Nokea
A nursing instructor is developing a teaching plan for a class about families. Which of the following would the instructor be most likely to include?
- A. Families are primarily determined by blood.
- B. New members are added by birth, marriage, or adoption.
- C. In the United States, family size has been on the increase.
- D. Families are less mobile today than in the past.
Correct Answer: B
Rationale: Families expand through birth, marriage, or adoption, reflecting a fundamental aspect of family structure. Families are not solely blood-based (A), family size has generally decreased in the U.S., and mobility has increased, not decreased, making B the most accurate.
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A nurse is using a genogram as an intervention strategy based on the understanding of which of the following?
- A. It provides information about appropriate methods for problem solving.
- B. It allows the family to view its evolution over several generations.
- C. It permits a subjective yet factual perspective of family relationships.
- D. It provides a means for identifying the family?s beliefs about mental illness.
Correct Answer: B
Rationale: A genogram maps family relationships and patterns across generations, helping families visualize their evolution and dynamics. It does not directly provide problem-solving methods, subjective perspectives, or specific beliefs about mental illness, though it may indirectly inform these.
A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
- A. Engagement
- B. Assessment
- C. Intervention
- D. Termination
Correct Answer: C
Rationale: In the Calgary Family Model, identifying problems marks the transition from assessment to the intervention stage, where the nurse collaborates with the family to address issues. Engagement initiates contact, assessment gathers data, and termination concludes the process.
A nurse is engaged in developing a relationship with a family during a family assessment. Which of the following would be important? Select all that apply.
- A. Demonstrating culturally competent nursing skills
- B. Completing the assessment efficiently in the first meeting
- C. Identifying the family?s immediate needs
- D. Exhibiting a professional image
- E. Investigating the adherence to the medication regimen
Correct Answer: A,C,D
Rationale: Building a relationship involves culturally competent skills (A), identifying immediate needs (C), and maintaining professionalism (D) to establish trust. Completing the assessment in one meeting (B) is unrealistic, and medication adherence (E) is a specific intervention, not relationship-building.
A nurse is assessing a family of a patient with a persistent mental disorder. In comparing this family to one without a member who has a mental disorder, which function would the nurse expect this family to serve? Select all that apply.
- A. Providing support
- B. Providing socialization
- C. Advocating for services
- D. Providing information
- E. Monitoring services
Correct Answer: A,B,C,D,E
Rationale: Families of patients with persistent mental disorders serve all listed functions: providing support (A) and socialization (B) for the patient, advocating for services (C), providing information (D) to healthcare providers, and monitoring services (E) to ensure appropriate care, unlike families without such conditions.
A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient?s family?
- A. Ineffective Family Therapeutic Regimen Management
- B. Compromised Family Coping
- C. Ineffective Denial
- D. Caregiver Role Strain
Correct Answer: B
Rationale: The father?s excessive drinking and unavailability indicate compromised family coping, as the family struggles to manage stress and support the adolescent?s needs. Ineffective therapeutic regimen management, denial, and caregiver role strain are less specific to the family?s overall coping deficit.