Family Development and Family Nursing Assessment Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
MULTIPLE
... [Show More] CHOICE
1. The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man’s married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the “family”?
a. The group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated.
b. There are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated.
c. There is no family here, only three adults sharing resources between themselves and two biologically related children.
d. The family includes whoever the adults state are family members.
ANS: D
Nurses working with families should ask an adult member to identify all those considered to be family members and then include those members in health care planning. A “family” may range from the traditional nuclear model with extended family to such “postmodern” family structures as single-parent families, stepfamilies, same-gender families, and families consisting of friends. The incorrect answers have the nurse determining who is and who is not part of a family. This is not an appropriate action for the nurse to take, rather the nurse should let the client describe and define his/her family.
2. The nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred. The best way to determine the family of a mother and her child is to ask the woman which of the following questions?
a. “How many children do you have, and who is the father of each?”
b. “Is there a register of families who are members of this commune?”
c. “Tell me about your significant other.”
d. “Who are the members of your and your child’s family?”
ANS: D
The members of a family are self-defined. The family includes whoever the woman says are family members. The nurse should include all those members in health care planning. Asking who the father of each child is does not help define the family; the client needs to define the family. Knowing if there is or is not a register of families on the commune does not help the client define her own family. The client may or may not include the significant other in her definition of a family, so this may not assist in making this determination.
3. In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessment is data being
gathered?
a. Dynamics
b. Function
c. Structure
d. System
ANS: C
Family structure refers to the organization of the family. This defines the roles and positions of the family members. The family functions refers to the activities and purposes of the family. The family as a system accomplishes activities that serve the individual and society. Family dynamics refers to the interactions and relationships within the family.
4. Which of the following statements best explains why family functions and structures create unique challenges in family nursing?
a. Function and structure change over time.
b. Function and structure do not apply to all family units.
c. Some clients do not have families.
d. Traditional families are rare in society.
ANS: A
The functions that families serve evolve and change over time. Some become more important and others less so. Family structures also change over time. The great speed with which changes in family structure, values, and relationships are occurring makes working with families at the beginning of the 21st century exciting and challenging. All familiy units have functions (activities and purposes) and structure (organization). These functions and structures many be very different among family members, but they do exist. All clients are part of a family, even if they define their family as only themselves. Nurses should be open-minded and recognize that all families are different and a “traditional” family structure may mean something different to different individuals.
5. A nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use?
a. Allowing the family to be noncompliant
b. Building on the family’s strengths and resilience
c. Labeling the family as resistant
d. Recognizing that the family is dysfunctional
ANS: B
Families are neither all good nor all bad; families have both strengths and difficulties and have seeds of resilience. Recognizing the family’s strengths gives the nurse assets on which to draw in planning care. The labels of dysfunctional, noncompliant, resistant, or unmotivated all denote families who are not functioning well; however, such labels do not create an environment conducive for positive family change and intervention and should not be used.
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