Chapter 27 Community

Which nursing action best illustrates how a public health nurse works with families and communities?
a. Learning about the core competencies for public health professionals
b. Facilitating a client discharge from an inpatient facility
c. Assessing the str

d. Assisting clients who are uninsured in finding resources and services

How can a nurse best meet the health care needs of diverse and changing families?
a. By providing culturally competent care
b. By understanding family dynamics
c. By recognizing that two-income parent households are less stressful
d. By learning how to ca

a. By providing culturally competent care

A nurse is making an appointment with a family for a nursing visit. A barrier that may occur when scheduling this appointment is:
a. The assessment cannot be done unless the extended family is present.
b. It may be difficult to find a convenient time for

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

A nurse recognizes that a barrier that may be experienced when providing family nursing care is health literacy. Which strategy should the nurse implement to reduce the occurrence of this problem?
a. Write down all necessary information for the family.
b.

c. Print in upper- and lowercase letters.

When asking, What has changed between you and your spouse since your childs head injury? the nurse is using the focus of family as:
a. The context
b. The client
c. A system
d. A component of society

c. A system

When assessing family structure, it is most important for the nurse to recognize that:
a. An individual may experience many different family structures over a lifetime.
b. The variations in family structure are becoming less common.
c. The traditional nuc

a. An individual may experience many different family structures over a lifetime.

A nurse makes a visit to a home where there are a number of people. The client says that several people are in her family who are not related. The nurse should:
a. Ask the client why they are living in her home.
b. Ask each member to identify his or her h

d. Accept the clients definition of family.

Which statement about divorce rates is correct?
a. Caucasians have a higher divorce rate than African Americans.
b. Hispanics have a higher divorce rate than Caucasians.
c. Catholics have a higher divorce rate than Protestants.
d. Those with a high school

d. Those with a high school degree or less have a higher divorce rate than those with a college degree.

Nurses analyze family developmental changes and stressors when studying family:
a. Demographics
b. Functions
c. Structure
d. Nursing

a. Demographics

The nurse visits a household that consists of an elderly person living with non-relatives. This type of household is classified as a:
a. Single-family household
b. Family household
c. Non-family household
d. Family demographic trend

c. Non-family household

Why is it imperative that the nurse keep informed and up-to-date about demographic trends pertaining to families and all types of households?
a. To understand the demographics of the areas they are serving
b. To provide safe care to the public
c. To predi

c. To predict the needs of families within the community

Which theory views the family as a whole with boundaries that are affected by the environment?
a. Family developmental theory
b. Structural-functional theory
c. Family role theory
d. Family systems theory

d. Family systems theory

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?
a. Family systems
b. Structural-functional
c. Family developmental
d. Interacti

c. Family developmental

Which theory is being applied by a nurse who examines family interactions?
a. Structural-functional
b. Family systems
c. Family developmental
d. Interactionist

b. Family systems

Which theory is being used when a nurse asks, Where is this family on the continuum of the family cycle?
a. Structural-functional
b. Family systems
c. Family developmental
d. Interactionist

c. Family developmental

A nurse considers how the environment outside of the family influences the development of a child is using which theory?
a. Bioecological systems theory
b. Family systems approach
c. Family developmental theory
d. Interactionist theory

a. Bioecological systems theory

Which strategy would the nurse use during the termination component of the nurse-family relationship?
a. Increasing sessions with the nurse
b. Making referrals when appropriate
c. Providing a formative evaluation of the relationship
d. Refusing additional

b. Making referrals when appropriate

A nurse displays pertinent family information in a multigenerational family tree format. This is called a(n):
a. Family intervention
b. Family assessment
c. Genogram
d. Ecomap

c. Genogram

Which assessment instrument would be most appropriate for a nurse when demonstrating how a family relates to the other units in the community?
a. Family intervention
b. Family assessment
c. Genogram
d. Ecomap

d. Ecomap

The nurse chooses to interview a family in the clinic office. A rationale for this decision is the:
a. Nurses territory will provide the nurse with power
b. More formal setting may allow for better discussion of family issues
c. Nurse will feel more comfo

b. More formal setting may allow for better discussion of family issues

Why is it important for some families to construct a genogram?
a. It allows nurses to diagnose disease patterns.
b. It brings the family together to do a mutual task.
c. It shows family history and patterns of health-related information.
d. It provides a

c. It shows family history and patterns of health-related information.

Government actions that have a direct or indirect effect on families are called _____ policy.
a. Social
b. Family
c. Public
d. Financial

b. Family

What action would a nurse take when using the provisions of the Family Medical Leave legislation?
a. Resigning from employment, but retaining health insurance
b. Sharing family information with colleagues
c. Providing Medicaid to a family who cannot affor

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

Which are reasons for cohabitation? Select all that apply.
a. Cohabitants would marry but do not for economic reasons.
b. Cohabitants are seeking a more equalitarian relationship.
c. Resources, such as food stamps and budget management, can be shared.
d.

a. Cohabitants would marry but do not for economic reasons.
b. Cohabitants are seeking a more equalitarian relationship.
d. Cohabitants are using this as a trial period to assess whether to marry.