1 Inquire through: | Professional | Confidential Support
Unit 6 - Care of Family Ch. 3 Questions and
Answers (100% Correct Answers)
1. The clinic nurse is taking a history from a woman who came to the clinic to get
test results. The patient brought a coworker with her because she is worried. The
patient asks to have her coworker remain in the exam room when the doctor
describes the test findings. The patient states that the friend is "like a sister." The
nurse would most correctly identify the two women as which of the following?
A. Extended family
B. Family
C. Family of choice
D. Family of origin
Ans:
ANS: A
A family consists of two or more members who self-identify as a "family" and interact
and depend on one another socially, emotionally, and financially. Because the patient
self-identifies the friend as "like a sister," the patient and friend consider themselves
a family.
2. The clinic nurse understands that children who come for well-child visits at age 10
are in the process of developing which of the following attributes?
A. Attachment
B. Coordination
C. Personal values
D. Self-identity
Ans:
ANS: D
During the school-aged and adolescent/teenage developmental stage, personal values
are shaped and clarified and ethical development occurs. This stage provides the
optimal opportunity for teaching about drugs, sex, and health promotion.
3. A new mother with a 2-month-old daughter tells the family clinic nurse that she is
experiencing a lack of sleep because of infant night feedings and her husband's shift
work and excessive overtime. Which of the following is the best description of this
family concern?
,2 Inquire through: | Professional | Confidential Support
A. Caregiver strain
B. Coping stress
C. Lack of support
D. Parental maladaptation
Ans:
ANS: A
Caregiver strain occurs when the main caregiver becomes overwhelmed and feels
"underhelped" regarding the tasks concerned with the care of the family member. In
this situation, mounting bitterness and withdrawal from other family members may
cause caregivers to push away any potential helpers.
4. A patient describes her spouse's dependence on oxycodone terephthalate
(Percocet), which began following knee surgery last year. Although the prescription
was finished some time ago, the spouse continues to obtain and take Percocet.
Because of the spouse's "need" for the medication, the patient "has to" do all the yard
work, child care, and meal preparation. How would the nurse describe the patient's
behavior?
A. Enabler
B. Impaired caregiver
C. Inadequate dyad partner
D. Overstressed parent
Ans:
ANS: A
An enabler is a common role in families with addictions. The enabler makes excuses
for the addicted person's behavior. The patient's behavior allows the spouse to
continue with the addiction without being held accountable.
5. A mother brings her 8-year-old daughter to the clinic for the third time in 2
months. The mother states that her daughter is very active and often falls down. The
mother states that her daughter eats well, but the child's weight falls below the 10th
percentile. The clinic record shows the child had multiple bruises on her arms at the
time of the last two visits. Today the nurse notes that the child has areas of
ecchymosis on her left leg and ankle. Which action by the nurse is best?
A. Ask the child and her mother again about the child's bruises.
B. Question the child about her accident-prone behaviors.
, 3 Inquire through: | Professional | Confidential Support
C. Speak with the child alone, asking if she feels safe at home.
D. Teach the mother to keep a diary of what her child is eating.
Ans:
ANS: C
This child's presentation is suspicious. If child abuse is suspected, the nurse should
question the child privately. In all situations the nurse is legally obligated to report
the abuse to the proper investigating agency.
6. The clinic nurse notices that each time a child with leukemia is brought in to see
the doctor, her mother and aunt accompany her. The mother states that she finds her
daughter's illness to be very traumatic and is having difficulty coping. The child's
aunt encourages the child's mother and distracts the child while her blood work is
being drawn. The child's aunt could be described as taking on which of the following
roles?
A. Child-caregiver role
B. Kinship role
C. Socializer role
D. Therapist role
Ans:
ANS: D
Structural-functional theory focuses on the functioning of the family and the roles
assumed by each family member to promote family function. Necessary roles include
provider, housekeeper, child caregiver, socializer, sexual partner, therapist,
recreational organizer, and kinship member. The therapist role is assumed when one
family member expresses concern for another's health or emotional well-being. The
aunt does not appear to be the primary caregiver (child-caregiver role). There is no
indication that the aunt fills the socializer role by organizing family social activities.
The kinship role includes maintaining family and social ties by things like
remembering important dates, and the aunt does not appear to function in that role
either.
7. The nurse observes a woman and her sister who live together. They are trying to
support one another and provide extended care to their mother who has recently
been diagnosed with Alzheimer's disease. The two sisters describe their experience
with a homemaker who visits their home to help bathe their mother. They say she is
"humorous and cheerful" and absorbs their mother's attention for the whole time she
is present. This is a positive description of which component of Bowen's family
systems theory?
A. Communication
Unit 6 - Care of Family Ch. 3 Questions and
Answers (100% Correct Answers)
1. The clinic nurse is taking a history from a woman who came to the clinic to get
test results. The patient brought a coworker with her because she is worried. The
patient asks to have her coworker remain in the exam room when the doctor
describes the test findings. The patient states that the friend is "like a sister." The
nurse would most correctly identify the two women as which of the following?
A. Extended family
B. Family
C. Family of choice
D. Family of origin
Ans:
ANS: A
A family consists of two or more members who self-identify as a "family" and interact
and depend on one another socially, emotionally, and financially. Because the patient
self-identifies the friend as "like a sister," the patient and friend consider themselves
a family.
2. The clinic nurse understands that children who come for well-child visits at age 10
are in the process of developing which of the following attributes?
A. Attachment
B. Coordination
C. Personal values
D. Self-identity
Ans:
ANS: D
During the school-aged and adolescent/teenage developmental stage, personal values
are shaped and clarified and ethical development occurs. This stage provides the
optimal opportunity for teaching about drugs, sex, and health promotion.
3. A new mother with a 2-month-old daughter tells the family clinic nurse that she is
experiencing a lack of sleep because of infant night feedings and her husband's shift
work and excessive overtime. Which of the following is the best description of this
family concern?
,2 Inquire through: | Professional | Confidential Support
A. Caregiver strain
B. Coping stress
C. Lack of support
D. Parental maladaptation
Ans:
ANS: A
Caregiver strain occurs when the main caregiver becomes overwhelmed and feels
"underhelped" regarding the tasks concerned with the care of the family member. In
this situation, mounting bitterness and withdrawal from other family members may
cause caregivers to push away any potential helpers.
4. A patient describes her spouse's dependence on oxycodone terephthalate
(Percocet), which began following knee surgery last year. Although the prescription
was finished some time ago, the spouse continues to obtain and take Percocet.
Because of the spouse's "need" for the medication, the patient "has to" do all the yard
work, child care, and meal preparation. How would the nurse describe the patient's
behavior?
A. Enabler
B. Impaired caregiver
C. Inadequate dyad partner
D. Overstressed parent
Ans:
ANS: A
An enabler is a common role in families with addictions. The enabler makes excuses
for the addicted person's behavior. The patient's behavior allows the spouse to
continue with the addiction without being held accountable.
5. A mother brings her 8-year-old daughter to the clinic for the third time in 2
months. The mother states that her daughter is very active and often falls down. The
mother states that her daughter eats well, but the child's weight falls below the 10th
percentile. The clinic record shows the child had multiple bruises on her arms at the
time of the last two visits. Today the nurse notes that the child has areas of
ecchymosis on her left leg and ankle. Which action by the nurse is best?
A. Ask the child and her mother again about the child's bruises.
B. Question the child about her accident-prone behaviors.
, 3 Inquire through: | Professional | Confidential Support
C. Speak with the child alone, asking if she feels safe at home.
D. Teach the mother to keep a diary of what her child is eating.
Ans:
ANS: C
This child's presentation is suspicious. If child abuse is suspected, the nurse should
question the child privately. In all situations the nurse is legally obligated to report
the abuse to the proper investigating agency.
6. The clinic nurse notices that each time a child with leukemia is brought in to see
the doctor, her mother and aunt accompany her. The mother states that she finds her
daughter's illness to be very traumatic and is having difficulty coping. The child's
aunt encourages the child's mother and distracts the child while her blood work is
being drawn. The child's aunt could be described as taking on which of the following
roles?
A. Child-caregiver role
B. Kinship role
C. Socializer role
D. Therapist role
Ans:
ANS: D
Structural-functional theory focuses on the functioning of the family and the roles
assumed by each family member to promote family function. Necessary roles include
provider, housekeeper, child caregiver, socializer, sexual partner, therapist,
recreational organizer, and kinship member. The therapist role is assumed when one
family member expresses concern for another's health or emotional well-being. The
aunt does not appear to be the primary caregiver (child-caregiver role). There is no
indication that the aunt fills the socializer role by organizing family social activities.
The kinship role includes maintaining family and social ties by things like
remembering important dates, and the aunt does not appear to function in that role
either.
7. The nurse observes a woman and her sister who live together. They are trying to
support one another and provide extended care to their mother who has recently
been diagnosed with Alzheimer's disease. The two sisters describe their experience
with a homemaker who visits their home to help bathe their mother. They say she is
"humorous and cheerful" and absorbs their mother's attention for the whole time she
is present. This is a positive description of which component of Bowen's family
systems theory?
A. Communication
