Ch. 7 Health Promotion And The Family Flashcards
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
A. The number of questions asked on the assessment tool
B. The linkages of the assessment to Health People 2020
C. The amount of involvement that the family has in completing the tool
D. The capability of the tool to assess goals and outcomes
C. The amount of involvement that the family has in completing the tool
Which of the following best describes the nurse’s role in health promotion and disease prevention?
A. Educating about home safety measure
B. Identifying areas for family improvement
C. Implementing the nursing process using a systems perspective
D. Acting as a role model for the family
D. Acting as a role model for the family
Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions?
A. Feminist theory
B. Systems theory
C. Development theory
D. Resiliency theory
B. Systems theory
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives it the nurse implementing?
A. Risk-factor
B. Structural-functional
C. Open systems
D. Developmental
D. Developmental
Which of the following would be described as a family structural component?
A. Income earner of the house
B. Socialization for the family
C. Immunization of infants
D. Launching of children
A. Income earner of the house
Which of the following statements is correct concerning family risk factors?
A. Psychological factors are too subjective to be valid
B. Risk factors can be inferred from lifestyle
C. Epidemiology explores disease outcomes but not risks
D. All of the above statements are correct
B. Risk factors can be inferred from lifestyle
Gordon’s functional health patterns outline eleven areas, which should be pursued for purposes of family assessment. Of the 11 areas, which one should be pursued first so as to provide an overview and also identify other patterns or areas which should be pursued further?
A. Cognitive-perceptual patterns
B. Self-perception—self-concept patterns
C. Health perception-health management patterns
D. Roles-relationships patterns
C. Health perception-health management patterns
A nurse is collecting data for a family assessment using Gordon’s functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
A. Roles-relationship
B. Cognitive-perceptual
C. Health perception-health management
D. Self-perception—self-concept
B. Cognitive-perceptual
A nurse who is using Gordon’s functional health patterns is planning to assess its role-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
A. What is the family’s philosophy of health?
B. What does the family do to have fun?
C. How are problems in the family resolved?
D. Who decides when and how children go to sleep?
C. How are problems in the family resolved?
The jones family comprises Ralph, 49, and Mary, 45, Jones plus their 3 children, Maria 19, Nicholas 17, and Mark 13. Last year, Nicholas was arrested and convicted for drunken driving and underage drinking. The family members were distraught but they worked together to keep the family unit intact and also to deal with Nicholas’ behavior. Nicholas initially resisted attending a rehab program but subsequently, he agreed to do so in order to avoid a juvenile detention sentence. Thus far, he has not re-offended. Which of the following statements if correct concerning this scenario?
A. The family has good family spirituality
B. The family shows good family resilience
C. The family is enmeshment, i.e. has diffuse personal boundaries
D. The family is dysfunctional
B. The family shows good family resilience
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
A. A genogram identifies the genetic disorders of the family
B. A genogram includes information about the past two generations
C. A genogram can be used to make connections about family health patterns
D. A genogram begins with a circle in the center of the page
C. A genogram can be used to make connections about family health patterns
The eco map of a care recipient’s family has slashed lines drawn form the son to the family church. Based on this information, what conclusion can the nurse make?
A. The son is deceased
B. The son is actively involved with the family church
C. The son has a stressful relationship with the church
D. The son has no relationship with the church
C. The son has a stressful relationship with the church
A care recipient reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
A. Assess the care recipient’s and family’s coping mechanisms in handling stress.
B. Encourage the care recipient to act excited about the move
C. Talk to the husband to get his perspective on the move
D. Tell her that all families must cope with new situation from time to time
A. Assess the care recipient’s and family’s coping mechanisms in handling stress
In a family in which the mother and the father differs on how to spend and save money, the parents are constantly arguing with each other which of the following interventions should the nurse include in the plan of care for this couple?
A. Assist them to develop strategies that are congruent with their values
B. Allow each of them to defend his or her own values
C. Focus on outcomes that each wants to accomplish
D. Divert their attention to areas in which they are successful
A. Assist them to develop strategies that are congruent with their values
A blended family has six children, aged 2, 4, 4, 5, 7, and 10, respectively. During a visit to the home, the nurse notices that the 7-year old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
A. This child has most likely been abused
B. This child is one of multiple children closely spaced in age
C. This family suffers from low self-esteem
D. This family provides harsh punishment for their children
B. This child is one of multiple children closely spaced in age
