NURS 5434 FAMILY 3 FINAL EXAM UTA
COMPREHENSIVE SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
⩥ ØWhat could be some implications for nursing care when the agency's
definition of family is not congruent with that of the patient, nurse, or
both. Answer: In ICU there's strict visitng rules & times for fams to
come in
-back in the day it was immediate family only (only allowed 1-2 in the
room and at certain times)
-hard if pt doesn't have immediate fam by that defiitino but still wants
ppl in the room
-our definition of fam may not be pt's definition of fam
-need to be cognicant of POA and shared power/responsibility bw fam
members (make sure not to be sharing too much at bedside, have t be
careful of who comes in and what their relationship is w/the pt but what
if pt is unable to respond)
-have to be careful what info we release
Ex) pt was found down, in OD in public area, deemed brain dead, fam
had been at bedside and appeared to be knowledgeable, says this pt
would like to have organs donated
-legally they had no right (
,⩥ What are the different approaches to care inherent in family nursing.
Answer: 1. Family as the context for individual development
2. Family as a client
3. Family as a system
4. Family as a component of society
§Important to keep all 4 perspectives/ approaches in mind when working
with any given family
-the approach nurses use is determined by diff factors (ex. health care
setting, fam circumstances, nurse resources)
⩥ Family as context
-what does it focus on
-where is this found. Answer: individual as foreground (first)
,family as background (second)
-(traditional nursing focus,
-fam as background but still involved either a positive or negative
influence (a resource or stressor to individuals health/illness)
-focus on care of indivudal client in which fam is the context
-found in maternal child nursing (peds)
aka fam centered/fam focused
⩥ what might a nurse w/"family as context" focus might say. Answer: -
who in your fam will help you with your nightly meds
-how will you provide for child care when you have your back surgery
-it is wonderful for you that your wife takes such an interest in your DM
& has changed all the food prep to fit your dietary needs
-found in maternal child nursing (peds)
, ⩥ Family as client
-where is this seen. Answer: The family is first (foreground),
individuals are second (background)
-centers on assessment of all fam members
-interested in way all fam members are individually affected by health
event of one fam member
-fam seen as sum of individual fam members (focus on each individual)
-provide health care for each person
-seen in primary care clinics (NP's or primary care physicians)
⩥ what might nurse ask fam member who has just become ill. Answer: -
how has your diagnosis affected other ppl in your fam
-will your nightly need for meds be a problem for other members of your
fam
COMPREHENSIVE SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
⩥ ØWhat could be some implications for nursing care when the agency's
definition of family is not congruent with that of the patient, nurse, or
both. Answer: In ICU there's strict visitng rules & times for fams to
come in
-back in the day it was immediate family only (only allowed 1-2 in the
room and at certain times)
-hard if pt doesn't have immediate fam by that defiitino but still wants
ppl in the room
-our definition of fam may not be pt's definition of fam
-need to be cognicant of POA and shared power/responsibility bw fam
members (make sure not to be sharing too much at bedside, have t be
careful of who comes in and what their relationship is w/the pt but what
if pt is unable to respond)
-have to be careful what info we release
Ex) pt was found down, in OD in public area, deemed brain dead, fam
had been at bedside and appeared to be knowledgeable, says this pt
would like to have organs donated
-legally they had no right (
,⩥ What are the different approaches to care inherent in family nursing.
Answer: 1. Family as the context for individual development
2. Family as a client
3. Family as a system
4. Family as a component of society
§Important to keep all 4 perspectives/ approaches in mind when working
with any given family
-the approach nurses use is determined by diff factors (ex. health care
setting, fam circumstances, nurse resources)
⩥ Family as context
-what does it focus on
-where is this found. Answer: individual as foreground (first)
,family as background (second)
-(traditional nursing focus,
-fam as background but still involved either a positive or negative
influence (a resource or stressor to individuals health/illness)
-focus on care of indivudal client in which fam is the context
-found in maternal child nursing (peds)
aka fam centered/fam focused
⩥ what might a nurse w/"family as context" focus might say. Answer: -
who in your fam will help you with your nightly meds
-how will you provide for child care when you have your back surgery
-it is wonderful for you that your wife takes such an interest in your DM
& has changed all the food prep to fit your dietary needs
-found in maternal child nursing (peds)
, ⩥ Family as client
-where is this seen. Answer: The family is first (foreground),
individuals are second (background)
-centers on assessment of all fam members
-interested in way all fam members are individually affected by health
event of one fam member
-fam seen as sum of individual fam members (focus on each individual)
-provide health care for each person
-seen in primary care clinics (NP's or primary care physicians)
⩥ what might nurse ask fam member who has just become ill. Answer: -
how has your diagnosis affected other ppl in your fam
-will your nightly need for meds be a problem for other members of your
fam
