The Family Test Questions Test Bank Docx Chapter 4

Chapter 4. The Family – Test Questions

1. Margaret Giddings, the senior member of her family, wants to know how she can best protect her family from illness. The nurse could instruct her to have them:

2. Angie has a 2-year-old child and asks how she can instill good discipline. You would tell her to:

3. A functional family is one that:

4. Four-year-old Henry’s parents were separated for several months and are now divorced. He may likely experience feelings of:

5. A middle-aged couple was admitted to the hospital after a motor vehicle accident. Two days later, the husband expired. While observing a staff member offering grief support, which of the following actions is noted to be correct?

6. Mary, age 30, just experienced the untimely death of her father. You might expect her to immediately exhibit feelings of:

7. Two common bonds that hold a family together are:

8. Which of the following is a stage of family development?

9. Four-year-old Sam is the second child of Jim and Pat Gates. How may Sam’s place in the family affect his development?

10. In a laissez-faire–type family pattern, 9-year-old Jane would:

11. A function basic to all families is the need to:

12. An example of a break in family structure is:

13. Reproduction provides the family with a means of:

14. Melvin Carey, a 22-year-old nurse, is employed in the intensive care unit. When interacting with patients’ families, he must be which of the following?

15. Millicent, age 30, is being discharged from the hospital after being treated for depression. The nurse has encouraged the family to spend time together because this will lead to:

16. Jeremy, age 4, lives with his mother, father, and 6-month-old sister. This living arrangement describes the:

17. One of the major advantages of the extended family is:

18. To resolve a family conflict, members must be able to:

19. The “empty nest” is best described as the:

20. A dysfunctional family is one that is:

21. The family is the primary socializing agent for the child. For the family to be successful, it should help in:

22. Divorce is a known stressor for the family unit. Which of the following responses by the nurse would best support the individual’s decision to divorce?

23. After birth, a child is given immunization as a way of:

24. Which of the following is an accepted method of disciplining a toddler?

25. The nurse recognizes that a functional family displays which of the following characteristics? (Select all that apply.)

26. The health care worker arrives at the home of a diabetic patient. His daughter asks you to help with a problem. The most important response(s) by the health care worker is/are (select all that apply):

1. “Who in the family is most concerned about the problem?”
2. “How frequently does this problem occur?”
3. “Can you share the problem with me?”
4. “I don’t think you should be worried about anything.”

27. An elderly male client is admitted to the nursing home accompanied by his wife and son. The best way for the nurse to engage the family in the admission process is by:

1. Telling them not to worry; the patient will be well cared for
2. Asking them to share the patient’s home routine
3. Directing your communication to the wife and son
4. Asking the patient if he has any complaints about his room

28. Susan describes her family pattern as authoritative. You understand this to mean that family members:

1. Can make suggestions during decision-making
2. Decide which college she will attend
3. Make all decisions for each other
4. Help decide which friends she can hang out with

29. Josephine, age 28, is admitted to the hospital after a motor vehicle accident that occurred while her 6-year-old twins were in the car. She tells you she is recently divorced and asks you to call her mother to see if she picked up her children. You return to tell her that her children are with her mother and are fine. When she responds, “They are better off with my mother anyway because I can’t get anything right,” the best response by the nurse is:

1. “You feel you are not a good mother.”
2. “You should be glad they are alive.”
3. “You seem like a good mother to me.”
4. “I have seen many mothers in your situation who wouldn’t care where their children are.”

Chapter 3. The Family – Test Questions With Answers and Rationales

1. Margaret Giddings, the senior member of her family, wants to know how she can best protect her family from illness. The nurse could instruct her to have them:

Rationale: Early detection through periodic health screenings helps to treat or reduce the severity of illnesses.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

2. Angie has a 2-year-old child and asks how she can instill good discipline. You would tell her to:

Rationale: Two-year-olds can handle simple choices better than a directive because it gives them a sense of control.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

3. A functional family is one that:

Rationale: A major goal of the family is to help its members reach their full potential.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

4. Four-year-old Henry’s parents were separated for several months and are now divorced. He may likely experience feelings of:

Rationale: Four-year-olds tend to worry that they could be left alone or abandoned by their parents after a divorce or separation.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

5. A middle-aged couple was admitted to the hospital after a motor vehicle accident. Two days later, the husband expired. While observing a staff member offering grief support, which of the following actions is noted to be correct?

Rationale: Using silence can tell the patient you are focusing on him or her and what he or she is saying.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

6. Mary, age 30, just experienced the untimely death of her father. You might expect her to immediately exhibit feelings of:

Rationale: Shock and disbelief are the initial responses after an untimely death.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

7. Two common bonds that hold a family together are:

Rationale: Families experience high and low periods and are kept together by feelings of attachment and a sense of commitment.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

8. Which of the following is a stage of family development?

Rationale: The stages of the family include couple, childbearing (reproduction), grown child, and older family.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

9. Four-year-old Sam is the second child of Jim and Pat Gates. How may Sam’s place in the family affect his development?

Rationale: Children with siblings have to learn to share and try to compete for their parents’ attention.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

10. In a laissez-faire–type family pattern, 9-year-old Jane would:

Rationale: Laissez-faire types of families allow their members complete freedom in decision-making.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

11. A function basic to all families is the need to:

Rationale: Protection is the most basic need of all families. Once this is accomplished, other needs can be addressed.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

12. An example of a break in family structure is:

Rationale: Anything such as death, divorce, or separation can cause instability in the family structure.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

13. Reproduction provides the family with a means of:

Rationale: Families survive and pass on their genes by reproducing.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

14. Melvin Carey, a 22-year-old nurse, is employed in the intensive care unit. When interacting with patients’ families, he must be which of the following?

Rationale: Families and patients must be treated with a nonjudgmental approach.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

15. Millicent, age 30, is being discharged from the hospital after being treated for depression. The nurse has encouraged the family to spend time together because this will lead to:

Rationale: Families can be a great source of support for patients.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

16. Jeremy, age 4, lives with his mother, father, and 6-month-old sister. This living arrangement describes the:

Rationale: The nuclear family consists of a mother, father, and their children.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

17. One of the major advantages of the extended family is:

Rationale: Extended families permit a better distribution of family roles.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

18. To resolve a family conflict, members must be able to:

Rationale: Open communication fosters a sharing of information and the chance for conflict resolution.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

19. The “empty nest” is best described as the:

Rationale: The period in which grown children leave the home is referred to as the empty nest period.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

20. A dysfunctional family is one that is:

Rationale: All families experience stresses. A dysfunctional family is unable to assist its members in meeting their needs.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

21. The family is the primary socializing agent for the child. For the family to be successful, it should help in:

Rationale: Socialization teaches individuals how to interact with their environment.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

22. Divorce is a known stressor for the family unit. Which of the following responses by the nurse would best support the individual’s decision to divorce?

Rationale: The nurse should refrain from giving advice to individuals. Information that can assist a person with his or her decision can support and direct without influencing the individual.

Nursing Process: Evaluation

Client Needs: Health Promotion and Maintenance

23. After birth, a child is given immunization as a way of:

Rationale: Immunization protects the child against currently known infections.

Nursing Process: Planning

Client Needs: Health Promotion

24. Which of the following is an accepted method of disciplining a toddler?

Rationale: Appropriate discipline for a toddler involves redirecting the child’s action, removing the child from the area, or giving a time-out.

Nursing Process: Implementation

Client Needs: Psychological Integrity

25. The nurse recognizes that a functional family displays which of the following characteristics? (Select all that apply.)

Rationale: Functional families are able to support members, encourage their growth and exploration, and help them meet their emotional needs.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

26. The health care worker arrives at the home of a diabetic patient. His daughter asks you to help with a problem. The most important response(s) by the health care worker is/are (select all that apply):

1. “Who in the family is most concerned about the problem?”
2. “How frequently does this problem occur?”
3. “Can you share the problem with me?”
4. “I don’t think you should be worried about anything.”

Rationale: The nurse provides support to the family by fostering open communication.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

27. An elderly male client is admitted to the nursing home accompanied by his wife and son. The best way for the nurse to engage the family in the admission process is by:

1. Telling them not to worry; the patient will be well cared for
2. Asking them to share the patient’s home routine
3. Directing your communication to the wife and son
4. Asking the patient if he has any complaints about his room

Rationale: The nurse must recognize that the patient is a member of a family unit and should not be isolated from the unit’s members.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

28. Susan describes her family pattern as authoritative. You understand this to mean that family members:

1. Can make suggestions during decision-making
2. Decide which college she will attend
3. Make all decisions for each other
4. Help decide which friends she can hang out with

Rationale: The authoritative family pattern operates under a philosophy of mutual respect and individual responsibility.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

29. Josephine, age 28, is admitted to the hospital after a motor vehicle accident that occurred while her 6-year-old twins were in the car. She tells you she is recently divorced and asks you to call her mother to see if she picked up her children. You return to tell her that her children are with her mother and are fine. When she responds, “They are better off with my mother anyway because I can’t get anything right,” the best response by the nurse is:

1. “You feel you are not a good mother.”
2. “You should be glad they are alive.”
3. “You seem like a good mother to me.”
4. “I have seen many mothers in your situation who wouldn’t care where their children are.”

Rationale: An open-ended question allows the patient to get in touch with their feelings and permits further exploration.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity