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Family Midterm > Family Midterm > Flashcards

Family Midterm Flashcards

1
Q

Within the majority of Canadian culture, caregiving of children and elders is primarily provided by:

A) Women
B) Oldest daughters
C) Men
D) Oldest sons

A

A) Women

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2
Q

Kaakinen’s characteristics of a healthy family include:

A) Health, respect, and health promotion
B) Unity, flexibility, and communication
C) Safety, role modelling, and financial stability
D) Positive lifestyle, emotional stability, and available community resources

A

B) Unity, flexibility, and communication

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3
Q

Which of the following is an example of an interventive question used by nurses to understand family member experiences linked to illness and health?

A) How is this illness affecting your family?
B) What seems to be the most troubling thing for your family in managing this situation?
C) How does this illness situation most interfere with family life?
D) All of the above

A

D) All of the above

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4
Q

Family resilience is defined as the ability to cope positively with adversity.

A) True
B) False

A

A) True

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5
Q

Concepts are:

A) Statements about the relationship between two or more ideas
B) Building blocks for theory development—concrete or abstract images of a phenomenon
C) Practical observations that create theories
D) A tool used for data measurement

A

B) Building blocks for theory development—concrete or abstract images of a phenomenon

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6
Q
A
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7
Q

Health promotion can best be described as:

A) Activities that protect families from diseases and disabilities
B) Activities that improve or maintain the well-being of people
C) Activities that teach families to resolve conflicts
D) Activities that help families identify their strengths

A

B) Activities that improve or maintain the well-being of people

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7
Q

Using an empowerment approach would require a family health care nurse to:

A) Control the environment for the client and family
B) Be rigid and inflexible in order to maintain control
C) Create the family’s empowerment
D) Develop actions with the family’s active participation

A

D) Develop actions with the family’s active participation

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8
Q

The major assumptions of McCubbins Resiliency Model of Family Coping are:

A) An event, resources, family perception of the event, the crisis
B) An event, vulnerable risks, pile-up demands, family expectations
C) Precipitating episode challenges the family faces, perceptions of the health care team
D) Adversity, ability to cope, effective family communication

A

A) An event, resources, family perception of the event, the crisis

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9
Q

The Family Developmental and Life Cycle Theory:

A) Is a multidimensional framework consisting of three key groupings: structural, dimensional, and functional
B) Was developed to understand how families respond to stressors and reactions when one member becomes chronically ill
C) Focuses on the lifestyle of families and the normal stages of development they experience
D) Examines families as an organized whole, where family members are interdependent and interactive

A

C) Focuses on the lifestyle of families and the normal stages of development they experience

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10
Q

Which of the following would be an inappropriate action for the nurse when making a phone call to a family to arrange for a meeting?

A) State the purpose of the requested meeting, including who referred the family to you
B) Apologize for the meeting
C) Be factual about the need for the meeting, but do not provide details
D) Offer several possible times for the meeting, including late afternoon or evening times

A

B) Apologize for the meeting

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11
Q

Which of the following characteristics are likely to increase the degree of family stress associated with hospitalization, except:

A) Sudden illness onset with no time to prepare
B) Repeated family experiences with the illness
C) Few sources of guidance for the family
D) Significant disruption of family functioning as a result of the hospitalization

A

B) Repeated family experiences with the illness

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12
Q

Which of the following factors has led to the growth of family nursing in medical-surgical settings?

A) Consumer demands for unfragmented and holistic care
B) Early hospital discharge
C) Empirical evidence that families influence patient recovery
D) All of the above

A

D) All of the above

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13
Q

The client story represents:

A) The intervention phase of the family nursing care plan
B) The assessment phase
C) The process of establishing intervention plans
D) The clustering of data into meaningful groups

A

B) The assessment phase

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14
Q

Typically, a genogram includes:

A) One generation
B) Two generations
C) Three generations
D) Four generations

A

C) Three generations

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15
Q

Ways to actively involve families during bedside nursing process include:

A) Asking them questions about how they have solved similar problems in the past
B) Encouraging them to discuss the various options available to meet their needs
C) Bringing all family members together to discuss what might be done and who could do it
D) All of the above

A

D) All of the above

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16
Q

Empowerment health promotion principles include:

A) People are the principal actors in making health decisions
B) Professional expertise is used in a limited way
C) Alikeness is highly valued
D) Many families are powerless in decision-making

A

A) People are the principal actors in making health decisions

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17
Q

Many factors help determine whether a family is involved in health promotion. Which of the following factors may influence promotion of a family’s health?

A) Type of family
B) Quality of family interaction
C) Developmental level of family
D) All of the above

A

D) All of the above

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18
Q

Family empowerment is a process, outcome, and intervention. Nurses working toward assisting families in becoming more empowered need to focus on:

A) Providing information
B) Providing encouragement and support
C) Using specific strategies or interventions shown to increase family strength
D) All of the above

A

D) All of the above

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19
Q

The Calgary Family Assessment Model:

A) Is a multidimensional framework consisting of three key categories: structural, developmental, and functional
B) Was developed to understand how families respond to stressors and reactions when one member becomes chronically ill
C) Focuses on the lifestyle of families and the normal stages of development they experience
D) Examines families as an organized whole, where family members are interdependent and interactive

A

A) Is a multidimensional framework consisting of three key categories: structural, developmental, and functional

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20
Q

Understanding alone does not lead to change.

A) True
B) False

A

A) True

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21
Q

Nurse-led family conversations can have a healing potential and should aim to establish a partnership with the family.

A) True
B) False

A

A) True

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22
Q

Family involvement in discharge planning should include:

A) Assessment of family capabilities
B) Legal advice or a lawyer present at every discharge meeting
C) A written statement by the family of what they expect from the health care team
D) An advance directive

A

A) Assessment of family capabilities

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23
Q

During a home visit, you notice cigarette smoke in the house of a family with young children. You should begin by:

A) Telling the mother about research on second-hand smoke
B) Offering a pamphlet on health effects of second-hand smoke
C) Asking if the mother would like information about a smoking cessation program
D) Listening to the mother about her living conditions

A

D) Listening to the mother about her living conditions

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24
Q

Families who live below the poverty line are at greater risk for experiencing which of the following?

A) Homelessness
B) Poor health status
C) Lack of access to health services
D) Greater mortality rates
E) All of the above

A

E) All of the above

25
Q

Instrumental functioning includes:

A) Emotional communication
B) Roles
C) Alliances and coalitions
D) Activities of daily living (ADLs)

A

D) Activities of daily living (ADLs)

26
Q

Cultural affiliation impacts family nursing care. Which of the following statements is true?

A) Cultural affiliation does not impact family nursing care
B) Cultural affiliation impacts family beliefs and practices around hospitalization
C) Nurses should assess cultural affiliation and adapt interventions accordingly
D) Both B and C

A

D) Both B and C

27
Q

In assessing a healthy family, what would the nurse expect to find?

A) Change is viewed as detrimental to family processes
B) A passive response exists to stressors
C) The structure is flexible enough to adapt to crises
D) Minimal influence on the environment

A

C) The structure is flexible enough to adapt to crises

28
Q

Which of the following statements about theories is accurate?

A) Theories are subject to rules of organization
B) Theories are statements about how some part of the world works
C) Theories represent logical and intelligible patterns that make sense of observations
D) All of the above

A

D) All of the above

29
Q

Recent research has repeatedly demonstrated that:

A) Family involvement in care increases the cost of care
B) Family involvement in care improves patient outcomes
C) Family involvement interferes with patient care and causes poor outcomes
D) Family involvement is too stressful on families and should be discouraged

A

B) Family involvement in care improves patient outcomes

30
Q

Factors that contribute to differences in health status in various cultural groups include all of the following except:

A) Inadequate access to preventive and basic healthcare resources
B) Family and personal lifestyle differences
C) Exposure to environmental hazards
D) Personality differences
E) Income inequality and increasing unemployment

A

D) Personality differences

31
Q

The questions “Who is in the family? What is the connection between family members? What is the family’s context?” examine which major category in Wright & Leahey’s CFAM?

A) Structural
B) Developmental
C) Functional

A

A) Structural

32
Q

Communication patterns in families vary widely according to the family’s cultural background. Communication differences can be present in which of the following areas:

A) The extent and explicitness of information conveyed in conversation
B) The meaning of silence in conversation
C) The expression of conflict
D) All of the above

A

D) All of the above

33
Q

The most relevant definition of family is:

A) All the members of a household under one roof
B) A fundamental social group in society consisting of two parents and their children
C) The family is who they say they are
D) One’s wife or husband and one’s children

A

C) The family is who they say they are

34
Q

A nurse is working with a newcomer family who is experiencing language barriers, unemployment, and precarious housing. Many of the family’s traditions and values from their culture of origin remain helpful. What statement best describes the family’s situation?

A) The family’s traditions and values are strengths in a situation currently shared by many Canadians
B) The family is not at risk for poor health because their traditions will keep them healthy
C) All values and beliefs from their culture of origin will remain intact after immigration
D) Once family members attend English language training they will successfully adapt to Canadian life

A

A) The family’s traditions and values are strengths in a situation currently shared by many Canadians

35
Q

Assessment can be defined as:

A) A continuously evolving process of data collection to assist nurses in using information from the past and present to predict the future
B) The process of assigning numbers or symbols to variables to assist nurses in measuring particular characteristics of family members
C) An instrument used by family nurses to give a quantifiable result when a particular attribute is examined
D) A tool used by nurses to obtain important family information in less than 15 minutes

A

A) A continuously evolving process of data collection to assist nurses in using information from the past and present to predict the future

36
Q

The process of a nurse becoming aware of his/her own cultural values and beliefs is considered:

A) Competency
B) Sensitivity
C) Awareness
D) Cultural classification

A

C) Awareness

37
Q

You are interviewing the family of a client who is suffering from alcoholism. The advantage of this technique is that it:

A) Examines relationships
B) Aids the nurse in establishing a diagnosis
C) Identifies the impact of the illness on the family
D) Helps the nurse gain specific information

A

C) Identifies the impact of the illness on the family

38
Q

The Family Systems Theory:

A) Is a multidimensional framework consisting of three key groupings: structural, dimensional, and functional
B) Was developed to understand how families respond to stressors and reactions when one member becomes chronically ill
C) Focuses on the lifestyle of families and the normal stages of development they experience
D) Examines families as an organized whole, and family members are interdependent and interactive

A

D) Examines families as an organized whole, and family members are interdependent and interactive

39
Q

Family rituals can be described as:

A) Receptive behaviours or activities between two or more family members that occur with regularity in the day-to-day activities of daily living
B) The process of family members learning to do things together
C) Keeping the family heritage, respect for family history, and learning from conflicts of the previous generation
D) The process of getting back together again after conflict

A

A) Receptive behaviors or activities between two or more family members that occur with regularity in the day-to-day activities of daily living

40
Q

The three major areas in the Calgary Family Assessment Model include all of the following except:

A) Process
B) Structure
C) Function
D) Development

A

A) Process

41
Q

Facilitating change is the nurse’s responsibility.

A) True
B) False

A

A) True

42
Q

Nurses use an ecomap to assess:

A) Relationships between family members and the community
B) The tension among family members
C) Multigenerational patterns and health conditions
D) Both A and B

A

A) Relationships between family members and the community

43
Q

Cultural competency is: The understanding of values, beliefs, knowledge, and behavior in the context of age, developmental stage, geographic location, socioeconomic status, environment, and experiences.

A) True
B) False

A

A) True

44
Q

Which of the following statements is true about family nursing practice?

A) Family care is concerned with the experience of the family over time
B) Family nursing is directed at families whose members are both healthy and ill
C) The family nurse is responsible together with the family itself for defining who is the family
D) If family nursing practice is successful, the family members will simultaneously achieve maximum health
E) All of the above

A

E) All of the above

44
Q

Wright and Leahey prefer to generate a strengths and problems list rather than a nursing diagnosis.

A) True
B) False

A

A) True

44
Q

One strength of using a genogram during a family assessment is that:

A) Relationships between family members and the community can be assessed
B) The tension between family members can be assessed
C) Communication patterns between family members can be assessed
D) Multigenerational patterns and health conditions can be assessed

A

D) Multigenerational patterns and health conditions can be assessed

45
Q

In the Jones Family Case Study, a strength in using the Calgary Family Assessment Model was:

A) The model represents a continuum from health to death and how the family copes
B) Focus is on a holistic approach to family development
C) It is generally an acceptable theory in society
D) The model provides a structured approach to family assessment and intervention based on both quantitative and qualitative data

A

D) The model provides a structured approach to family assessment and intervention based on both quantitative and qualitative data

45
Q

Cultural ignorance and insensitivity lead to the following problems in the family nursing process:

A) Poor communication with family
B) Interpersonal tension
C) Stigmatization
D) Inadequate assessments
E) All of the above

A

E) All of the above

46
Q

According to the Models of Family Health Promotion, healthy behaviours are learned:

A) Lifelong efforts to sustain or improve quality of life
B) Lifelong efforts to nurture family members
C) Lifelong efforts to strengthen the family as a unit
D) Both A and C
E) All of the above

A

E) All of the above

47
Q

An individual’s health and illness affect the entire family’s functioning, and in turn, the family’s ability to function affects each individual member’s health.

A) True
B) False

A

A) True

47
Q

In the degree Family Case Study, a weakness in using the Family Systems Theory was:

A) The family was viewed as a whole, and the family was assessed as a whole
B) The theory is broad and general
C) The traditional linear family life cycle is no longer the norm
D) The holistic approach is not specific enough to define contextual changes over time

A

C) The traditional linear family life cycle is no longer the norm

47
Q

The CFAM by Wright and Leahey blends nursing and family therapy concepts that are grounded in systems theory, cybernetics, communication theory, change theory, and a biology of cognition.

A) True
B) False

A

A) True

47
Q

The amount of stress experienced by any one family due to hospitalization varies depending on:

A) The timing of the hospitalization
B) The availability of resources to the family
C) The extent of perceived or actual loss
D) All of the above

A

D) All of the above

48
Q

Having an understanding of the “contextual nature of families,” nurses view “Family as client” to mean:

A) The family is a component of the main institutions of society
B) The family is the client
C) All family members are in the foreground, and no individual is exclusive of the whole
D) The individual is in the foreground, and the family is in the background
E) The family is the resource for the individual

A

C) All family members are in the foreground, and no individual is exclusive of the whole

48
Q

In the structural assessment of the family, the nurse determines which of the following?

A) How household tasks are shared among the family members
B) The stage of life at which the family finds itself presently
C) The emotional links between family dyads
D) Which factors influence the roles and behaviours within the family

A

D) Which factors influence the roles and behaviors within the family

49
Q

Family functions include:

A) Decision making, affective, health care
B) Reproduction, health care, socialization
C) Rituals, economic, affective
D) Reproduction, coping, communication

A

B) Reproduction, health care, socialization

50
Q

When designing a family plan of care, the family will decide the amount of information sharing and decision-making they want.

A) True
B) False

A

A) True

50
Q

The intention of theories is to make sense of the world, to show how one point is connected to another, and how together they form a blueprint that can predict the consequences of certain clusters of characteristics or events.

A) True
B) False

A

A) True

51
Q

Of all the sources contributing to family nursing theory, nursing concepts/theories are the best developed.

A) True
B) False

A

B) False

52
Q

Attachment refers to:

A) A relatively enduring, unique emotional tie between two specific persons
B) Describes the dynamics of short-term relationships between humans
C) An emotional connection that dissolves his or her own individuality
D) Loving another person

A

A) A relatively enduring, unique emotional tie between two specific persons

Family Midterm (2 decks)

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