RN Family Assessment
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
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
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
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 Note the family systems theory is based on the premise that families are a unit and that any change in one family members affects all members.
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
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 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 - is especially effective for families that have members who have chronic or terminal illness. Note: ecomap is how family relates to community - genogram is family structure and family problems that might reoccur over several generations. Apgar is response to challenges or crisis situations.
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 Note that family characteristics are those activities and bx that members of the family exhibit such as positive communication, commitment to each other, and prioritizing health relationships with members of the family. it does not involve the age and gender of the family members.
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
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" Note: SCREEM Assessment looks at the resources a family posses to deal with challenges or a crisis Ecomap: visual illustration of the family in relation to other systems within the community, such as school, health care entities, work and other social communities. Family APGAR: tool that is useful for assessing the ability of the family to respond to challenges and crises they may face.
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 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 Partnerships can be with elected officials, community leaders, citizens within the community and various agencies that provide services.
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
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- theory proposes that families est. boundaries during times of crisis and will either facilitate openness or closedness to handling of crisis. Family system theory- theory is about the family functioning as a unity and not about how they respond to a crisis. Biological ecosystems theory- theory is about understanding the impact of outside influences on the family. Modeling and role model theory- the model is used in public health to explain the role of the nurse, which is facilitation, nurturance and unconditional acceptance. Theory would not help the nurse to determine fi the family is receptive to the facilitation or recommendation.
