Families

A group of nursing students is reviewing information about family dysfunction. The students demonstrate understanding of the information when they identify which environment as the typical focus for dealing with altered family function?

Home

A nurse is reviewing the medical record of a patient and notes that the patient's grandparents live in the same house as the patient, his wife, and their three children. The nurse interprets this as which type of family?

Intergenerational

A 7-year-old child who fell down when cycling has a fracture of the patella. Which scenario would least support the nursing diagnosis of Impaired Parenting?

Mother expresses anger about having to take leave from work.

In preparation for a class presentation on family structures, a nursing student is reviewing journal articles related to families and current demographics. The student integrates knowledge of the information and identifies which of the following as the traditional structure in the United States?

Nuclear family

After teaching students about family function, the instructor determines that the teaching was successful when the students identify which of the following as an example of the education function?

Older members sharing experiences with younger members

A group of nursing students is reviewing information about the effects of previous life experiences on a family's functioning. The students demonstrate understanding of the information when they identify which of the following?

Problem-focused coping is associated with positive outcomes.

A nurse is caring for a client who has frequent visitors. The client informs the nurse that he belongs to a communal family. Which is the most likely characteristic of a communal family?

several people living together and sharing work

The parents of an adolescent ask the nurse for suggestions in helping to promote his identity. Which statement by the nurse would be most appropriate?

"Be sure your adolescent has support from others."

An older adult client was just admitted with an exacerbation of chronic lung disease. The history reveals that the wife is the client's primary caregiver. Which statement by the wife would lead the nurse to suspect caregiver role strain?

"I rarely have time to sit down and eat lunch during the day because I'm getting his things ready."

When assessing a family, the nurse asks about the family's self-perception and self-concept. Which question would be most appropriate for the nurse to ask to obtain this information?

"What does each family member like and dislike about the family?"

A nurse is assessing a family and focusing on the family's social interaction. Which question would the nurse most likely ask?

"Who is the most significant person in your life?"

A woman with a chronic degenerative illness comes to the clinic for an evaluation. During the interview, the woman states, "I feel so isolated from everyone because I can't get out anymore like I used to." The nurse works with the woman to develop problem-solving strategies. Which of the following would the nurse most likely do first?

Assist the woman in identifying contributing factors to her isolation.

Students are reviewing information about family structures and functions. They demonstrate understanding of the information when they identify which of the following as true?

Despite changes in family structure, the nuclear family is still prominent.

Assessment of a family reveals that both parents normally work outside the home, but the mother has recently taken a short-term leave of absence to care for an aging parent. The father is now the sole wage earner. The nurse interprets this situation as the basis for which family function?

Economic provision

Assessment of an adult client reveals that he lives with his wife and three children. The client's father-in-law lives in an in-law suite attached to the client's home. The client's parents live about a block away and visit the family often. The nurse interprets this as which type of family?

Extended

A nurse is preparing to complete a developmental assessment of a family. Which of the following would the nurse evaluate?

Family changes within the life cycle

A nursing instructor is teaching a class about families and their functions. The instructor determines that the education was successful when the class identifies which statement as true?

Family members usually share the funds that some members earn.

A nursing instructor is teaching about the effects of alcohol and drug abuse on a family. The instructor is describing the similarities and differences in the effects of each substance. The instructor determines that the teaching was successful when the students identify which effect as associated specifically with drug abuse?

Greater economic toll

A nursing instructor is teaching a group of nursing students about the concept of family and its overall achievement of specific functions. The instructor determines that the teaching was successful when the students identify which of the following as a family's most important primary function?

Providing an environment supporting the growth of individual family members

A nurse is assessing a family and collecting subjective information about the family. Which of the following would the nurse address?

Relationships among members

A nurse is providing anticipatory guidance to a couple with a child entering toddlerhood. Which of the following would the nurse emphasize as an important consideration for the child?

Safety

After teaching a group of students about the different family structures, the instructor determines that the teaching was successful when the students identify which of the following as a nontraditional family?

Same sex parents and adopted child

Nursing students are reviewing information about families and their functions. The students demonstrate understanding of the information when they identify which of the following as reflecting a family function?

Sexual intimacy

A nurse is reviewing a journal article describing the recent changes in family structure. Which family structure would the nurse expect to find as having increased as a result of the rise in divorce and separation rates?

Single-parent

A nurse is assessing a family and finds that the communication within is poor. Several family members do not accept a relative who has acquired immunodeficiency syndrome. The nurse suspects which of the following about the non-accepted family member?

Social isolation

An client with a history of alcohol abuse and chronic renal failure has had to quit his job because of his illness. The nurse identifies a nursing diagnosis of Disabled Family Coping. Which action would support this diagnosis?

The family shows intolerance toward the client.

Assessment of a family reveals an increased level of stress. When completing the physical assessment, which of the following would the nurse identify as supporting this finding?

Weight loss

When interviewing a client, the nurse asks, "What does your family like to do for leisure?" The nurse is investigating which area?

activity and exercise

A student is reading an article about the challenges faced by members of a stepfamily. The student demonstrates understanding of this family structure, identifying it as:

blended

A nurse is developing a plan of care for a family to promote health, focusing on the family's strengths. What would the nurse be least likely to include?

reinforcing rigid roles for members

A nurse is assessing a family's functioning. Which statement would alert the nurse to the possibility of conflict within the family? Select all that apply.

• "My husband gets upset when I use a stern voice to reprimand the children." • "I have a graduate degree but my wife only graduated from high school." • "My husband thinks that I should be the one to stay home when our children get ill."

A nurse is conducting a family assessment of a couple with two school-aged children. Which statement would the nurse identify as reflecting the family function of providing physical care? Select all that apply.

• "We plan on sending our children to college." • "We alternate taking the children for their doctor visits." • "We believe in natural family planning methods."

As part of a plan of care for a family, a nurse is working to assist the family in developing problem solving skills. Which action by the nurse would be most appropriate. Select all that apply.

• Assisting members to develop self-awareness • Correcting any misconceptions voiced by family members. • Clarifying conflicts noted between and among family members

A client has been diagnosed with multiple sclerosis and wants to undergo treatment at home. Which of the following are subjective characteristics of Compromised Family Coping? Select all that apply.

• Client expresses concern that his wife has gone into depression after the diagnosis. • Spouse describes anticipatory grief about the client's illness. • Client complains about his wife's response to his illness.

A nursing instructor is preparing for a class discussion on families and their common functions. Which of the following would the instructor most likely include? Select all that apply.

• Providing physical care • Meeting sexual needs • Ensuring means for socialization

While assessing a family, the nurse notes indications of altered family functioning. Which of the following would the nurse most likely note? Select all that apply.

• Significant difficulty with changes • Noncompliance with treatment regimen • Expression of guilt

After teaching students about different family structures, the instructor determines that the session was successful when the students identify which of the following as comprising a blended family. Select all that apply.

• Step children • Birth children • Non-birth parent • Birth parent

A nurse is assessing a family in which the father is an alcoholic. The assessment reveals that the wife has assumed the role of the enabler. Which behaviors would the nurse expect to assess? Select all that apply.

• Wife continually makes excuses for the husband's behavior. • Wife maintains the family's functioning as much as possible. • Wife assumes responsibility for tasks the husband is supposed to do.