Test Bank Fundamentals Of Nursing 11th Edition Potter Perry chapter 10

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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
Chapter 10: Family Dynamics
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A nurse is assessing the family unit to determine their ability to adapt to the change required
of a member having surgery. Which area is the nurse monitoring?
Family durability
Family resiliency
Family diversity
Family forms
a.
b.
c.
d.
ANS: B
Family resiliency is the ability of the family to cope with expected and unexpected stressors;
it’s the families’ ability to adapt to changes. Family diversity is the uniqueness of each family
unit. Every person within a family unit has specific needs, strengths, and important
developmental considerations. Family durability is a system of support and structure within a
family that extends beyond the walls of the household. Family forms are patterns of people
considered by family members to be included in the family.
DIF:Apply (application)
OBJ:Discuss how the term family reflects family diversity.
MSC: Psychosocial Integrity
TOP: Assessment
2. A nurse reviews the current trends affecting today’s family. Which trend will the nurse find?
a. More mothers are full time at home parents.
b. Adolescent mothers usually live on their own.
c. More grandparents are raising their grandchildren.
d. Teenage fathers usually have stronger support systems.
ANS: C
More grandparents are raising their grandchildren. The majority of women work outside the
home, and about 70% of mothers with children under the age of 18 are in the workforce. The
majority of adolescent mothers continue to live with their families. Teenage fathers usually
have poorer support systems and fewer resources to teach them how to parent.
DIF:Understand (comprehension)
OBJ:Examine current trends affecting the American family.
MSC: Psychosocial Integrity
TOP: Assessment
3. A spouse brings the children in to visit their mother in the hospital. The nurse asks how the
family is doing. The husband states, ―None of her jobs are getting done, and I don’t do those
jobs, so the house and the kids are falling apart.‖ How will the nurse interpret this finding?
a. The family structure is resilient.
b. The family structure is flexible.
c. The family structure is hardy.
d. The family structure is rigid.
ANS: D
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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
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A rigid structure specifically dictates who is able to accomplish different tasks and also limits
the number of persons outside the immediate family allowed to assume these tasks. Resiliency
helps to evaluate healthy responses when individuals and families are experiencing stressful
events. An extremely flexible structure also presents problems for the family. There is
sometimes an absence of stability that would otherwise lead to automatic action during a crisis
or rapid change. Hardiness is the internal strength and durability of the family unit
characterized by a sense of control over the outcome of life and an active, rather than passive,
orientation in adapting to stressful events.
DIF:Apply (application)
OBJ:Explain how the relationship between family structure and patterns of functioning affects the
health of individuals within the family and the family as a whole.
TOP: Assessment MSC: Psychosocial Integrity
4. A nurse cares for the family’s as well as the patient’s needs using available resources. Which
approach is the nurse using?
Family as context
Family as patient
Family as system
Family as caregivers
a.
b.
c.
d.
ANS: C
When you care for the family as a system, you are caring for each family member (family as
context) and the family unit (family as patient), using all available environmental, social,
psychological, and community resources. When you view the family as context, the primary
focus is on the health and development of an individual member existing within a specific
environment (i.e., the patient’s family). When you view the family as patient, the family
processes and relationships (e.g., parenting or family caregiving) are the primary focuses of
nursing care. There is no approach for family as caregivers; rather, it is a term to describe
family members caring for other family members usually at home.
DIF:Understand (comprehension)
OBJ:Compare nursing care that views family as context, family as patient, and family as a system and
explain how these different perspectives influence nursing practice.
TOP: Implementation
MSC: Management of Care
5. A nurse is caring for a patient who needs constant care in the home setting and for whom most
of the care is provided by the patient’s family. Which action should the nurse take to help
relieve stress?
a. Encourage caregiver to do as much as possible.
b. Focus primarily on the patient.
c. Point out weaknesses.
d. Provide education.
ANS: D
Providing education to the family and caregiver helps relieve some of the stress of caregiving.
Help the family focus on their strengths instead of on problems and weaknesses. While
caregivers desire to care for the loved one, they often feel extreme pressure to do everything;
therefore, encouraging the caregiver to do more will add stress. Focusing primarily on the
patient will not be beneficial; the entire family is the patient.
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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
DIF:Apply (application)
OBJ:Discuss the role of families and family members as caregivers.
TOP: Implementation
MSC: Psychosocial Integrity
6. A nurse is working with a patient. When the nurse asks about family members, the patient
states that it includes my spouse, children, and aunt and uncle. How will the nurse describe
this type of family?
a. Nuclear
b. Blended
c. Extended
d. Alternative
ANS: C
The extended family includes relatives (aunts, uncles, grandparents, and cousins) in addition
to the nuclear family. The nuclear family consists of husband and wife (and perhaps one or
more children). The blended family is formed when parents bring unrelated children from
prior adoptive or foster parenting relationships into a new, joint living situation. Relationships
include multi-adult households, ―skip-generation‖ families (grandparents caring for
grandchildren), communal groups with children, ―nonfamilies‖ (adults living alone),
cohabitating partners, and homosexual couples.
DIF:Understand (comprehension)
OBJ:Discuss factors that affect family forms and their impact on a family’s health.
TOP: Assessment MSC: Psychosocial Integrity
7. An emergency department nurse is assessing a child that lives in a car with family members.
Which area should the nurse assess closely?
Ears
Eyes
Head
Hands
a.
b.
c.
d.
ANS: A
Children of homeless families are often in fair or poor health and have higher rates of asthma,
ear infections, stomach problems, and mental illness. Eyes, head, and hands are not as likely
to be negatively affected as the ears.
DIF:Apply (application)
OBJ:Discuss factors that promote or impede family health.
MSC: Health Promotion and Maintenance
TOP: Assessment
8. The nurse is interviewing a patient who is being admitted to the hospital. The patient’s family
went home before the nurse’s interview. The nurse asks the patient, ―Who decides when to
come to the hospital?‖ What is the rationale for the nurse’s action?
a. To assess the family form
b. To assess the family function
c. To assess the family structure
d. To assess the family generalization
ANS: C
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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
To assess the family structure, the nurse asks questions that determine the power structure and
patterning of roles and tasks (e.g., ―Who decides where to go on vacation?‖). When focusing
on family form, the nurse should begin the family assessment by determining the patient’s
definition of family. Family function is the ability of the family to provide emotional support
and to cope with health problems or situations. The question asked by the nurse will not assess
that. Nurses do not assess family generalization.
DIF:Apply (application)
OBJ:Explain how the relationship between family structure and patterns of functioning affects the
health of individuals within the family and the family as a whole.
TOP: Assessment MSC: Psychosocial Integrity
9. A nurse is caring for a patient injured in a motor vehicle accident. Which action by the
unlicensed assistive personnel will cause the nurse to intervene?
Tells the family not to leave the bedside.
Offers the family a sandwich.
Gives the family a blanket.
Sits with the family.
a.
b.
c.
d.
ANS: A
The action of telling the family not to leave is inappropriate and should be corrected.
Sometimes telling the family that you will stay with their loved one while they are gone is all
they need to feel comfortable in leaving. Offering a sandwich, giving a blanket, and sitting
with the family are appropriate and do not require the nurse to intervene. When the victim of
trauma is hospitalized, take time to make sure that the family is comfortable. You can bring
them something to eat or drink, give them a blanket, or encourage them to get a meal.
DIF:Analyze (analysis)
OBJ:Discuss factors that promote or impede family health.
MSC: Management of Care
TOP: Implementation
10. A nurse is using the family as context approach to provide care to a patient. What should the
nurse do next?
a. Assess family patterns versus individual characteristics.
b. Assess how much the family provides the patient’s basic needs.
c. Use ―family as patient‖ and ―family as context‖ approaches simultaneously.
d. Plan care to meet not only the patient’s needs but also those of the family as well.
ANS: B
When the nurse views the family as context, the primary focus is on the health and
development of an individual member existing within a specific environment (i.e., the
patient’s family). Although the focus is on the individual’s health status, the nurse assesses
how much the family provides the individual’s basic needs. Family patterns are in the realm
of ―family as patient‖ approach. Often, the nurse will use the two simultaneously (family as
context and family as patient) with the approach of ―family as system.‖ ―Family as patient‖
involves planning to meet the needs of the patient and those of the family as well.
DIF:Apply (application)
OBJ:Compare nursing care that views family as context, family as patient, and family as a system and
explain how these different perspectives influence nursing practice.
TOP: Implementation
MSC: Management of Care
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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
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11. The nurse, caring for a patient in hospice, notes that while the patient is getting adequate care,
the caregiver is not sleeping well. The nurse also assesses the need for better family nutrition
and meals assistance. The nurse discusses these needs with the patient and family and
develops a plan of care with them using community resources. Which approach is the nurse
using?
a. Family as context
b. Family as patient
c. Family as system
d. Family as caregiver
ANS: C
When you care for the family as a system, you are caring for each family member (family as
context) and the family unit (family as patient), using all available environmental, social,
psychological, and community resources. In family as context, the primary focus is on the
health of an individual member. In family as patient, family processes and relationships are
the primary focus. Family as caregiver is not an approach to family-focused nursing but is a
term used to describe a family member caring for another family member.
DIF:Apply (application)
OBJ:Compare nursing care that views family as context, family as patient, and family as a system and
explain how these different perspectives influence nursing practice.
TOP: Implementation
MSC: Management of Care
12. The nurse is caring for an older-adult patient who has no apparent family. When questioned
about family and the definition of family, the patient states, ―I have no family. They’re all
gone.‖ When asked, ―Who prepares your meals?‖ the patient states, ―I do, or I go out.‖ Which
approach should the nurse use for this patient?
a. Family as context
b. Family as patient
c. Family as system
d. Family as caregiver
ANS: A
If only one family member receives nursing care, it is realistic and practical to use the
approach ―family as context.‖ Although family nursing is based on the assumption that all
people regardless of age are a member of some type of family form, the patient insists that
there is no family. The nurse should investigate further. However, at this time, family as
patient or as system is not appropriate. Family as caregiver is not an approach but rather is a
term to describe a family member caring for another family member.
DIF:Analyze (analysis)
OBJ:Compare nursing care that views family as context, family as patient, and family as a system and
explain how these different perspectives influence nursing practice.
TOP: Evaluation
MSC: Management of Care
13. The nurse is caring for an older-adult patient at home who requires teaching for dressing
changes. The spouse and adult child are also involved in changing the dressing. Which
statement by the nurse will most likely elicit a positive response from the patient and family?
a. ―You’re doing that all wrong. Let me show you how to do it.‖
b. ―I don’t know who showed you how to change a dressing, but you’re not doing it
Fundamentals of Nursing 11th Edition Potter Perry Test Bank
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right. Let me show you again.‖
c. ―You’re hesitant about changing the dressing like I was before I was shown an
easier way; would you like to see?‖
d. ―I used to change the dressing the same way you are doing it: the wrong way. I’ll
show you the right way to do it.‖
ANS: C
When the nurse is confident and skillful instead of coming across as an authority on the
subject, the patient’s/family’s defenses will be down, making the patient/family more willing
to listen without feeling embarrassed. Respectful communication is necessary. Saying that
you’re doing it wrong, you’re not doing it right, or the wrong way is not respectful or
necessary.
DIF:Analyze (analysis)
OBJ:Discuss the role of families and family members as caregivers.
TOP: Communication and Documentation
MSC: Health Promotion and Maintenance
14. The nurse is providing discharge teaching for an older-adult patient who will need tube
feedings at home. The spouse is the only source of care and states ―I will not be able to
perform the feedings due to arthritis.‖ Which action should the nurse take?
a. Obtain extra feeding supplies.
b. Arrange for home care.
c. Cancel the discharge.
d. Teach the spouse.
ANS: B
Discharge planning with a family involves an accurate assessment of what will be needed for
care at the time of discharge, along with any shortcomings in the home setting. If no one can
do the feedings properly, the nurse will need to arrange for a home care service referral. Extra
feeding supplies will not help the situation if the spouse cannot use them. Canceling the
discharge is not an option. Teaching the spouse will not be effective since the spouse is unable
to perform the feeding.
DIF:Apply (application)
OBJ:Utilize the nursing process to provide for the health care needs of the family.
TOP: Implementation
MSC: Management of Care
MULTIPLE RESPONSE
1. A nurse is assessing for factors influencing family form. Which areas will the nurse include in
the assessment? (Select all that apply.)
Homelessness
Domestic violence
Presence of illness
Changing economic status
Rise of homosexual families
a.
b.
c.
d.
e.
ANS: A, B, C, D
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Fundamentals of Nursing 11th Edition Potter Perry Test Bank
Families face many challenges today, including changing structures and roles related to the
changing economic status of society. Some families experience challenges related to chronic
illness and aging family members. Family caregiving, poverty, homelessness, and domestic
violence create challenges for families. Homosexual families are not a threat facing the
family; in fact, many homosexual couples now define their relationship in family terms.
DIF:Understand (comprehension)
OBJ:Examine current trends affecting the American family.
MSC: Psychosocial Integrity
TOP: Assessment
2. In addition to providing physical care, what roles does a caregiver assure when caring for a
family member? (Select all that apply.)
Emotional supporter
Health care decision maker
Financial monitor
Advocate
Family leader
a.
b.
c.
d.
e.
ANS: A, B, C, D
Family caregivers also provide ongoing emotional support for their loved ones, making
decisions about care options, being a patient advocate, and monitoring finances. The role of
family leader is not necessary one that the caregiver assumes.
DIF:Understand (comprehension)
OBJ:Utilize the nursing process to provide for the health care needs of the family.
TOP: Assessment MSC: Psychosocial Integrity
MATCHING
A nurse is focusing on the interactive processes of family life and is asking the patient
questions. Match the questions the nurse will ask to the interactive process.
a. Family Structure
b. Family Functioning
c. Developmental assessment
1. Who lives with you?
2. What aspects of your family do you enjoy the most?
3. How are problems solved?
1. ANS: A
DIF:Analyze (analysis)
OBJ:Utilize the nursing process to provide for the health care needs of the family.
TOP: Assessment MSC: Psychosocial Integrity
2. ANS: C
DIF:Analyze (analysis)
OBJ:Utilize the nursing process to provide for the health care needs of the family.
TOP: Assessment MSC: Psychosocial Integrity
3. ANS: B
DIF:Analyze (analysis)
OBJ:Utilize the nursing process to provide for the health care needs of the family.
TOP: Assessment MSC: Psychosocial Integrity
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