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Caring for Families Practice Exam (PM)**
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Question 1
Family-centered nursing is concerned with:
A
Providing care outside the hospital for family members
B
Promoting the health of the family as a unit and the health of the individual member
C
Caring for the expectant family
D
Strengthening the family unit
Question 2
The nurse has recently been employed in a long-term care facility and must learn gerontological principles related to families. Which of the following is one of those principles?
A
Social support systems are likely to differ from those for clients in younger age groups.
B
The care givers are often not members of the family.
C
Role reversal is usually expected and well-accepted by the elderly client.
D
Members of later-life families do not have to work on developmental tasks.
Question 3
Effective communication within the family promotes:
A
Problem solving and psychological support
B
Better financial conditions for the family
C
Role development of individual members
D
Socialization among individual members
Question 4
Among a number of changes in the way in which individuals live in today’s society, which of the following is a current trend in families or family living?
A
People marrying earlier
B
More people living alone
C
Reduction in the divorce rate
D
People having more children
Question 4 Explanation:
The number of people living alone is expanding rapidly and represents approximately 26% of all households.
Question 5
The nurse makes a home visit to a client living in a nuclear family system. In assessing the roles and power structure of the family, the nurse should specifically ask the client:
A
“Who decides where to go on vacation?”
B
“What types of activities do you and your family like?”
C
“How many people live in your home?”
D
“What type of health care insurance do you have?”
Question 5 Explanation:
Asking, “Who decides where to go on vacation?” enables the nurse to determine the power structure and patterning of roles and tasks of the family.
Question 6
The nurse is observing for the signs of a healthy family. In an assessment of a healthy family, the nurse expects to find that:
A
Minimal influence is exerted on the environment.
B
The structure is flexible enough to adapt to crises
C
Change is viewed as detrimental to family processes.
D
A passive response exists to stressors.
Question 6 Explanation:
A healthy family has a flexible structure that allows adaptable performance of tasks and acceptance of help from outside the family system. The structure is flexible enough to allow adaptability but not so flexible that the family lacks cohesiveness and a sense of stability.
Question 7
When working with families, the nurse may view the family as context or client. Which one of the following examples demonstrates the view of the family as context?
A
The adjustment of the client and family to changes in diet and exercise
B
The family’s demands on the client based on his or her role performance
C
The client’s ability to understand and manage his or her own dietary needs
D
The family’s ability to support the client’s dietary and recreational needs
Question 7 Explanation:
When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within the client’s family. The client’s ability to understand and manage his or her own dietary needs is an example of viewing the family as context.
Question 8
Certain societal trends or concerns may have an influence on the overall health of families and create a challenge for health care providers. Of the following trends, which represents the greatest current health care challenge to nurses?
A
Single-parent families
B
Alternate relationship patterns
C
“Homelessness”
D
“Sandwiched” or middle generation
Question 8 Explanation:
Homelessness is identified as one of the greatest health care challenges to nurses.
Question 9
Assessment of the healthy family should find that:
A
The structure is flexible enough to adapt to crises
B
Change is viewed as detrimental to family processes
C
Minimum influence is exerted on the environment
D
There is a passive response to stressors
Question 10
A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care. The nurse should first:
A
Arrange for a private duty nurse to take care of the client
B
Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
C
Refer the client to a colostomy self-help support group
D
Inform the client that an alternate way of managing the colostomy must be learned
Question 11
A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care independently. The nurse should first:
A
Investigate whether someone else in the family or neighborhood will be able to assist with the colostomy care.
B
Inform the client that management of the colostomy must be learned.
C
Refer the client to a colostomy self-help support group.
D
Arrange for a private duty nurse to take care of the client.
Question 11 Explanation:
The nurse should first find out if anyone else in the family or neighborhood would or could assist with the colostomy care.
Question 12
Which one of the following trends or concerns represents the greatest current health care challenge to nurses?
A
Alternate relationship patterns
B
“New homelessness”
C
“Sandwiched generation”
D
Single parent families
Question 13
In completing a client’s family assessment, the nurse should begin by:
A
Determining the family’s form and attitudes
B
Gathering the health data from all family members
C
Testing the family’s ability to cope
D
Evaluating communication patterns
Question 14
The nurse has recently been employed in a long-term care facility and must learn gerontologic principles related to families. Which of the following is one of those principles?
A
Social support systems are likely to be different from those of clients in younger age groups.
B
Members of later-life families do not have to work on developmental tasks.
C
Role reversal is usually expected and well accepted by the elderly client.
D
The care-givers are often not members of the family.
Question 14 Explanation:
It is true that social support systems for the elderly are likely to be different from those for clients in younger age groups.
Question 15
Which of the following is a current trend in families or family living?
A
More people living alone
B
People marrying earlier
C
A reduction in the divorce rate
D
People having more children
Question 16
The nurse is visiting a client and family in the community for the first time. In completing a client’s family assessment, the nurse should begin by:
A
Gathering the health data from all the family members
B
Determining the family’s structure and attitudes
C
Evaluating communication patterns
D
Testing the family’s ability to cope
Question 16 Explanation:
The nurse begins the family assessment by determining the client’s definition of and attitude toward family and the extent to which the family can be incorporated into nursing care. The nurse also assesses family form and membership.
Question 17
In implementing family centered care, the nurse:
A
Offers information about necessary self-care abilities
B
Works with clients to help them accept blame for their interactions
C
Provides his or her own beliefs on how to solve problems
D
Assists family members to assume dependent roles
Question 18
For the following examples, which assessment views the “family as context?”
A
The adjustment of the client and family to changes in diet and exercise
B
The client’s ability to understand and manage his own dietary needs
C
The family’s ability to support the client’s dietary and recreational needs
D
The family’s demands on the client based on his role performance
Question 19
The nurse is visiting the client and family in the home after the client’s discharge from the medical center. The nurse seeks to assist the client to return to the home environment. In implementing family-centered care, the nurse:
A
Assists family members to assume dependent roles
B
Provides his or her own beliefs on how to solve problems
C
Works with clients to help them accept blame for their interactions
D
Offers information about necessary self-care abilities
Question 19 Explanation:
When implementing family-centered care, the nurse adopts the role of educator and offers information about necessary self-care abilities.
Question 20
The nurse is observing the interaction of family members during a home visit. The nurse recognizes that the optimal goal of effective communication within the family is:
A
Problem solving and psychological support
B
Socialization among individual members
C
Role development of individual members
D
Better financial conditions for the family
Question 20 Explanation:
The optimal goal of effective communication within the family is to be able to problem solve and provide psychological support for its members.
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Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
Caring for Families Practice Exam (EM)**
Choose the letter of the correct answer. You have 20 mins to finish this exam. Good luck!
Start
Congratulations - you have completed Caring for Families Practice Exam (EM)**.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Effective communication within the family promotes:
A
Role development of individual members
B
Better financial conditions for the family
C
Problem solving and psychological support
D
Socialization among individual members
Question 2
A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care. The nurse should first:
A
Arrange for a private duty nurse to take care of the client
B
Inform the client that an alternate way of managing the colostomy must be learned
C
Refer the client to a colostomy self-help support group
D
Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
Question 3
Certain societal trends or concerns may have an influence on the overall health of families and create a challenge for health care providers. Of the following trends, which represents the greatest current health care challenge to nurses?
A
“Homelessness”
B
Single-parent families
C
Alternate relationship patterns
D
“Sandwiched” or middle generation
Question 3 Explanation:
Homelessness is identified as one of the greatest health care challenges to nurses.
Question 4
The nurse is observing for the signs of a healthy family. In an assessment of a healthy family, the nurse expects to find that:
A
Change is viewed as detrimental to family processes.
B
A passive response exists to stressors.
C
Minimal influence is exerted on the environment.
D
The structure is flexible enough to adapt to crises
Question 4 Explanation:
A healthy family has a flexible structure that allows adaptable performance of tasks and acceptance of help from outside the family system. The structure is flexible enough to allow adaptability but not so flexible that the family lacks cohesiveness and a sense of stability.
Question 5
Among a number of changes in the way in which individuals live in today’s society, which of the following is a current trend in families or family living?
A
More people living alone
B
People having more children
C
People marrying earlier
D
Reduction in the divorce rate
Question 5 Explanation:
The number of people living alone is expanding rapidly and represents approximately 26% of all households.
Question 6
Assessment of the healthy family should find that:
A
There is a passive response to stressors
B
The structure is flexible enough to adapt to crises
C
Minimum influence is exerted on the environment
D
Change is viewed as detrimental to family processes
Question 7
The nurse has recently been employed in a long-term care facility and must learn gerontologic principles related to families. Which of the following is one of those principles?
A
The care-givers are often not members of the family.
B
Members of later-life families do not have to work on developmental tasks.
C
Role reversal is usually expected and well accepted by the elderly client.
D
Social support systems are likely to be different from those of clients in younger age groups.
Question 7 Explanation:
It is true that social support systems for the elderly are likely to be different from those for clients in younger age groups.
Question 8
The nurse is observing the interaction of family members during a home visit. The nurse recognizes that the optimal goal of effective communication within the family is:
A
Problem solving and psychological support
B
Role development of individual members
C
Better financial conditions for the family
D
Socialization among individual members
Question 8 Explanation:
The optimal goal of effective communication within the family is to be able to problem solve and provide psychological support for its members.
Question 9
For the following examples, which assessment views the “family as context?”
A
The adjustment of the client and family to changes in diet and exercise
B
The client’s ability to understand and manage his own dietary needs
C
The family’s demands on the client based on his role performance
D
The family’s ability to support the client’s dietary and recreational needs
Question 10
A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care independently. The nurse should first:
A
Arrange for a private duty nurse to take care of the client.
B
Inform the client that management of the colostomy must be learned.
C
Refer the client to a colostomy self-help support group.
D
Investigate whether someone else in the family or neighborhood will be able to assist with the colostomy care.
Question 10 Explanation:
The nurse should first find out if anyone else in the family or neighborhood would or could assist with the colostomy care.
Question 11
In completing a client’s family assessment, the nurse should begin by:
A
Testing the family’s ability to cope
B
Evaluating communication patterns
C
Determining the family’s form and attitudes
D
Gathering the health data from all family members
Question 12
The nurse has recently been employed in a long-term care facility and must learn gerontological principles related to families. Which of the following is one of those principles?
A
Members of later-life families do not have to work on developmental tasks.
B
The care givers are often not members of the family.
C
Social support systems are likely to differ from those for clients in younger age groups.
D
Role reversal is usually expected and well-accepted by the elderly client.
Question 13
Which of the following is a current trend in families or family living?
A
A reduction in the divorce rate
B
People marrying earlier
C
People having more children
D
More people living alone
Question 14
In implementing family centered care, the nurse:
A
Works with clients to help them accept blame for their interactions
B
Offers information about necessary self-care abilities
C
Provides his or her own beliefs on how to solve problems
D
Assists family members to assume dependent roles
Question 15
The nurse makes a home visit to a client living in a nuclear family system. In assessing the roles and power structure of the family, the nurse should specifically ask the client:
A
“Who decides where to go on vacation?”
B
“What type of health care insurance do you have?”
C
“What types of activities do you and your family like?”
D
“How many people live in your home?”
Question 15 Explanation:
Asking, “Who decides where to go on vacation?” enables the nurse to determine the power structure and patterning of roles and tasks of the family.
Question 16
The nurse is visiting the client and family in the home after the client’s discharge from the medical center. The nurse seeks to assist the client to return to the home environment. In implementing family-centered care, the nurse:
A
Offers information about necessary self-care abilities
B
Works with clients to help them accept blame for their interactions
C
Assists family members to assume dependent roles
D
Provides his or her own beliefs on how to solve problems
Question 16 Explanation:
When implementing family-centered care, the nurse adopts the role of educator and offers information about necessary self-care abilities.
Question 17
The nurse is visiting a client and family in the community for the first time. In completing a client’s family assessment, the nurse should begin by:
A
Testing the family’s ability to cope
B
Gathering the health data from all the family members
C
Evaluating communication patterns
D
Determining the family’s structure and attitudes
Question 17 Explanation:
The nurse begins the family assessment by determining the client’s definition of and attitude toward family and the extent to which the family can be incorporated into nursing care. The nurse also assesses family form and membership.
Question 18
When working with families, the nurse may view the family as context or client. Which one of the following examples demonstrates the view of the family as context?
A
The client’s ability to understand and manage his or her own dietary needs
B
The family’s demands on the client based on his or her role performance
C
The family’s ability to support the client’s dietary and recreational needs
D
The adjustment of the client and family to changes in diet and exercise
Question 18 Explanation:
When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within the client’s family. The client’s ability to understand and manage his or her own dietary needs is an example of viewing the family as context.
Question 19
Family-centered nursing is concerned with:
A
Providing care outside the hospital for family members
B
Strengthening the family unit
C
Promoting the health of the family as a unit and the health of the individual member
D
Caring for the expectant family
Question 20
Which one of the following trends or concerns represents the greatest current health care challenge to nurses?
A
Single parent families
B
Alternate relationship patterns
C
“New homelessness”
D
“Sandwiched generation”
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Text Mode
Text version of the exam.
1. Which of the following is a current trend in families or family living?
People marrying earlier
A reduction in the divorce rate
People having more children
More people living alone
2. Which one of the following trends or concerns represents the greatest current health care challenge to nurses?
“New homelessness”
Single parent families
“Sandwiched generation”
Alternate relationship patterns
3. For the following examples, which assessment views the “family as context?”
The family’s ability to support the client’s dietary and recreational needs
The client’s ability to understand and manage his own dietary needs
The family’s demands on the client based on his role performance
The adjustment of the client and family to changes in diet and exercise
4. Assessment of the healthy family should find that:
Change is viewed as detrimental to family processes
There is a passive response to stressors
The structure is flexible enough to adapt to crises
Minimum influence is exerted on the environment
5. In completing a client’s family assessment, the nurse should begin by:
Gathering the health data from all family members
Testing the family’s ability to cope
Evaluating communication patterns
Determining the family’s form and attitudes
6. In implementing family centered care, the nurse:
Provides his or her own beliefs on how to solve problems
Assists family members to assume dependent roles
Works with clients to help them accept blame for their interactions
Offers information about necessary self-care abilities
7. A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care. The nurse should first:
Inform the client that an alternate way of managing the colostomy must be learned
Arrange for a private duty nurse to take care of the client
Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
Refer the client to a colostomy self-help support group
8. Effective communication within the family promotes:
Problem solving and psychological support
Role development of individual members
Socialization among individual members
Better financial conditions for the family
9. Family-centered nursing is concerned with:
Strengthening the family unit
Promoting the health of the family as a unit and the health of the individual member
Caring for the expectant family
Providing care outside the hospital for family members
10. The nurse has recently been employed in a long-term care facility and must learn gerontological principles related to families. Which of the following is one of those principles?
Members of later-life families do not have to work on developmental tasks.
The care givers are often not members of the family.
Role reversal is usually expected and well-accepted by the elderly client.
Social support systems are likely to differ from those for clients in younger age groups.
11. Among a number of changes in the way in which individuals live in today’s society, which of the following is a current trend in families or family living?
People marrying earlier
Reduction in the divorce rate
People having more children
More people living alone
12. Certain societal trends or concerns may have an influence on the overall health of families and create a challenge for health care providers. Of the following trends, which represents the greatest current health care challenge to nurses?
“Homelessness”
Single-parent families
“Sandwiched” or middle generation
Alternate relationship patterns
13. When working with families, the nurse may view the family as context or client. Which one of the following examples demonstrates the view of the family as context?
The family’s ability to support the client’s dietary and recreational needs
The client’s ability to understand and manage his or her own dietary needs
The family’s demands on the client based on his or her role performance
The adjustment of the client and family to changes in diet and exercise
14. The nurse is observing for the signs of a healthy family. In an assessment of a healthy family, the nurse expects to find that:
Change is viewed as detrimental to family processes.
A passive response exists to stressors.
The structure is flexible enough to adapt to crises
Minimal influence is exerted on the environment.
15. The nurse is visiting a client and family in the community for the first time. In completing a client’s family assessment, the nurse should begin by:
Gathering the health data from all the family members
Testing the family’s ability to cope
Evaluating communication patterns
Determining the family’s structure and attitudes
16. The nurse is visiting the client and family in the home after the client’s discharge from the medical center. The nurse seeks to assist the client to return to the home environment. In implementing family-centered care, the nurse:
Provides his or her own beliefs on how to solve problems
Assists family members to assume dependent roles
Works with clients to help them accept blame for their interactions
Offers information about necessary self-care abilities
17. A client with severe arthritis is returning home after having had a colostomy. The client is unable to perform the colostomy care independently. The nurse should first:
Inform the client that management of the colostomy must be learned.
Arrange for a private duty nurse to take care of the client.
Investigate whether someone else in the family or neighborhood will be able to assist with the colostomy care.
Refer the client to a colostomy self-help support group.
18. The nurse is observing the interaction of family members during a home visit. The nurse recognizes that the optimal goal of effective communication within the family is:
Problem solving and psychological support
Role development of individual members
Socialization among individual members
Better financial conditions for the family
19. The nurse has recently been employed in a long-term care facility and must learn gerontologic principles related to families. Which of the following is one of those principles?
Members of later-life families do not have to work on developmental tasks.
The care-givers are often not members of the family.
Role reversal is usually expected and well accepted by the elderly client.
Social support systems are likely to be different from those of clients in younger age groups.
20. The nurse makes a home visit to a client living in a nuclear family system. In assessing the roles and power structure of the family, the nurse should specifically ask the client:
“Who decides where to go on vacation?”
“What type of health care insurance do you have?”
“How many people live in your home?”
“What types of activities do you and your family like?”
Answers and Rationale
Answer D. More people living alone
Answer A. “New homelessness”
Answer B. The client’s ability to understand and manage his own dietary needs
Answer C. The structure is flexible enough to adapt to crises
Answer D. Determining the family’s form and attitudes
Answer D. Offers information about necessary self-care abilities
Answer C. Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
Answer A. Problem solving and psychological support
Answer B. Promoting the health of the family as a unit and the health of the individual member
Answer D. Social support systems are likely to differ from those for clients in younger age groups.
Answer D. The number of people living alone is expanding rapidly and represents approximately 26% of all households.
Answer A. Homelessness is identified as one of the greatest health care challenges to nurses.
Answer B. When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within the client’s family. The client’s ability to understand and manage his or her own dietary needs is an example of viewing the family as context.
Answer C. A healthy family has a flexible structure that allows adaptable performance of tasks and acceptance of help from outside the family system. The structure is flexible enough to allow adaptability but not so flexible that the family lacks cohesiveness and a sense of stability.
Answer D. The nurse begins the family assessment by determining the client’s definition of and attitude toward family and the extent to which the family can be incorporated into nursing care. The nurse also assesses family form and membership.
Answer D. When implementing family-centered care, the nurse adopts the role of educator and offers information about necessary self-care abilities.
Answer C. The nurse should first find out if anyone else in the family or neighborhood would or could assist with the colostomy care.
Answer A. The optimal goal of effective communication within the family is to be able to problem solve and provide psychological support for its members.
Answer D. It is true that social support systems for the elderly are likely to be different from those for clients in younger age groups.
Answer A. Asking, “Who decides where to go on vacation?” enables the nurse to determine the power structure and patterning of roles and tasks of the family.