Caring for Families Practice Exam

Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam.

Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.

Text version of the exam.

1. Which of the following is a current trend in families or family living?

1. People marrying earlier
2. A reduction in the divorce rate
3. People having more children
4. More people living alone

2. Which one of the following trends or concerns represents the greatest current health care challenge to nurses?

1. “New homelessness”
2. Single parent families
3. “Sandwiched generation”
4. Alternate relationship patterns

3. For the following examples, which assessment views the “family as context?”

1. The family’s ability to support the client’s dietary and recreational needs
2. The client’s ability to understand and manage his own dietary needs
3. The family’s demands on the client based on his role performance
4. The adjustment of the client and family to changes in diet and exercise

4. Assessment of the healthy family should find that:

1. Change is viewed as detrimental to family processes
2. There is a passive response to stressors
3. The structure is flexible enough to adapt to crises
4. Minimum influence is exerted on the environment

5. In completing a client’s family assessment, the nurse should begin by:

1. Gathering the health data from all family members
2. Testing the family’s ability to cope
3. Evaluating communication patterns
4. Determining the family’s form and attitudes

6. In implementing family centered care, the nurse:

1. Provides his or her own beliefs on how to solve problems
2. Assists family members to assume dependent roles
3. Works with clients to help them accept blame for their interactions
4. 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:

1. Inform the client that an alternate way of managing the colostomy must be learned
2. Arrange for a private duty nurse to take care of the client
3. Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
4. Refer the client to a colostomy self-help support group

8. Effective communication within the family promotes:

1. Problem solving and psychological support
2. Role development of individual members
3. Socialization among individual members
4. Better financial conditions for the family

9. Family-centered nursing is concerned with:

1. Strengthening the family unit
2. Promoting the health of the family as a unit and the health of the individual member
3. Caring for the expectant family
4. 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?

1. Members of later-life families do not have to work on developmental tasks.
2. The care givers are often not members of the family.
3. Role reversal is usually expected and well-accepted by the elderly client.
4. 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?

1. People marrying earlier
2. Reduction in the divorce rate
3. People having more children
4. 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?

1. “Homelessness”
2. Single-parent families
3. “Sandwiched” or middle generation
4. 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?

1. The family’s ability to support the client’s dietary and recreational needs
2. The client’s ability to understand and manage his or her own dietary needs
3. The family’s demands on the client based on his or her role performance
4. 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:

1. Change is viewed as detrimental to family processes.
2. A passive response exists to stressors.
3. The structure is flexible enough to adapt to crises
4. 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:

1. Gathering the health data from all the family members
2. Testing the family’s ability to cope
3. Evaluating communication patterns
4. 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:

1. Provides his or her own beliefs on how to solve problems
2. Assists family members to assume dependent roles
3. Works with clients to help them accept blame for their interactions
4. 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:

1. Inform the client that management of the colostomy must be learned.
2. Arrange for a private duty nurse to take care of the client.
3. Investigate whether someone else in the family or neighborhood will be able to assist with the colostomy care.
4. 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:

1. Problem solving and psychological support
2. Role development of individual members
3. Socialization among individual members
4. 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?

1. Members of later-life families do not have to work on developmental tasks.
2. The care-givers are often not members of the family.
3. Role reversal is usually expected and well accepted by the elderly client.
4. 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:

1. “Who decides where to go on vacation?”
2. “What type of health care insurance do you have?”
3. “How many people live in your home?”
4. “What types of activities do you and your family like?”

Answers and Rationale

1. Answer D. More people living alone
2. Answer A. “New homelessness”
3. Answer B. The client’s ability to understand and manage his own dietary needs
4. Answer C. The structure is flexible enough to adapt to crises
5. Answer D. Determining the family’s form and attitudes
6. Answer D. Offers information about necessary self-care abilities
7. Answer C. Investigate whether or not someone else in the family or neighborhood will be able to do the colostomy care
8. Answer A. Problem solving and psychological support
9. Answer B. Promoting the health of the family as a unit and the health of the individual member
10. Answer D. Social support systems are likely to differ from those for clients in younger age groups.
11. Answer D. The number of people living alone is expanding rapidly and represents approximately 26% of all households.
12. Answer A. Homelessness is identified as one of the greatest health care challenges to nurses.
13. 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.
14. 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.
15. 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.
16. Answer D. When implementing family-centered care, the nurse adopts the role of educator and offers information about necessary self-care abilities.
17. Answer C. The nurse should first find out if anyone else in the family or neighborhood would or could assist with the colostomy care.
18. 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.
19. 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.
20. 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.