Family Health

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Question 1
Free
Multiple Choice

Which of the following definitions of family would be the most useful for the nurse practicing in the community?

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A

A group of persons with shared convictions

B

A social unit interacting with the larger society

C

People descended from a common ancestor

D

Persons related either by blood or by legal contract (marriage)

E

Whoever the family says is in their family

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Question 2
Free
Multiple Choice

A nurse was teaching a class on good hygiene at a local day care center when one child volunteered, "I have two mommies." Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A

"Don't tell anyone; that's a secret."

B

"That's nice-why did you share that?"

C

"Yes, some children have two mommies, some have a mommy and a daddy, and some just have daddies. Some people only have one grown-up to love them."

D

"Which mommy is your real mommy?"

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Question 3
Free
Multiple Choice

Which of the following statements best describes how a family can meet the needs of society?

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A

By living and existing in the wider community

B

By meeting the needs of the individual family members

C

Through procreation and socialization

D

Through productivity seen in employment positions

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Question 4
Free
Multiple Choice

Which of the following best describes what is meant by cohabitation?

Choose correct answer/s
A

A living arrangement in which one adult is employed and the other is unemployed

B

A living arrangement in which an unmarried couple in a long-term relationship lives together

C

A living arrangement between two members of the same sex

D

A living arrangement between two single mothers with children

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Question 5
Free
Multiple Choice

Which of the following best describes what proportion of children live in a single-parent family?

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A

Fewer than 10%

B

11%-15%

C

16%-20%

D

21%-26%

E

More than 30%

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Question 6
Multiple Choice

When making a home visit, a nurse is usually expected to focus attention on the ill family member. But whom would the nurse possibly focus on instead?

Choose correct answer/s
A
The children who are being affected by the stress of the situation
B
The ill family member's primary caregiver
C
The spouse of the ill family member
D
The neighbors of the family who may be able to help
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Question 7
Multiple Choice

Which of the following is a major barrier to a nurse caring for the family as a whole?

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A
Families often don't want to know what is wrong with their loved one.
B
Nurses don't know how to care for families.
C
Reimbursement is paid only for services given to an individual.
D
The family often isn't available when the nurse is giving care.
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Question 8
Multiple Choice

A nurse is completing a first assessment interview with a family after entering the family's apartment for the first time. Which of the following would be crucial for the nurse to remember?

Choose correct answer/s
A
Analyze the power relationships before focusing on needed information
B
Be on best behavior with manners and courtesy, starting with a self-introduction
C
Determine as soon as possible who makes decisions within the family
D
Evaluate the safety of the immediate environment for self and the family
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Question 9
Multiple Choice

Beyond gathering needed information for future interventions, which of the following purposes is served when the nurse interviews the family?

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A
Assessing the safety of the immediate environment before further planning can be done
B
Establishing a process for the nurse and the family to make decisions
C
Engaging in focused planned conversation, which has healing potential in itself
D
Focusing on giving compliments to make the family feel good about themselves
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Question 10
Multiple Choice

Which of the following questions is crucial to ask very early in a family interview?

Choose correct answer/s
A
"Do you see any way this problem could have been avoided-so future problems could be prevented?"
B
"What do you all, as a famil,y hope to achieve during your time with me?"
C
"What would you like me to do for you today?"
D
"Would you like to know my perception of what our goals together should be?"
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Question 11
Multiple Choice

A young son was so physically fidgety that his mother was seriously embarrassed by his inability to be quiet and involved in the interview. Which of the following comments by the nurse would be the most helpful?

Choose correct answer/s
A
"Isn't it marvelous how much energy your son has?"
B
"Is there something your son could be doing for you that would use some of that energy?"
C
"Is your son always so fidgety? Have you discussed his behavior with his pediatrician?"
D
"Why don't you let your son go to his room until we're finished?"
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Question 12
Multiple Choice

The current school year is now over, and the school health nurse spends time summarizing the records of all the children who had come into the school health office during the past school year. Which of the following best explains the rationale for this action?

Choose correct answer/s
A
Because analysis can help establish priorities for future health programs
B
Because annual reports are expected by the school board
C
Because it's very personally rewarding to see all the help one has given throughout the year
D
Because the nurse has to justify the school health office budget for each year
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Question 13
Multiple Choice

Which of the following best describes why a nurse would ask about the meals of all family members, rather than focus on a nutritional history for the post-myocardial infarction patient?

Choose correct answer/s
A
It is assumed that all family members eat the same food at the same time each day.
B
Lifestyle choices among family members are usually consistent.
C
Many parents eat whatever their children don't rather than throw away good food, so the nurse should know what the children eat.
D
The nurse was afraid to assume that whoever cooked would only prepare one meal for everyone to share.
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Question 14
Multiple Choice

A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer. Which of the following should be emphasized by the nurse when helping the woman make an appointment at the diabetic clinic for follow-up testing and treatment?

Choose correct answer/s
A
"Bring a food diary of everything you've eaten for one week with you to the appointment to help with future meal planning."
B
"It's really not that hard to learn how to inject insulin, and it really doesn't hurt."
C
"Please encourage all your family members, including your parents, to be tested for diabetes as well."
D
"They'll teach you how to manage your meals and medications to stay healthy."
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Question 15
Multiple Choice

Record data demonstrated that there were a very large number of children in the school district whose insurance plan was the Children's Health Insurance Program (CHIP). Which of the following conclusions would be accurate for the nurse to make?

Choose correct answer/s
A
There are a large number of parents who know how to abuse government programs.
B
There are a large number of homeless families.
C
There are a large number of unemployed poverty-stricken families.
D
There are a large number of working, low-income parents.
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Question 16
Multiple Choice

A nurse needed to help a child who was not behaving consistently with the requirements of the new preschool program that began that fall. Which of the following actions would be most appropriate for the nurse to perform?

Choose correct answer/s
A
Meet with the child each day to let the child have a safe play environment without the regular program frustrations
B
Meet with the child's parents to discuss how their parenting may need to change to help improve their child's behavior at school
C
Meet with the child's teacher to brainstorm ways to help the child cope with school requirements
D
Point out to the child that if behavior doesn't improve, the child won't be able to play with all the other children at the school
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Question 17
Multiple Choice

A family came in to discuss a problem with one of their children. Which of the following family behaviors would be concerning to the nurse?

Choose correct answer/s
A
Each family member made supportive comments about each other.
B
Every Sunday the family attends religious services together.
C
Family members made humorous comments about their life together.
D
The family seemed to rather quickly determine priorities for action.
E
The family wanted the nurse to decide what they should do.
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Question 18
Multiple Choice

Which of the following are examples of the internal structure of the family?

Choose correct answer/s
A
Ethnicity and race
B
Extended family members
C
Gender and rank order of birth
D
Social class and religion
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Question 19
Multiple Choice

A man had been in an extended-care facility for five weeks and was now home. His wife tells the nurse, "He's trying to take up where he left off but we've adapted to not having him home. He keeps thinking things will be just as they were when he left, but they aren't." Which of the following would be the most appropriate response by the nurse?

Choose correct answer/s
A
"Are the changes making him uncomfortable or are the rest of you uncomfortable?"
B
"Do you want me to talk to him and try to explain?"
C
"How can we make things as they were before he left?"
D
"You all adapted to running the house without him; it will be challenging now to adapt back."
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Question 20
Multiple Choice

Each evening, a newly disabled man becomes angry when his wife, just home from her new full-time job, does not have dinner on the table at 6 PM. Which of the following actions would be most appropriate for the nurse to take?

Choose correct answer/s
A
Allow the wife to express her frustration and anger to you
B
Explain to the husband that he is going to have to begin learning how to cook
C
Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone
D
Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on weekends
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