N420 Exam 4 Ch 18 ( TB)Family Development

The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man's married brother, who is separated from his wife. During the assessment it is determined that both men

The family includes whoever the adults state are family members.

The nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred. The best way to determine the family of a mother and her child is to ask the woman which of the follow

. "Who are the members of your and your child's family?

In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessme

Structure

Which of the following statements best explains why family functions and structures create unique challenges in family nursing?

Function and structure change over time

A nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use?

Building on the family's strengths and resilience

The nurse is told that a healthy, functional family consisting of a 25-year-old man and a 24-year-old woman, who are expecting their first child, would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and thei

The family's basic needs are being met

A nurse focuses on the care of the individual while viewing the client's family as a background resource or possible stressor. Which of the following conceptualizations of family does this nurse's view represent?

Context

A nurse asks a family member, "What has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is the nurse assessing?

system

A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle. Which theory is being applied?

Family developmental

A new mother is a full-time college student who lives with her parents, because the baby's father has been imprisoned related to theft and drug abuse. The infant's grandmother, although also employed, cares for the child while the young mother attends cla

Developmental

Which of the following theories views the family as a whole with boundaries that are affected by the environment?

Family systems

A nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which of the following theories is being used by the nurse?

Bioecological systems theory

A nurse is in the termination phase of the nurse-family relationship. Which of the following strategies would the nurse most likely implement?

Making referrals when appropriate

A nurse is making an appointment with a family for a nursing visit. Which of the following describes a potential barrier the nurse may encounter?

It may be difficult to find a convenient time for all family members to be present.

Which of the following factors must be considered before deciding on an appropriate plan of action?

Family is capable of the required actions.

Which of the following terms refers to government actions that have a direct or indirect effect on families?

Family policy

A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions is the nurse most likely to take?

Taking a defined time off of work for family events without fear of job loss

A nurse is conducting a family assessment. Which of the following behaviors would the nurse recognize as suggestive of a family with problems?

Most of the conversation was between the father and the eldest daughter.

The hospital-based nurse has worked with a client at some length regarding appropriate diet. Based on the family systems theory, which of the following will most likely occur when the client returns home?

The family member who prepares food will probably try to modify family meals without obvious change for the family as a whole.

A nurse has just met a family and is completing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure?

Take time to build trust.

A nurse is completing a tertiary prevention activity in a predominantly poor community, where eating clay (pica) is a common practice. Which of the following actions would the nurse most likely take?

Assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients.

A nurse requests to meet a newly referred family in their home. Which of the following best explains the rationale for this request? (Select all that apply.)

The nurse can assess the family environment.
The family will feel more comfortable
More family members can typically be involved.

In comparison with traditional norms, which family functions have become increasingly important in modern American society? (Select all that apply.)

Ensuring physical and mental health
Fostering interpersonal relationships and support

Which of the following must be firmly established before beginning a family assessment? (Select all that apply.)

Why the data are needed
The most convenient time for you to visit the family
The rationale or purpose of the visit