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Chapter 28: Caring for Families

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Chapter 28: Caring for Families

10 problems · 0 figures

28-1 §28.RQ source ↗

The nurse is assessing a family that includes an adult and a school-aged child named Jackson. Which of the following questions should the nurse prioritize to ask the adult?
  1. a.
    Do you have any concerns about your son’s health?
  2. b.
    What is your relationship to Jackson?
  3. c.
    Is Jackson’s other parent a source of support for you?
  4. d.
    How many other children do you have?

Answer

B. What is your relationship to Jackson?
Nurses should not assume that an adult with a child is the child’s parent. The nurse should first confirm the type of relationship between Jackson and the adult.

28-2 §28.RQ source ↗

The nurse observes the interaction between a father and his school-age child during which the father tells the child that he needs to “shut up and leave him alone.” According to Maslow’s hierarchy, which of the following needs are most likely threatened in this interaction?
  1. a.
    Self-actualization
  2. b.
    Esteem
  3. c.
    Social
  4. d.
    Security

Answer

C. Social
Positive family interactions, intimacy, and a sense of belonging are social needs according to Maslow’s hierarchy.

28-3 §28.RQ source ↗

According to general systems theory, which of the following events represents a change in a family’s subsystem?
  1. a.
    Two parents divorce.
  2. b.
    One parent loses their job.
  3. c.
    The family moves to another home.
  4. d.
    The children start school.

Answer

A. Two parents divorce.
According to general systems theory, the family is one whole system comprised of subsystems where family members are connected by emotional bonds. The parents’ divorce will alter their subsystem.

28-4 §28.RQ source ↗

A nurse is teaching family members how to read food labels. According to the Calgary Family Intervention Model, which of the following actions by the family incorporates all three functional domains?
  1. a.
    The family groups the low-sodium foods together in the cabinets.
  2. b.
    The family explains back to the nurse how to read a nutrition label.
  3. c.
    The family practices reading labels at home to reinforce what they learned.
  4. d.
    The family reads nutrition labels when shopping and selects low-sodium foods for their meals.

Answer

D. The family reads nutrition labels when shopping and selects low-sodium foods for their meals.
The most effective nursing interventions address all three functional domains: cognitive, behavioral, and affective. Incorporating reading labels into their shopping routine indicates the family understands what was taught (cognitive), changed their behavior when shopping (behavioral), and recognized its importance and incorporated it into their family’s routine (affective).

28-5 §28.RQ source ↗

The nurse is working with a group of older adult couples to help them learn more about fall prevention and how to make modifications in their home to decrease their risk of falls. This is an example of which level of health promotion?
  1. a.
    Primary
  2. b.
    Secondary
  3. c.
    Tertiary
  4. d.
    Primordial

Answer

A. Primary
A primary level health promotion intervention involves implementing measures that prevent a disease or condition from occurring—in this case, falls.

28-6 §28.RQ source ↗

Which of the following actions by a home health nurse can decrease the risk of experiencing unsafe conditions while in a family’s home?
  1. a.
    Research and learn more about the surrounding neighborhood before the visit.
  2. b.
    Maintain situational awareness of other people and pets in the home.
  3. c.
    Make the visit as brief as possible to minimize time spent in the home.
  4. d.
    Maintain an updated visit schedule with the main office.

Answer

B. Maintain situational awareness of other people and pets in the home.
Home health nurses can face unpredictable and unsafe conditions. They should remain vigilant of their surroundings and recognize potential safety concerns.

28-7 §28.RQ source ↗

The community nurse is working with a family and determines one of the family members is repeatedly telling another family member who has a disability that “he needs to stop being lazy and get a job.” This is an example of what type of abuse?
  1. a.
    Sexual abuse
  2. b.
    Physical abuse
  3. c.
    Emotional abuse
  4. d.
    Neglect

Answer

C. Emotional abuse
There are three different types of abuse: physical, sexual, and emotional. Emotional abuse harms a person’s self-worth or emotional well-being.

28-8 §28.RQ source ↗

Which of the following would be included on a genogram?
  1. a.
    Occupations
  2. b.
    Religious affiliations
  3. c.
    Sources of health care
  4. d.
    Health conditions

Answer

D. Health conditions
Genograms show family connections and include health-related information such as health conditions.

28-9 §28.RQ source ↗

A community nurse is making a home visit to a client who has recently had a baby and has a history of experiencing IPV. During the visit, the nurse observes an interaction between the client and the baby’s father. The father seems very loving and attentive to the client. Which of the following is the most appropriate conclusion by the nurse?
  1. a.
    The client’s history must be inaccurately documented.
  2. b.
    The IPV has been resolved and is no longer an issue for the couple.
  3. c.
    The couple appears to be in the honeymoon phase of the IPV cycle.
  4. d.
    The couple appears to be in the tension-building phase of the IPV cycle.

Answer

C. The couple appears to be in the honeymoon phase of the IPV cycle.
The abuser acting lovingly toward the client is consistent with the honeymoon phase of the IPV cycle.

28-10 §28.RQ source ↗

A community nurse is making a visit to an older adult client. The nurse identifies which of the following strategies that can be used in prevention of abuse in this client population?
  1. a.
    Take the time to listen to the client and the family to offer resources and support.
  2. b.
    Talk to the caregiver or family member only since older adults are often confused.
  3. c.
    Talk to the older client alone without involving family members.
  4. d.
    Because it is likely that older adult clients are abused, provide resources to other housing options.

Answer

A. Take the time to listen to the client and the family to offer resources and support.
Taking the time to listen to the older adult client and the family is one of the first strategies that can be used to prevent abuse. Providing resources to families can alleviate burdens and reduce the risk of a crisis.

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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.