Exam 3
Ch. 18
1.The following people enter the health clinic together: unmarried man with his 1yo son, unmarried woman with 1yo daughter, and man’s
married brother who is separated from his wife. During assessment it is determined that both men work and contribute to household,
where all of them live. Who is considered to be the “family” in this group?
- the family includes whoever the adults state are family members
2. nurse in community health needs to conduct family assessment within a commune but uncertain how to proceed cuz fam lines appear
blurred. The best way to determine fam of mother and her child is to ask woman which quest?
- who are members of you and your child’s fam?
3. In taking fam Hx nurse in community health finds that this is the second marriage for previously divorced parents and that the male
partner is the step-parent to the oldest child. This info would be documented in which aspect of the fam assessment?
- structure
4. Why do fam fx and structure create unique challenges in fam nursing?
- fx and structure change over time
5. Which approach is most helpful when dealing with fam who is confronting major challenges to their health?
- building on fam strengths and resilience
6. Nurse is told that healthy, fx fam consisting of 25yo man and 24yo woman who are expecting their first child, would appreciate nurse
coming to their apartment for anticipatory guidance in preparing themselves and apartment for the baby. Based on that statement
what assumptions can nurse safely make about fam?
- affection and attachment exist bw man and woman and their basic survival needs are being met
7. historically nurses have focused on care of individual while viewing fam as background resource or possible stressor. What
conceptualization does this view represent?
- context
8. New mom is full-time college student who lives with her parents, since baby’s father has been imprisoned related to theft and drug
abuse. Infant’s grandma although also employed cares for the child while young mother attends classes. What theoretical framework
would be most helpful to nurse when assessing this fam needs?
- developmental
9. nurse researcher wants to know and better understand how chronic illness of child affects fam communication patterns, relationships,
role expectations, and role behaviors. Which fam theory framework would researcher proly use?
- interactional
10. for nurse using the Outcome Present-State Testing (OPT) Model to guide nursing process to address fam violence, what would be
crucial issue?
- ongoing Sx of fam violence
11. during whoch stage of nursing proves is cue logic implemented?
- assessment
12. what method is being used when nurse helps fam to understand situation by asking broad open-ended quest that allow both nurse and
to engage in critical thinking in determining fam primary problem and possible outcome?
, - framing
13. what are government actions that have a direct or indirect effect on families called?
- family policy
14. when engaging in a fam assessment nurse would recognize which behavior as suggestive of fam with problem?
- most of conversation was bw father and eldest daughter
15. hospital-based nurse has worked with pt at some length regarding appropriate diet. Based on systems theory what will proly happen
when pt returns home?
- fam member who preps food will proly try to modify meals wo obvious change for fam as whole
16. why is it crucial that problem that needs to be resolved in current situation and desired outcome be clearly stated before finalizing
documentation of fam plan of care?
- to be sure fam understands nurse’s perception of problem and what should be achieved
17. while doing fam assessment before engaging in self-disclosure nurse must be sure to do?
- take time to build trust
18. in a predominantly poor community where eating clay (pica) is common practice nurse in community health can intervene at the 3
prevention level by which?
- assisting those who eat large amounts of clay to obtain food stamps after explaining that clay although filling does not provide necessary
nutrients
Ch. 19
1.using Neuman Systems Model what might nurse as pt to assess physiological health?
- tell me about any illnesses your other fam members have
2. which recommendation by nurse would be aimed towards reducing fam members health risk?
- be sure to take 30min walk every day before you leave for work or when you get home
3. which question reflects nurse appraising health risks?
- does you 1yo have a booster seat in the car?
4. which quest reflects nurse concern regarding risk reduction?
- where do you shoot with your handguns?
5. which represents normative life event that can increase risk for illness?
- woman is preggo with her first child
6. which comment should cause nurse to probe further to determine whether fam was in crisis?
- woman says, I don’t know what to do now that my husband is dead. There is no way I can go back to work and also take care of our 3
kids
7. for what is nurse assessing when conducting health risk appraisal?
- unhealthy activities
Ch. 18
1.The following people enter the health clinic together: unmarried man with his 1yo son, unmarried woman with 1yo daughter, and man’s
married brother who is separated from his wife. During assessment it is determined that both men work and contribute to household,
where all of them live. Who is considered to be the “family” in this group?
- the family includes whoever the adults state are family members
2. nurse in community health needs to conduct family assessment within a commune but uncertain how to proceed cuz fam lines appear
blurred. The best way to determine fam of mother and her child is to ask woman which quest?
- who are members of you and your child’s fam?
3. In taking fam Hx nurse in community health finds that this is the second marriage for previously divorced parents and that the male
partner is the step-parent to the oldest child. This info would be documented in which aspect of the fam assessment?
- structure
4. Why do fam fx and structure create unique challenges in fam nursing?
- fx and structure change over time
5. Which approach is most helpful when dealing with fam who is confronting major challenges to their health?
- building on fam strengths and resilience
6. Nurse is told that healthy, fx fam consisting of 25yo man and 24yo woman who are expecting their first child, would appreciate nurse
coming to their apartment for anticipatory guidance in preparing themselves and apartment for the baby. Based on that statement
what assumptions can nurse safely make about fam?
- affection and attachment exist bw man and woman and their basic survival needs are being met
7. historically nurses have focused on care of individual while viewing fam as background resource or possible stressor. What
conceptualization does this view represent?
- context
8. New mom is full-time college student who lives with her parents, since baby’s father has been imprisoned related to theft and drug
abuse. Infant’s grandma although also employed cares for the child while young mother attends classes. What theoretical framework
would be most helpful to nurse when assessing this fam needs?
- developmental
9. nurse researcher wants to know and better understand how chronic illness of child affects fam communication patterns, relationships,
role expectations, and role behaviors. Which fam theory framework would researcher proly use?
- interactional
10. for nurse using the Outcome Present-State Testing (OPT) Model to guide nursing process to address fam violence, what would be
crucial issue?
- ongoing Sx of fam violence
11. during whoch stage of nursing proves is cue logic implemented?
- assessment
12. what method is being used when nurse helps fam to understand situation by asking broad open-ended quest that allow both nurse and
to engage in critical thinking in determining fam primary problem and possible outcome?
, - framing
13. what are government actions that have a direct or indirect effect on families called?
- family policy
14. when engaging in a fam assessment nurse would recognize which behavior as suggestive of fam with problem?
- most of conversation was bw father and eldest daughter
15. hospital-based nurse has worked with pt at some length regarding appropriate diet. Based on systems theory what will proly happen
when pt returns home?
- fam member who preps food will proly try to modify meals wo obvious change for fam as whole
16. why is it crucial that problem that needs to be resolved in current situation and desired outcome be clearly stated before finalizing
documentation of fam plan of care?
- to be sure fam understands nurse’s perception of problem and what should be achieved
17. while doing fam assessment before engaging in self-disclosure nurse must be sure to do?
- take time to build trust
18. in a predominantly poor community where eating clay (pica) is common practice nurse in community health can intervene at the 3
prevention level by which?
- assisting those who eat large amounts of clay to obtain food stamps after explaining that clay although filling does not provide necessary
nutrients
Ch. 19
1.using Neuman Systems Model what might nurse as pt to assess physiological health?
- tell me about any illnesses your other fam members have
2. which recommendation by nurse would be aimed towards reducing fam members health risk?
- be sure to take 30min walk every day before you leave for work or when you get home
3. which question reflects nurse appraising health risks?
- does you 1yo have a booster seat in the car?
4. which quest reflects nurse concern regarding risk reduction?
- where do you shoot with your handguns?
5. which represents normative life event that can increase risk for illness?
- woman is preggo with her first child
6. which comment should cause nurse to probe further to determine whether fam was in crisis?
- woman says, I don’t know what to do now that my husband is dead. There is no way I can go back to work and also take care of our 3
kids
7. for what is nurse assessing when conducting health risk appraisal?
- unhealthy activities
