QUESTION 1. A nurse is conducting an assessment of the Watkins family's level of competence. The Watkins family consists of the mother, Mrs. Watkins, her daughter Kari, age 14 years, and her twin sons Blaine and Blake, both 10 years of age. Which one of the following observations made by the nurse is characteristic of a borderline family as defined by the Beavers Systems Model?
Mrs. Watkins has established a set of firm rules for all family members. Her children know that if a rule is not precisely followed, there will be an immediate penalty.
Mrs. Watkins has set a climate of mutual respect for the feelings of each member of the family. Individual members take personal responsibility for their actions
Mrs. Watkins has provided leadership to the family. When circumstances require a change in family functioning, one of the children has taken a leadership role
Mrs. Watkins has instilled a strong code of family values. Each family member knows what the expected feelings and behaviors are in order to maintain family harmony.
QUESTION 2. According to Friedman, Bowden & Jones, which one of the following definitions of family is optimal for family nursing professionals to use when assessing and planning care for individual and family clients?
The family is two or more persons who are joined together by bonds of sharing and emotional closeness and who identify themselves as being part of a family.
The family is a self-identified group of two or more individuals whose association is characterized by special terms, who may or may not be related by blood lines or law; but who function in such a way that they consider themselves to be a family.
The family is composed of persons joined together by bonds of marriage, blood, or adoption and residing in the same household. The family is a small, open social system composed of a set of highly interdependent parts and affected by both its internal structure and external environment.
QUESTION 3. The nurse is assessing the Ames family. The members are Mr. Ames, age 65 years, Mrs. Ames, age 62 years, and their disabled son, Seth, age 39 years. When asked about the family's financial situation, Mr. Ames comments that it is much more difficult now than it was 20 years ago to "make ends meet" for their family. Which of the following statements by the nurse indicates the BEST understanding of the societal change that has had the greatest impact on this family's economic status?
Healthcare costs have increased significantly since the 1980s.
The number of older adults has increased significantly in the last 20 years.
In the 1980s, a significantly smaller number of women worked outside of the home.
In recent years, there have been major biotechnology and other technology advances.
QUESTION 4. Which one of the following family nursing interventions is based on the principle goal of tertiary prevention?
Arranging for a multiple sclerosis client to obtain and use a 4-point cane at home.
Performing blood pressure checks at a senior center.
Referring a patient with lung cancer to a hospice care center.
Educating teen mothers about infant nutrition at a high school health class.
QUESTION 5. Which one of the following is the BEST example of a family nursing intervention for a highly dysfunctional family?
Contracting with a family that has a chronically ill member who has been noncompliant.
Referring a family with overweight members to a community fitness center program.
Teaching a family about the food pyramid and how to prepare healthy meals.
Providing guidance to a family with the youngest child preparing to graduate college.
QUESTION 6. A family nurse is developing a plan of care for the Malcolm family related to family violence and abuse using the levels of prevention framework. Which one of the following family nursing care goal/desired outcome BEST represents secondary prevention?
The parents of the Malcolm family will state their understanding of their children's growth and development needs.
The members of the Malcolm family will reside in the same household and continue to undergo family and individual counseling on a twice monthly basis.
The children and/or spouse will immediately contact or go to the appropriate facility if they suspect, observe, or experience violence or abuse among their family members.
The Malcolm family members will use effective communication, problem-solving, and negotiating skills.
QUESTION 7. A nurse is conducting an assessment of the Simone family's level of competence. The Simone family consists of the parents, Mr. and Mrs. Simone, their daughters Amy, age 9 years, and Cheyenne, age 5 years, and Mr. Simone's stepdaughter, Julie, age 11 years. Which one of the following observations made by the nurse is characteristic of an optimally functioning family as defined by the Beavers Systems Model?
Mr. and Mrs. Simone have established a set of firm rules for all family members. Their children know that if a rule is not precisely followed, there will be an immediate penalty.
Mr. and Mrs. Simone have set a climate of mutual respect for the feelings of each member of the family. Individual members take personal responsibility for their actions.
Mr. and Mrs. Simone have provided leadership to the family. When circumstances require a change in family functioning, one of the children has taken a leadership role. Mr. and Mrs. Simone have instilled a strong code of family values. Each family member knows what the expected feelings and behaviors are in order to maintain family harmony.
QUESTION 8. A public health nurse is asked to see Kimball Norman, a 3 ½-month-old baby, who presents in the Well Child Clinic today with his mother, Mary, age 16, and his aunt Pam, age 19. Mary and Kimball live with Mary and Pam's mother, Eunice Norman. Pam lives with her husband and son a mile away from her mother's house. Kimball has had no immunizations or check- ups since he left the hospital at two days of age. Applying family nursing constructs, which one of the following education approaches would be MOST effective?
The nurse explains the standard immunization schedule to Kimball's mother and makes Well Child Clinic appointments for Kimball at 2-month intervals for the next year.
The nurse reviews a written copy of the standard immunization schedule with Kimball's mother and his aunt, and makes a referral to a home health nursing agency.
The nurse explains Kimball's individual immunization schedule to his mother and aunt and obtains permission to contact Kimball's grandmother about Kimball's schedule.
The nurse explains Kimball's individual immunization schedule to his mother and aunt and instructs his mother to review a written copy of the schedule with his grandmother.
QUESTION 9. According to the Beavers Systems Model, the six areas of family functioning that are rated include:
mythology and family form.
autonomy and family history.
genealogy and family structure.
goal-directed negotiations and family affect.
QUESTION 10. The primary goal and thrust of family nursing is:
disease prevention.
health promotion.
health restoration. early disease detection.
QUESTION 11. Which one of the following accurately describes a family form that would be classified as non-traditional?
The Brody family: Annie, divorced and mother, age 41; Francie, Annie's adoptive daughter, age 5; and Freda, maternal grandmother, age 67.
The Connor family: John, husband and father, age 45; Sue, wife and mother, age 47; Beau, Sue's stepson, age 22; Jeff, John's stepson, age 18; and Jet, biological son, age 17.
The Statton family: Agnes, mother, age 25; Greg, father, age 26; Zoe, biological daughter, age 5; and Cindy, foster daughter, age 7.
The Darnall family: Steve, husband, age 38 and Joan, wife, age 41.
QUESTION 12. Which one of the following families represents Stage VI "Families launching young adults" of Duvall's Eight-Stage Family Life Cycle?
The Sloan's: Father, age 46; mother, age 45; daughter age 20; son age 14 - all live in household.
The Freedman's: Father, age 52; mother, age 53 - live in household; son age 29 - lives in apartment with life partner.
The Abbott's: Father, age 46; daughter, age 13; daughter, age 19; daughter, age 23 - live in household; daughter, age 21 - lives in duplex with husband.
The Holland's: Mother, age 25; son age 8; twin daughters age 6; step-father, age 45; - all live in household.
QUESTION 13. Which one of the following statements by a healthcare consumer is indicative of a factor that has lead to renewed interest in primary prevention in the United States?
"It seems that most of the money my family spends on health care is to prevent diseases."
"No one in my family has had any problems accessing health care services."
"My family is most comfortable letting our doctor make all healthcare decisions for us."
"It is important to my family that we learn about and engage in a healthy lifestyle."
QUESTION 14. Copy of The nurse is doing an initial assessment of Joe Jones, a 24-year-old male who presents to the clinic today with a five-day history of fever and night sweats. Which one of the following statements made by the nurse is BEST when assessing Mr. Jones' family support system?
"Tell me about your mother and father."
"Tell me about the other people living in your household."
"Tell me about the people who you consider your family."
"Tell me about your wife or partner."
QUESTION 15. Which of the following list of healthcare concerns are indicative of Duvall's Stage II "Childbearing families"?
Prenatal education, family planning counseling; and good health practices.
Communicable diseases, sibling relations, home safety, and parenting issues.
Dental health, behavior problems, and health challenges to children.
Prenatal care, safety measures, immunizations, and family planning.
QUESTION 16. Which of the following two (2) NANDA Classification nursing diagnoses are the MOST relevant to family nursing? Must mark 2 correct answers.
Risk for infection; risk for caregiver role strain; noncompliance.
Impaired parenting; imbalanced nutrition: more than body requirements.
Powerlessness; fluid volume, risk for deficient; chronic pain.
Sorrow, chronic; urinary elimination, readiness for enhanced.