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Question 1
Question
Because a severely injured middle-aged client informed the nurse that he did not have any immediate family members, the nurse contacted extended family members. Which of the following is most representative of extended family members?
Answer
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Grandparents, aunts and uncles
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Parents and spouse
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Children who no longer live at home
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Roommates and close family friends
Question 2
Question
Examine Figures 24–3 and 24–4 on pages 439–440. Based on the information in these two diagrams, which family member is at greatest risk for developing a health problem?
Answer
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Alice
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Bill
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Kim
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Mary
Question 3
Question
What should a nurse instruct a client who identifies “the family” as two college roommates, a dog, and a cat when completing a family health history form?
Answer
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Include all information about blood relatives and the animals and roommates that might influence his health.
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Include only information about genetic/hereditary and environmental illnesses of blood relatives
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Leave the area blank since the client does not live with blood relatives.
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Use the client’s own judgment in completing the area since the physical exam is more important than the history.
Question 4
Question
A visual representation of family members by sex, age, health status, and lines of relationships through the generations is referred to as a __________. (default answer is a)
Answer
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genogram(x)
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genogram
Question 5
Question
To assess the impact of illness on the family as a unit, it is essential for the nurse to assess which factors? Select all that apply.
Answer
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The duration of the illness
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The meaning of the illness to the family and its significance to family systems
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The coping mechanisms used by other families with similar illnesses
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The financial impact of the illness (including factors such as insurance and ability of the ill member to work)
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The incidence of the illness in the community at large
Question 6
Question
An adult child brings a parent to an agency with signs and
symptoms of potential fluid retention (e.g., high blood pressure, swollen feet) possibly related to excessive sodium intake. Further nursing assessment indicates inadequate food storage and preparation techniques in the home. Which would be the most appropriate nursing diagnosis?
Answer
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Readiness for Enhanced Family Coping
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Disabled Family Coping
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Impaired Parenting
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Caregiver Role Strain
Question 7
Question
Prior to finalizing a family-oriented nursing care plan and implementing interventions, it is essential for the nurse to perform which of the following?
Answer
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Meet with all family members simultaneously
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Confirm that the family health insurance covers all family members.
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Establish a trusting relationship with the family as a group.
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Complete a thorough history and physical examination of each family member.
Question 8
Question
Nurses often utilize systems theory to assess family units. Which example illustrates a family unit that does NOT meet the criteria of a well-functioning system?
Answer
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The family members allow input from outside the family unit.
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The family members are interdependent.
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Each member’s personal boundaries are well defined
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The primary activities of each member focus on personal purposes.
Question 9
Question
What is a primary function of a family?
Answer
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Provide everything each member wants.
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Provide an environment that supports growth of individuals
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Ensure that the members are accepted into society
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Ensure that family resources are not shared with the broader community
Question 10
Question
Which family risk factor for developing a health problem is of highest priority for the nurse to address?
Answer
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Family members’ ages 4, 13, 38, 42, and 75 place them in many different developmental stages
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There is a history of adult-onset diabetes on the 42-yearold father’s side
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The primary wage earner for a family of five has recently been let go from the job and lost health insurance.
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The family members are primarily sedentary and no one engages in physical exercise for more than 1 hour each week
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