ch 33 assessing families

5. When assessing a family that is known to be highly functional, the nurse would most likely find which type of boundaries? A) Clearly defined B) Diffuse C) Rigid D) Hierarchical

A) Clearly defined

29. The nurse's assessment reveals that a family possesses a high level of affective functioning. What observation would most likely lead the nurse to this conclusion? A) Family members appear to be close to each other and considerate of each other. B) Family members communicate frequently and clearly. C) Family members agree that conflict is unacceptable. D) Family communication is characterized by direct statements.

A) Family members appear to be close to each other and considerate of each other.

16. When assessing a family's structure, the nurse should gather information about which of the following? Select all that apply. A) Gender roles B) Rank order C) Religion D) Stage of growth E) Beliefs about an illness

A) Gender roles B) Rank order C) Religion

21. A workplace injury has caused a man to be on long-term disability compensation. His wife has returned to paid employment after many years absence in order to make ends meet. The clients both agree that this family transition has been challenging, with the wife stating, He says that he feels he's unproductive, even though there's nothing that can be done about it. What nursing diagnosis may possibly apply to the husband? A) Ineffective role performance related to loss of employment B) Impaired Home Maintenance related to loss of employment C) Caregiver role strain related to injury D) Risk for Impaired Parenting related to family changes

A) Ineffective role performance related to loss of employment

20. While interviewing a family, the mother says that she does the cooking and takes the children to and from school and to their after-school activities during the week. The father reports that he drives the children to their activities and does the cooking on the weekends. The nurse interprets this information as reflecting which family function? A) Instrumental B) Affective C) Expressive D) Health care

A) Instrumental

10. When describing circular communication to a group of students, which of the following would the instructor explain as the basis for the circular communication feedback loop? A) Perceptions and reactions B) Symmetry and complementarily C) Content and relationships D) Listening and observation

A) Perceptions and reactions

2. When doing a family assessment, what components are most essential for the nurse to include? A) Structure, development, and function B) Development, boundaries, and culture C) Communication, expectations, and strengths D) Socialization, development, and problems

A) Structure, development, and function

12. During a family assessment, the nurse closely observes family interactions for which main reason? A) To determine if members support and nurture one another B) To analyze each family member's response to stress C) To provide feedback on the family's communication problems D) To determine the transmission of beliefs and values

A) To determine if members support and nurture one another

23. The nurse is assessing a family's function within the domain of health care. What assessment question best addresses this area of function? A) What do you think would best improve your health? B) Who is your regular family doctor? C) Is anyone in your family a health professional? D) When was your father first diagnosed with heart disease?

A) What do you think would best improve your health?

3. A nurse is attempting to view a whole family as a unit to obtain a view of the family composition. How can the nurse best achieve this goal? A) Compile a list of family members. B) Construct a family genogram. C) Determine the internal power structure. D) Identify communication patterns.

B) Construct a family genogram.

13. After assessing a family, the nurse determines that the family has permeable boundaries. The nurse interprets this as leading to what outcome? A) Restricting self-differentiation B) Encouraging emotional development C) Discouraging family cohesiveness D) Inhibiting emotional communication

B) Encouraging emotional development

18. An instructor is describing the stages of family growth and development using a two- parent nuclear family as an example. Which tasks would the instructor include as the likely priority for the childbearing family? A) Establishing a mutually satisfying marriage B) Expanding relationships with extended family C) Relating harmoniously to the kin network D) Socializing the children

B) Expanding relationships with extended family

22. A nurse is completing a detailed assessment of a family who is receiving care. When assessing the context of the family, the nurse should include what assessment questions? Select all that apply. A) Are there any ways that you think your family could be happier? B) How would you describe your family's ethnicity? C) Would you characterize your family as being religious? D) When were each of you born? E) How do you interact within the neighborhood around you?

B) How would you describe your family's ethnicity? C) Would you characterize your family as being religious? E) How do you interact within the neighborhood around you?

1. A nurse is preparing to assess a family. The nurse best adopts the view of the family unit as being a system by using which approach? A) Focusing on each individual member's health problems B) Identifying strengths and problem areas within the family structure C) Educating the sick client about methods to maintain independence D) Fostering emotional support for each family member

B) Identifying strengths and problem areas within the family structure

6. A nurse is creating a family attachment diagram. The nurse is assessing which area of family structure and function? A) Composition B) Interaction patterns C) Power structure D) Socialization

B) Interaction patterns

11. A family has just admitted their grandmother to a long-term care facility after caring for her in the home for several years. Which statement by the nurse would best demonstrate purposeful therapeutic conversation? A) If possible, it would be best to visit her every day. B) Tell me about her morning routine at home. C) How do you plan to finance her medications? D) How independent is she with dressing and bathing?

B) Tell me about her morning routine at home.

30. The nurse is assessing a client's differentiation of self within the context of a broader family assessment. When assessing the client's differentiation of self, the nurse must determine which of the following? A) The client's rank order and communication style B) The client's emotional function and intellectual function C) The client's self-esteem and family responsibilities D) The client's strengths and weaknesses

B) The client's emotional function and intellectual function

26. A nurse is consciously implementing the principles of therapeutic conversation during interactions with a family. Which of the following should characterize the nurse's communication? A) The nurse should improve the family's structure and function. B) The nurse's statements should be purposeful. C) The nurse should gather as much information as possible. D) The nurse should be motivated by a need to educate.

B) The nurse's statements should be purposeful.

15. After teaching a group of students about families and family assessment, the instructor determines that the teaching was successful when the students describe family as which of the following? A) Two individuals who are related by marriage B) Whoever the family says they are C) Two or more individuals residing together D) Individuals connected by time and blood

B) Whoever the family says they are

27. A nurse is beginning a scheduled follow-up meeting with a family by providing a commendation. What is the best example of a commendation? A) Everyone in your family is kind and considerate. B) Your family shows great strength by caring for your grandmother in her own home. C) Your family is much more compassionate than most of the families with which I have contact. D) Your family definitely chose the best plan to improve your grandmother's health outcomes.

B) Your family shows great strength by caring for your grandmother in her own home.

17. A nurse is constructing a genogram of a family. Assessment reveals that the maternal grandmother died at age 69. The nurse would depict this person on the genogram using which symbol? A) Triangle with a line through it B) Square with a line surrounding it C) Circle with an x through it D) Connecting line with two small lines through it

C) Circle with an x through it

14. When counseling a family regarding verbal communication patterns, the nurse should encourage which type of messages to foster open communication? A) Metaphorical B) Displaced C) Clear D) Obtainable

C) Clear

7. The nurse wants to assess a family's interactions with the systems outside of the family. Which tool would be most appropriate to use? A) Genogram B) Family attachment diagram C) Ecomap D) Calgary Family Assessment Model

C) Ecomap

9. After teaching a group of students about systems theory and family, the instructor determines that the teaching was successful when the students state which of the following as a major principle of the systems theory? A) Parts are independent of one another. B) Each system has the same characteristics. C) The whole is greater than the sum of the parts. D) Information is isolated within each part the system.

C) The whole is greater than the sum of the parts

25. The nurse has completed the assessment of a family. What phenomenon would the nurse identify as a triangle? A) The youngest child in the family has been estranged from his siblings for many years. B) The father was married and divorced as a young adult, before remarrying. C) Two sisters have been in conflict and each attempts to elicit support from their mother. D) There is a total of three children in the family.

C) Two sisters have been in conflict and each attempts to elicit support from their mother.

8. A nurse is planning to assess the instrumental functioning of a family. The nurse develops questions to focus on which of the following? A) Intimacy needs B) Communication patterns C) Beliefs about health D) Activities of daily living

D) Activities of daily living

4. After creating a family genogram, the nurse evaluates it, usually prioritizing which of the following components? A) Psychosocial interaction problems between family members B) Communication patterns between generations C) Power structure within the family configuration D) Health-illness patterns through the generations

D) Health-illness patterns through the generations

24. The nurse is integrating the principles of Bowen Family System theory during interactions with a family. What principle underlies this theory? A) The role of younger family members supersedes that of older members. B) Every family is equally functional, although in different ways. C) Family identity is inseparable from ethnicity. D) Patterns of relating tend to repeat over generations.

D) Patterns of relating tend to repeat over generations.

19. While interviewing a family, the nurse questions the family about external systems. The nurse would collect information about which of the following? A) Patterns of affection B) Shared activities C) Decision-making patterns D) Recreational organizations

D) Recreational organizations

28. The data obtained during a nurse's family assessment suggest that the mother in the family is enmeshed with the youngest son, who is a middle-aged adult. The nurse should recognize what implication of this fact? A) The son and the mother have the highest priority relationship in the family. B) The son is inferior to the mother. C) The son and mother cannot form relationships with others. D) The son and the mother cannot self-differentiate

D) The son and the mother cannot self-differentiate.