact with each other.

4. They reject influences from the outside environment.

2. The nurse assesses a family’s ability to transition to having a baby. To which concept is transition the most similar?

1. Stress

2. System

3. Change

4. Communication

3. Although the nurse desires to use Duvall’s Family Developmental Theory to guide the care of a family, the nurse decides against it. Which is the major reason for the nurse to make this decision?

1. The theory does not use the life-span approach.

2. The theory is based on individuals rather than families.

3. The theory does not include family life before having children.

4. The theory is based on traditional nuclear families and does not address diverse family structures.

4. The nurse is planning care for a family with a new baby. Which reason should the nurse identify as a risk for conflict between the nurse and the client during this time?

1. Acute illness occurring in the new mother

2. Agreement between the father, or partner, and the mother

3. Agreement between grandparents and the nurse

4. Different advice from family members versus the nurse

5. The nurse plans to discuss an expectant client’s decision regarding infant feeding. What is important for the nurse to do when considering feeding management for this family?

1. Inform the client that she should breastfeed.

2. Assist the parents to form a nurturing relationship surrounding the feeding of the infant.

3. Encourage bottle-feeding because this will guarantee proper nutrition for the infant.

4. Encourage the father, or partner, to leave the feeding decision up to the mother.

6. The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression?

1. Most mothers recognize the symptoms.

2. Most mothers are reluctant to ask for professional help.

3. Most fathers and mothers become depressed after the birth of a child.

4. Most health care providers confuse postpartum depression with anxiety.

7. When should the nurse consider that a new mother is developing postpartum depression?

1. Feeling blue the day after delivery

2. Crying 3 to 5 days after returning home

3. Sitting in a dark room ignoring the baby after 6 months

4. Not interested in caring for the baby a week after delivery

8. The nurse plans care to address the communication pattern within a family with a new infant. What intervention should the nurse select for this family?

1. Encourage talking when the baby is sleeping.

2. Hold the baby while talking with each other.

3. Teach how to recognize and respond to the baby’s cues.

4. Keep voice tone low when discussing a difficult situation.

9. The parents of a new baby are both 19 years old. Which intervention should the nurse identify to help this family with realigning the intergenerational pattern?

1. Remind to limit time away from the baby.

2. Instruct on ways to move from dependence to independence.

3. Limit exposure to extended family members.

4. Ask the new mother the feeding approach that is best for her.

10. The female partner of a family is upset because the spouse will not talk about the inability to conceive. Which response should the nurse make to this client?

1. “Talking about the problem can increase your spouse’s anxiety about it.”

2. “Men deny the amount of emotional distress they experience.”

3. “Most men do not share their feelings.”

4. “Men only want to talk to other men and won’t do that unless they know someone else has the same problem.”

Multiple Response:

11. The nurse asks a family about space arrangements for an expected baby. What is the nurse assessing about the family at this time? Select all that apply.

1. The ability to meet the baby’s basic needs

2. The fear about the survival of the baby

3. The acceptance of the reality of having a baby

4. The support from extended family

5. The ability to afford the financial obligations of a baby

12. The nurse learns that a family has not planned a space for an expected infant. For which reason should the nurse assess the family about this lack of planning? Select all that apply.

1. Denying that the birth is pending

2. Viewing a birth as a routine occurrence that does not need special planning

3. A cultural belief that space planning occurs after the birth of a healthy infant

4. Too busy with other responsibilities to allow time to plan for the baby’s space

5. Inability to please all members of the family regarding the location of the space

13. The nurse suspects that a new mother is at risk for poor attachment with the newborn. What could be a reason for poor attachment? Select all that apply.

1. Family stress

2. Poor self-image

3. Family violence

4. Low self-esteem

5. Maternal depression

14. The nurse is providing interventions for a couple that is dealing with infertility. Which of the following would be an appropriate intervention by the nurse? Select all that apply.

1. Referring the couple to support groups.

2. Providing information related to cost and insurance coverage for treatment.

3. Facilitating communication between the couple.

4. Avoiding assigning blame to one partner or the other.

5. Encouraging the couple to engage in social support from friends.

15. The nurse is providing care to a mother suspected of having PPD. Which of the following assessments does the nurse understand supports this diagnosis? Select all that apply.

1. The mother states she has been very sad over the last several weeks.

2. The mother states she has had difficulty sleeping.

3. The mother states she has difficulty concentrating on daily tasks.

4. The mother states she has no energy during the day.

5. The mother states that her significant other does not help with the baby.