ch 10 family nursing intro

Which care intervention would reduce the risk of sudden infant death syndrome (SIDS)? 1 Immunizing the infant 2 Using snug-fitting sheets 3 Using large soft toys without small hard pieces 4 Avoiding leaving the baby unattended on the changing table

1 Immunizing the infant Immunizing the infant will reduce the risk of SIDS. The use of a snug-fitting sheet would prevent suffocation, strangulation, or entrapment. Small parts of toys may become dislodged and the infant may choke on them; therefore, the use of large, soft toys without small parts, such as buttons, would prevent choking and aspiration. Not leaving an infant unattended on the changing table prevents falls, not SIDS.

A patient reports difficulty seeing objects at a distance after a cerebrovascular accident. What would the nurse anticipate? 1 Risk of falls 2 Anxiety related to fear of falling 3 Unilateral neglect due to brain injury 4 Impaired physical mobility on one side of the body

1 Risk of falls The nursing diagnosis for a patient who experiences a cerebrovascular accident and reports difficulty seeing objects at a distance will be at elevated risk of falls. If a patient is worried about falling and health status, the nurse may identify anxiety related to fear of falling. If the nurse finds that the patient does not eat food on one side of the plate, it may indicate unilateral neglect due to brain injury. If a patient has difficulty performing fine and gross motor skills on one side of the body, it indicates impaired physical mobility on one side of the body.

The nurse is caring for a 70-year-old patient who lives with her children and grandchildren in an extended family. The patient is suffering from chronic bronchitis and does not want to be admitted to the hospital. The family has decided to take care of her at home. The patient's 35-year-old daughter takes care of the patient. What questions should the nurse ask to assess the coping process of the family? Select all that apply. 1 "How did your family solve their previous problems?" 2 "How does your family celebrate different festivals?" 3 "Does your family give equal importance to all members?" 4 "How does your family solve financial problems?" 5 "Do your family members suffer from any addictions?"

1 "How did your family solve their previous problems?"3 4 "How does your family solve financial problems?" 5 "Do your family members suffer from any addictions?

The community health nurse performs an assessment of families and categorizes them under different family forms. Which groups would the nurse identify as alternative family forms? Select all that apply. 1 Multi-adult household 2 Communal groups with children 3 Husband and wife caring for children 4 Grandparents caring for grandchildren 5 Single parent caring for an adopted child

1 Multi-adult household 2 Communal groups with children 4 Grandparents caring for grandchildren Alternative family types include family situations that are different from traditional family types, but share personal ties similar to a traditional family. Communal groups with children are an alternative family type but have a set of relationships between the groups. Grandparents caring for grandchildren is a type of alternative family, even though there is a relationship. A husband and wife caring for children is a nuclear family. A single parent caring for an adopted child is a single-parent family.

The nurse is caring for a 5-year-old girl who is living with her family. The family includes her mother and a grandmother who is 65 years old. Her father is in the military. The girl's parents divorced a year before. Her mother works in a store, and the grandmother takes care of the girl. What societal factors have led to this new parenting responsibility for grandparents? Select all that apply. 1 Single parenthood 2 Both parents working 3 Rich grandparents 4 Increased rates of divorce 5 Blended family

1 Single parenthood 2 Both parents working 4 Increased rates of divorce Many grandparents are raising their grandchildren due to high divorce rates and because the current state of the economy has resulted in both parents having to work. Thus single parenthood, both parents working, and increased rates of divorce are societal factors leading to new parenting responsibilities for grandparents. The grandparents' wealth does not influence whether or not they care for their grandchildren. A blended family is formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation.

The nurse is teaching a family about the caregiver's role. What changes in a caregiver should the family learn to identify as signs of caregiver role strain? Select all that apply. 1 The caregiver has a change in appetite. 2 The caregiver is socially withdrawn. 3 The caregiver is fearful of learning new therapies. 4 The caregiver experiences anger and irritability. 5 The caregiver takes an interest in his or her personal appearance.

1 The caregiver has a change in appetite. 2 The caregiver is socially withdrawn. 3 The caregiver is fearful of learning new therapies. 4 The caregiver experiences anger and irritability. When a caregiver experiences role strain, there will be a change in the caregiver's appetite or weight. The caregiver is socially withdrawn due to limited opportunities for socialization. The caregiver will be fearful of learning new therapies or administering new medication to the patient due to stress. Role strain also brings behavioral changes such as anger and irritability. A caregiver who experiences role strain is too stressed to care about his or her personal appearance.

Which part of an evidence-based article includes the major themes or findings and the implications for nursing practice? 1 Abstract 2 Introduction 3 Literature review 4 Manuscript narrative

1 Abstract An abstract is a brief summary that quickly tells whether the study is research-based or clinically based. This part of the evidence-based article includes the major themes or findings and the implications for nursing practice. The introduction contains more information about the purpose of the article. The literature review offers an argument about what led the author to conduct the study or report. The manuscript narrative is the middle section, which differs according to the type of evidence-based article it is (that is, a clinical article or a research article).

The nurse caring for patients in an inpatient unit asks a clinical question using a PICOT format. What does C stand for in a PICOT question? 1 Comparison of interest 2 Client who is admitted 3 Care provided 4 Current diagnosis

1 Comparison of interest There are five elements of a PICOT question. P stands for the patient identified by age, gender, ethnicity, and disease or health problem. I stands for intervention of interest. C stands for comparison of interest. O stands for outcomes, and T stands for time. C does not stand for client, care, or current diagnosis.

During a visit to a family clinic, the nurse teaches the mother about immunizations, car seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? 1 Health promotion activities 2 Acute care activities 3 Restorative care activities 4 Growth and development care activities

1 Health promotion activities Health promotion activities focus on interventions designed to maintain the physical, social, emotional, and spiritual health of the family unit. They can include information about specific health behaviors, family coping techniques, and growth and development.

The nurse researcher decides to complete a study to evaluate how Florence Nightingale improved patient outcomes in the Crimean War. This is an example of which type of research? 1 Historical 2 Evaluation 3 Exploratory 4 Experimental

1 Historical Historical studies establish facts concerning past events. Evaluation research tests how well a program, practice, or policy is working. Exploratory research is designed to develop or refine the dimensions of phenomena or to develop or refine a hypothesis about the relationship among phenomena. Experimental research involves studies in which the researcher controls the study variable and randomly assigns subjects to different conditions to test the variable.

The nurse is speaking to a family that has limited financial resources and no insurance. How can the nurse help this family obtain financial and health care resources? Select all that apply. 1 Promote the dependence of the family. 2 Identify resources that would help them pay the energy bills. 3 Identify resources that would help them provide school supplies. 4 Identify resources that would help them pay for their dental care and health care bills. 5 Encourage them to take insurance even if it is not affordable.

2 Identify resources that would help them pay the energy bills. 3 Identify resources that would help them provide school supplies. 4 Identify resources that would help them pay for their dental care and health care bills. Numerous resources are available for poor families with uninsured children. These include assistance with energy bills, assistance with school supplies, and assistance with health care. The nurse should promote measures to make the family independent. The nurse should not encourage the family to get insurance they cannot afford.

Which best defines family caregiving? Select all that apply. 1 Designing a nurturing family to raise children 2 Providing physical and emotional care for a family member 3 Establishing a safe physical environment for a family 4 Monitoring for side effects of illness and treatments 5 Providing an environment conducive to spirituality

2 Providing physical and emotional care for a family member 3 Establishing a safe physical environment for a family 4 Monitoring for side effects of illness and treatments Family caregiving by spouses, siblings, or parents involves routinely providing services and personal care activities for a family member. Caregiving activities include finding resources, personal care (bathing, feeding, or grooming), monitoring for complications or side effects of illness and treatments, providing instrumental activities of daily living (shopping or housekeeping), and the ongoing emotional support and decision making that are necessary. Developing a nurturing family to raise children and providing a spiritual environment are important but are not part of the caregiver's role.

The nurse is teaching a family about achieving family goals. Which processes should the nurse teach the families to adopt? Select all that apply. 1 Neglecting problems 2 Setting goals for the family 3 Communicating with family members 4 Resolving conflicts among family members 5 Avoiding discussions with family members

2 Setting goals for the family 3 Communicating with family members 4 Resolving conflicts among family members Goal setting is one of the processes used by a family to achieve its goals. Having clear and direct communication with family members makes achievement of family goals more successful. Resolving conflicts among family members helps members respect each other and work cooperatively towards family goals. Neglecting the problems leaves those problems unidentified and will not help the family achieve their goals. Avoiding discussions may leave the problem unidentified, while clear communication helps resolve problems.

The nurse is explaining family structure to a group of nursing students. Which type of family structures need to be modified? Select all that apply. 1 Open structure 2 Very rigid structure 3 Blended family 4 Extremely open structure 5 Adaptable family structure

2 Very rigid structure 4 Extremely open structure A very rigid structure dictates the ability of one family member to do a task. The family faces difficulty when the member is unable to do the specified task. Extremely open structure may lead to inconsistent behavior patterns, which can confuse the family members. An open structure can promote healthy family relationships as the family can adjust to sudden changes. The adaptable family structure makes it easy for family members to adapt during a crisis or sudden changes and still maintain healthy relationships. A blended family is not a type of family structure.

The nurse is assessing the family status of a patient. Which question should the nurse include to assess the health process of the family? 1 "How does your family resolve conflicts?" 2 "Does your family hug, cry, or laugh together?" 3 "What type of health care provider does your family have?" 4 "What are your family's beliefs about health and illness or end-of-life care?

3 "What type of health care provider does your family have?" Asking the patient about the type of health care provider his family has helps in assessing the family's health process. Asking how the family resolves conflicts and whether they cry, laugh, or hug together helps to assess the interactive process of the family. Asking the family about their beliefs on health and illness helps to assess the integrity process of the family.

A nursing student is learning about the different types of families. What could be an example of a blended family? 1 A woman raising her son alone after her husband's death 2 A homosexual couple raising a daughter on their own 3 A woman bringing her adopted son into a new family when she remarries 4 A grandfather taking care of his granddaughter after his daughter's demise

3 A woman bringing her adopted son into a new family when she remarries A blended family is formed when parents bring children who may or may not be biologically related to them into a new, joint-living situation. Hence, a woman bringing her adopted son into a new family when she remarries is an example of blended family. A woman raising her son alone after her husband's death is an example of single-parent family. A homosexual couple raising a daughter on their own is an example of an alternative family. A grandfather taking care of his granddaughter after his daughter's demise is also an example of an alternative family.

A family consists of a man, his parents, his wife, and their two sons. This is an example of which kind of family? 1 Nuclear family 2 Blended family 3 Extended family 4 Alternative family

3 Extended family An extended family includes the nuclear family plus relatives. A nuclear family consists of the husband, the wife, and their children. A blended family is formed when parents bring children from previous relationships into a new, joint living setting. An alternative family can be a skipped-generation household, multiadult household, or household led by a homosexual couple.

A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which is a nursing-sensitive outcome that the nurses should consider measuring? 1 Incidence of asthma among children of parents who smoke 2 Frequency of episodes of low blood sugar in children at a local school 3 Number of patients who fall and experience subsequent injury on the evening shift 4 Number of sexually active adolescent girls who attend the community-based clinic for birth control

3 Number of patients who fall and experience subsequent injury on the evening shift Nursing-sensitive outcomes are outcomes that are directly related to nursing care. The number of patients who fall and experience injury on the evening shift can be directly correlated to nursing care, and can be measured in accordance to the measures taken by nursing staff. The incidence of asthma among children of parents who smoke, frequency of low blood sugar in children at a local school, and number of sexually active adolescent girls who attend the community clinic for birth control are not directly related to nursing care.

The nurse is explaining family assessment to a group of nursing students. The nurse discusses the ability of a family to cope with expected and unexpected stressors. What is this ability? 1 Love 2 Integrity 3 Resiliency 4 Hardiness

3 Resiliency Resiliency is the ability of a family to cope with expected and unexpected stressors. It is an important factor to consider when assessing a family. Love is the feeling of attachment towards family and other people. Family integrity is the feeling of oneness among family members. Family hardiness is the internal strengths and durability of the family. STUDY TIP: Resiliency is the bounce-back ability. Think of resiliency as a reset button. It is a great trait to develop in an individual as well as a family.

A large, blended family is in the process of converting a study into a bedroom for an adult child who is moving home following a job loss. The family is in the process of distributing household chores.When you talk to members of the family, they all think that their family can adjust to lifestyle changes. Of what is this an example? 1 Diversity 2 Durability 3 Resiliency 4 Configuration

3 Resiliency Resiliency is the ability of the family to cope with the unexpected. In this scenario, the family used resources to provide some short-term solutions for the adult child's return home.

A research study is investigating the question, "What is the effect of the diagnosis of breast cancer on the roles of the family?" In this study the terms diagnosis of breast cancer and family roles are examples of what? 1 Surveys 2 The sample 3 Variables 4 Data collection points

3 Variables Variables are concepts, characteristics, or traits that vary within or among subjects. Surveys are a method of collecting data collection points, and the sample is the group of individuals surveyed for the information.

A family includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. Of what type of family is this an example? 1 A nuclear family 2 A blended family 3 An extended family 4 An alternative family

2 A blended family Blended families result when two people who have children from a previous marriage or relationship marry.

The nurse researcher is developing a research proposal and is in the process of selecting an instrument to measure anxiety. The nurse is in which part of the research process? 1 Analyzing the data 2 Designing the study 3 Conducting the study 4 Identifying the problem

2 Designing the study During study design, the researcher selects instruments to measure variables. Identifying the problem comes first in the research process, after which the researcher will design the study. Once the study has been designed, the researcher will conduct the study, and then analyze the data collected.

Diane is a hospice nurse who is caring for the Robinson family. This family is providing end-of-life care for their grandmother, who has terminal breast cancer. When Diane visits the home 3 times a week, she focuses on symptom management for the grandmother and assists the family with coping skills. Of what is Diane's approach an example? 1 Family as context 2 Family as patient 3 Family as system 4 Family as structure

2 Family as patient When the family as patient is the approach, family processes and relationships (e.g., parenting or family caregiving) are the primary focuses of nursing care. The family as a context approach focuses primarily on an individual member, whereas the family as a system is caring for the family as context plus the family as patient. Family structure is an attribute of families and is based on complex relationships of the family members.

Of what is communication among family members an indication? 1 Hardiness or resiliency 2 Functioning 3 Structure 4 Development

2 Functioning Communication is a component of family functioning, whether that is setting goals, coping, or establishing discipline. Family functioning is what the family does, and communication is an important component of function. Structure is based on the multiple relationships and makeup of the family. Communication is not an example of hardiness or resiliency.

A patient is in the terminal stages of cancer. The nurse learns that the patient's caregiver is extremely stressed and has not been able to take time for a personal life. How can the nurse provide relief to the caregiver? 1 Ask the caregiver to withhold caregiving activities. 2 Help the caregiver set a regular time for respite. 3 Explain the need to focus more on the patient now and less on the caregiver's personal life. 4 Encourage the caregiver by praising his or her actions.

2 Help the caregiver set a regular time for respite. The nurse may provide relief to the caregiver without compromising the patient's care by helping him or her set a regular time for rest and personal time. Withholding care would hamper the patient's situation. Even though the patient needs the caregiver's help, the caregiver's personal life is also important. Expressing appreciation about the caregiver's work is nice, but it is not necessarily helpful in providing relief to the caregiver.

A group of nurses have implemented an evidence-based practice (EBP) change and have evaluated the effectiveness of the change. What is their next step? 1 Conduct a literature review. 2 Share the findings with others. 3 Conduct a statistical analysis. 4 Create a well-defined PICOT question.

2 Share the findings with others. After completing an evidence-based practice (EBP) project and evaluating its effectiveness, the next step is to communicate the results with others. Conducting a literature review and statistical analysis, and creating a well-defined PICOT question, come before evaluation and sharing findings.

A patient who was admitted to the hospital receives a red-color wristband for identification purposes. What is the significance of the wristband? 1 The patient has allergies. 2 The patient is at risk for falling. 3 The patient should be treated immediately. 4 The patient is not indicated for resuscitation

2 The patient is at risk for falling. The American Hospital Association issued an advisory recommendation that hospitals use standardized wristband colors. Red wristbands indicate patient allergies. Yellow wristbands are for patients who are at a risk for falling. There is no wristband for immediate treatment of patients. Purple wristbands are given to patients who have do-not-resuscitate orders.

Many grandparents have taken on the responsibility of raising grandchildren, which creates a new parenting responsibility within the home. Which factors does the nurse suspect to be the result of this? Select all that apply. 1 Homelessness 2 Family violence 3 Single parenthood 4 Dual-family incomes 5 An increase in the divorce rate

3 Single parenthood 4 Dual-family incomes 5 An increase in the divorce rate A number of factors affect the new parenting responsibility when grandparents raise grandchildren. The factors include single parenthood due to death, divorce, or desertion; dual-family incomes, with both spouses maintaining different careers; or an increase in the divorce rate. Homelessness is a major public health issue that causes changes in the structure and roles of family members. This is not a sole or direct factor affecting the new parenting responsibility. Family violence is described as emotional, physical, social, or sexual abuse. This is not a factor responsible for the new parenting culture.

Which database offers free access to journal articles? 1 AHRQ 2 CINAHL 3 EMBASE 4 PubMed

4 PubMed PubMed offers free access to journal articles. The Agency for Healthcare Research and Quality (AHRQ) includes clinical guidelines and evidence summaries. The Cumulative Index of Nursing and Allied Health Literature (CINAHL) includes studies in nursing, allied health, and biomedicine. The EMBASE database includes biomedical and pharmaceutical studies.

The nurse researcher conducts a study that randomly assigns 100 patients who smoke and attend a wellness clinic into two groups. One group receives the standard smoking cessation handouts; the other group takes part in a new educational program that includes a smoking cessation support group. The nurse plans to compare the effectiveness of the standard treatment with the educational program. Which type of research study is this? 1 Qualitative 2 Descriptive 3 Correlational 4 Randomized controlled trial

4 Randomized controlled trial This is a randomized controlled trial because patients are randomly assigned into the control or treatment group. The researcher will measure the effectiveness of the standard treatment with the educational program, which is a quantitative measure, not qualitative. This research is also not descriptive, which measures people, situations, or groups and the frequency with which certain events or characteristics occur. Correlational research explores the interrelationships among variables of interest without any active intervention by the researcher.

Which activity regarding the research process should the nurse conduct to determine what has already been studied about the research problem of interest? 1 Construct a theoretical framework. 2 Identify variables. 3 Formulate a hypothesis. 4 Review the literature.

4 Review the literature. A literature review provides a logical but abstract structure that suggests the relationship among the variables in a research study, allowing for the organization and explanation of all the information in the study. All available literature related to the nurse's research problem should be reviewed to provide a theoretical framework as a foundation for the research study. Variables are concepts in the study that are expected to change or differ from one person or time to another. A hypothesis is a prediction that should be based on previous research, so it is developed after conducting a review of the literature.

Which topic is best suited for quantitative research? 1 The perception of a patient diagnosed with cancer 2 The patient's perception of the nurse's care in a palliative unit 3 The perception of stress by family members of critically ill patients 4 The percentage of cardiac illness in men between 40 and 60 years of age

4 The percentage of cardiac illness in men between 40 and 60 years of age Quantitative research involves analysis of numbers, such as percentages and ages. This type of research offers precise measurements and quantifications. Determining the percentage of cardiac illness in men between 40 and 60 years of age is an example of quantitative research. Qualitative research involves verbal analysis, and the information is obtained in a nonnumerical form. Determining the patient's perception of the nurse's care in a palliative unit or the perception of stress by family members of critically ill patients are examples of qualitative research.

The nurse is assessing a family that is grieving the loss of a family member. How does the nurse evaluate the coping process of the family? Select all that apply. 1 By assessing the family's culture and practices 2 By assessing the social support of the family 3 By evaluating the family's health issues and the impact of these issues 4 By evaluating the coping strategies of the family and the effectiveness of those strategies 5 By evaluating the family's problem-solving strategies

4 By evaluating the coping strategies of the family and the effectiveness of those strategies 5 By evaluating the family's problem-solving strategies In order to evaluate the coping processes of the family, the nurse should study the behaviors adopted by the family to deal with stress, such as exercise, overeating, and arguing. The nurse should also evaluate the family's approach to solving problems. Assessing family culture and practices is helpful in evaluating the integrity process of the family. Assessment of social support is helpful in assessing the interactive process of the family. Evaluating health issues and how they affect the family helps the nurse assess the family's developmental process.

The nurse wants to care for a patient using Swanson's theory of caring. Which of the following are processes included in Swanson's theory of caring? Select all that apply. 1. The researchers measure both groups for the same outcomes to see if there is a difference. 2. The researcher determines if the intervention leads to better outcomes than the standard of care. 3. Subjects are randomly assigned to either the control or treatment group. 4. The treatment group receives the experimental intervention, and the control group receives the usual standard of care.

A randomized controlled trial (RCT) is performed to test an intervention against the standard of care. The subjects are randomized to the treatment or the control group. The treatment group receives the experimental intervention, and the control group receives the usual standard of care. The researcher observes both groups to determine the outcome. On completion, the researcher will determine if the experimental intervention leads to better outcomes when compared to the standard of care.

A family consists of a mother and her 3-year-old daughter. This is an example of which kind of family? 1 A nuclear family 2 A blended family 3 An extended family 4 A single-parent family

A single-parent family is one in which one parent takes care of the child or children. A nuclear family consists of the husband, wife, and their children. A blended family is formed when parents bring children from previous relationships into a new, joint living setting. An extended family includes a nuclear family and relatives.

Arrange the steps of the research process in correct order. 1. Identify areas of interest or a clinical problem. 2. Design the study protocol. 3. Obtain necessary approvals. 4. Formulate recommendations for further research. 5. Analyze the results of the study.

Arrange the steps of the research process in correct order. 1. Identify areas of interest or a clinical problem. 2. Design the study protocol. 3. Obtain necessary approvals. 5. Analyze the results of the study. 4. Formulate recommendations for further research The research process is an orderly series of steps that allow a researcher to move from asking a research question to finding the answer. The initial step in the research process is identifying areas of interest or a clinical problem. The next step is designing a study protocol. Then the researcher should obtain necessary approvals to conduct the study. Finally, the researcher analyzes the results of the study and formulates recommendations for further research.

A family has children who are on the verge of entering adolescence. How can the nurse help the family have good relationships with the adolescent children? Select all that apply. 1 Help the parents redefine their relationships with their adolescent children. 2 Help the adolescent children refocus on midlife material and career issues. 3 Help the family adjust to a reduction in family size. 4 Help the adolescent children initiate concern for the older generation. 5 Help the adolescent children differentiate their own personalities.

1 Help the parents redefine their relationships with their adolescent children. 4 Help the adolescent children initiate concern for the older generation.

The nurse is teaching a family whose caretakers are in the "sandwich generation" of taking care of older parents while raising adolescents and adopting some young children. Which instruction does the nurse recommend for the further development of family status? Select all that apply. 1 "Take up the parental roles." 2 "Develop intimate peer relationships." 3 "Adjust the marital system to make space for children." 4 "Begin a shift toward concern for the older generation." 5 "Realign relationships as parenting and grandparenting roles."

1 "Take up the parental roles." 3 "Adjust the marital system to make space for children." 5 "Realign relationships as parenting and grandparenting roles." The nurse teaches the family about the changes that are required to promote its future development. The nurse will insist that the parents accept their parenting roles to find a more comfortable and balanced way of living. The nurse requests changes in the marital system that will promote space for the children. The nurse also will teach about the realignment of relationships that include parenting and grandparenting. This promotes growth and a deeper sense of connectedness with all members of the family. The nurse should instruct an unattached young adult to develop intimate peer relationships to promote high energy in day-to-day activities. In a family with adolescents, the nurse teaches about a shift toward concerns for older adults. This is because the "sandwich generation" is more prone to stressors due to taking a dual-caretaker role in taking care of both children and aging parents.

The nurse is teaching a group of teenagers about adolescent pregnancy. Which information should the nurse include? Select all that apply. 1 Adolescent mothers may lack support. 2 Adolescent mothers may be unable to complete their education. 3 Adolescent mothers may find motherhood stressful. 4 Adolescent mothers are prepared for a parenting role. 5 Adolescent mothers are well informed about motherhood.

1 Adolescent mothers may lack support. 2 Adolescent mothers may be unable to complete their education. 3 Adolescent mothers may find motherhood stressful. Adolescent mothers may not be very well accepted in their families and may lack support from the partner's side. Due to the responsibilities of motherhood, adolescent mothers may have to stop their education, which may lead to poor job prospects. Inadequate job skills, financial burdens, and inadequate health care resources can make motherhood stressful for adolescent mothers. Adolescent or teenage mothers are often psychologically and physically unprepared for a parenting role. They often lack adequate knowledge and understanding of the responsibilities involved in motherhood.

A patient with prostate cancer is in the terminal stage of the disease and wishes to have home care. How can the nurse help the family achieve optimal end-of-life care? Select all that apply. 1 Advise the family members to apply for hospice care. 2 Provide grief support measures. 3 Motivate family members to consider euthanasia. 4 Leave the patient alone at the time of death. 5 Educate the family about the dying process.

1 Advise the family members to apply for hospice care. 2 Provide grief support measures. 5 Educate the family about the dying process. The nurse should help the family members obtain hospice care for the last days of the patient's life. Providing grief support to the family helps them to cope better with the anticipated loss. Educating the family members about the dying process helps them become mentally prepared for the loss. Euthanasia is not an ethically acceptable part of end-of-life care and is not legal in many countries. The nurse should arrange to provide privacy for the patient at the time of death but should not leave the patient alone.

While assessing a patient and her family, the nurse observes that the patient's daughter is stressed with her multiple responsibilities of caring for her mother, her own family, and doing her job. What advice should the nurse give her to reduce this stress? Select all that apply. 1 Explore additional resources such as respite care. 2 Quit her job and take care of her mother. 3 Accept her limits and ask for additional help. 4 Continue doing things the way she has been. 5 Take time off or ask her boss for a more flexible work schedule.

1 Explore additional resources such as respite care. 3 Accept her limits and ask for additional help 5 Take time off or ask her boss for a more flexible work schedule.

The nurse is learning about the types of families. Which types of families would the nurse classify as crisis-proof families? Select all that apply. 1 Families with a flexible structure 2 Families who exhibit control over their environment 3 Families lacking control over their environment 4 Families who accept help from outside the family system 5 Families with a rigid structure without any adaptability

1 Families with a flexible structure 2 Families who exhibit control over their environment 4 Families who accept help from outside the family system A crisis-proof family, also known as an effective family, has a flexible structure and allows adaptable performance of tasks. This family has control over their environment and influences the immediate environment of home, neighborhood, and school. They accept help from outside of the family system. Families lacking control over their environment or having a rigid structure without any adaptability are ineffective and crisis-prone. Be alert for conflicting choices in multiple-response questions as they can help you eliminate choices. In this question, "Families who exhibit control over their environment" and "Families lacking control over their environment" oppose each other; only one of the choices is correct. Similarly, "Families with a flexible structure" and "Families with a rigid structure without any adaptability" are opposites, and only one of them is correct.

Which options contribute to family hardiness? Select all that apply. 1 Family meetings 2 Established family roles 3 Willingness to change in times of stress 4 Passive orientation to life 5 Positive perceptions of self

1 Family meetings 2 Established family roles 3 Willingness to change in times of stress Family hardiness is the internal strengths and durability of the family unit. It includes a sense of control over the outcome of life, a view of change as beneficial and essential for growth, and an active orientation (such as family meetings) rather than a passive orientation in adapting to stressful events. Family meetings, understanding of roles, and the adaptation to stressors along with a willingness to change affect family hardiness.

Karen is a single mother of a school-age daughter. Linda is a single mother of two teenage daughters. Karen and Linda are active professionals, have busy social lives, and date each other occasionally. Three years ago, they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What family form is this? 1 A diverse family relationship 2 A blended family relationship 3 An extended family relationship 4 An alternative family relationship

4 An alternative family relationship This alternative family includes two single parents (a multiadult household), cohabitating partners who are homosexual and living with the children of both mothers. A blended family is formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation. Diverse and extended family relationships are not considered family forms in this context.

By what is a family's access to adequate health care, opportunity for education, sound nutrition, and decreased stress affected? 1 Development 2 Family function 3 Family structure 4 Economic stability

4 Economic stability

The nurse is caring for a 70-year-old patient who lives with her children and grandchildren in an extended family. The patient is suffering from chronic bronchitis and does not want to be admitted to the hospital. The family has decided to take care of the patient at home. The patient's 35-year-old daughter takes care of the patient. What interventions should the nurse suggest to manage the caregiver's role strain? Select all that apply. 1 Set alternating schedules to give the caregiver some rest. 2 Arrange a support system to provide groceries, meals, and housekeeping for the caregiver. 3 Identify community resources such as support groups. 4 Suggest that the patient be hospitalized. 5 Educate and provide training to the caregiver for effective caregiving.

The nurse is caring for a 70-year-old patient who lives with her children and grandchildren in an extended family