Family-Community w/ Rationales

A nurse notices on a client's intake form that there is a history of heart disease in their family. Which of the following risk factors should the nurse identify this information as?

Biological Heart disease is a biological risk factor.

shows family relation to other systems within the community. It does not show the types of families over the generations.

ecomap

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. Which of the following findings should the nurse identify as significant in relation to the family systems theory?

A family member in the household was recently diagnosed with cancer This is a component of family systems theory. Family systems theory is based on the premise that families are a unit and that any change in one family member affects all members.

assesses the resources a family has to manage challenges or crisis, but does not show family types over generations.

Family SCREEM

A nurse is working with a family in which a few members have a chronic disease. Which of the following tools should the nurse use to gain insight into the strengths and vulnerabilities of a family who has chronic disease?

Family SCREEM This tool is especially effective for families that have members who have chronic or terminal illnesses.

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. Which of the following theories assist the nurse in determining whether the client and their family will be receptive to this recommendation?

Family life cycle theory This theory proposes that families establish boundaries during times of crisis and will either facilitate openness or closedness to handling of crisis.

A nurse should understand that which of the following is an example of the socialization family function and structure?

Family members learning how to interact with other members of society This is a socialization function. The family's children will learn from the adults how to operate effectively and fit into the social environment. The values and beliefs systems of the members are learned through family interactions with each other and society.

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following?

Family structure Age and gender of each member is included as part of family structure.

A nurse is completing a genogram on a client. Which of the following should the nurse expect to learn about the client from the genogram?

Family structures, major family events, conflicts, and family patterns The genogram can depict family structures, major family events, conflicts, and family patterns.

A nurse is reviewing a client's chart. Which of the following tools would assist the nurse in identifying family relationships and patterns?

Genogram A genogram can show different family types over several generations.

A nurse is collecting data on a 19-year-old client and notices that the client is sup-to-date on immunizations. Which of the following family functions does this meet?

Health promotion and self-care function One of the functions of the family is to teach members how to promote health and care for themselves.

A nurse is reviewing community partnerships to help identify resources for families in the community. Which of the following is an example of a community partnership the nurse should expect?

Working with elected officials This is an example of a community partnership. Partnerships can be with elected officials, community leaders, citizens within the community, and various agencies that provide services.

can assess the ability of the family to respond to challenges and crisis, but does not show family types over generations.

family APGAR

A nurse is communicating the definition of a genogram to a client. Which of the following statements should the nurse make to define a genogram?

"A genogram contains all the information in a typical family tree, and also has details about family structure, timelines of major family events, conflicts, and documentation of family patterns" This is the definition of a genogram.

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. Which of the following actions should the nurse take? Select all that apply

Ask the client if they smoke Discuss wit the client that they are at an increased risk for developing breast cancer Show the client a video of how to perform a breast self-examination Ask the client if they smoke is correct. Smoking increases the risk for breast cancer. The nurse needs to assess for all risk factors and implement risk reduction interventions. Explain to the client that their 12-year-old daughter will not be at an increased risk of breast cancer is incorrect. This information is incorrect. The client's genogram places their daughter at an increased risk as well. Discuss with the client that they are at an increased risk for developing breast cancer is correct. Based on the client's genogram, the nurse should explain their risk for developing breast cancer. The client's family history of their mother having breast cancer places them at risk. Show the client a video of how to perform a breast self-examination is correct. The nurse should educate the client about breast self-examinations to help the client to detect breast cancer at an early stage. Report this data to the state health department is incorrect. The nurse should not report this information to the state health department. A client's risk factors for a disease are not a reportable incident.

A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take? Select all that apply

Refer the family to community resources and agencies Develop a family-nurse contract Schedule the family's next visit Refer the family to community resources and agencies is correct. This will be an important step in helping the family meet the goals and identified action steps. Develop a family-nurse contract is correct. Developing a family-nurse contract can help the family take an active role in meeting their health outcomes. Review the goals and action steps and change those that do not seem realistic is incorrect. This is not a step the nurse should take without family input. Add additional goals and objectives based on what the provider thinks the family needs is incorrect. Goals and objectives should be driven by the family, not the nurse or provider. Schedule the family's next visit is correct. The nurse should schedule the next visit. Once the goals and action steps have been determined, the next step in the nursing process is for the nurse to evaluate if the goals have been met, and if not, to revise the plan of care with the family.

A nurse is working with a family to develop a family care plan that has four steps. Identify the correct order of steps when creating a family care plan.

Identify the problem Plan interventions with goals and objectives Develop family-centered interventions Evaluate the progress toward outcome measures Identify the problem is the first step. This step is accomplished by obtaining objective data from the medical record and the nurse's observations. These steps follow the nursing process to assess, analyze, plan, implement, and evaluate. Plan interventions with goals and objectives is the second step. Goals should be structured using the SMART goal framework. These steps follow the nursing process to assess, analyze, plan, implement, and evaluate. Develop family-centered interventions is the third step. Involving family members in the formulation of the interventions can help achieve success for the family. These steps follow the nursing process to assess, analyze, plan, implement, and evaluate. Evaluate the progress toward outcome measures is the final step. Evaluation of the care plan will include reviewing the set goals and interventions and determining if they have been met, are still ongoing, or require modification. These steps follow the nursing process to assess, analyze, plan, implement, and evaluate.