Chapter 20: Family Health
Chapter 20: Family Health
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which definition of family would be the most useful for the nurse practicing in the
community?
a.
A group of persons with shared convictions
b.
A social unit interacting with the larger society
c.
People descended from a common ancestor
d.
Persons related either by blood or by legal contract (marriage)
e.
Whoever the family says is in their family
ANS: E
Although some believe even these definitions are too narrow, the widest definitions are “the
members of the family are self-defined” and “the family is who they say they are.”
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse was teaching a class on good hygiene at a local daycare center when one child
volunteered, “I have two mommies.” Which would be the most appropriate response by
the nurse?
a.
“Don’t tell anyone; that’s a secret.”
b.
“That’s nice—why did you share that?”
c.
“Yes, some children have two mommies, some have a mommy and a daddy, and
some just have daddies. S om e pe opl e on ly h ave one grown-up to love them.”
N R I G B .C M
d.
“Which mommy is your reUal mSomNmy?T” O
ANS: C
The Human Rights Campaign (2009) urges that health professions acknowledge all types of
families including gay, lesbian, and even grandparents as heads of family.
DIF: Cognitive Level: Apply (Application)
3. Which statement best describes how a family can meet the needs of society?
a.
By living and existing in the wider community
b.
By meeting the needs of the individual family members
c.
Through procreation and socialization
d.
Through productivity seen in employment positions
ANS: C
The family fulfills two important purposes. The first is to meet the needs of society, and the
second is to meet the needs of individual family members. The family meets the needs of
society through procreation and socialization of family members.
DIF: Cognitive Level: Understand (Comprehension)
4. Which best describes what is meant by cohabitation?
a.
A living arrangement in which one adult is employed and the other is unemployed
b.
A living arrangement in which an unmarried couple in a long-term relationship
NURSINGTB.COM
, Chapter 20: Family Health
lives together
c.
A living arrangement between two members of the same sex
d.
A living arrangement between two single mothers with children
ANS: B
The most comprehensive definition of cohabitation is a living arrangement in which an
unmarried couple live together in a long-term relationship that resembles a marriage. One of
the key aspects of this definition is the long-term relationship which is not mentioned in the
other definitions.
DIF: Cognitive Level: Remember (Knowledge)
5. Which best describes what proportion of children live in a single-parent family?
a.
Fewer than 10%
b. 11% to 15%
c. 16% to 20%
d. 21% to 26%
e. More than 30%
ANS: E
In 2012, 34% of all U.S. children lived in single-parent homes.
DIF: Cognitive Level: Remember (Knowledge)
6. When making a home visit, a nurse is usually expected to focus attention on the ill family
member. But whom would the nurse possibly focus on instead?
a.
The children who are being affected by the stress of the situation
b.
The ill family member’s NU primSRary
N IT
carGegiv
O Be.r C M
c.
The spouse of the ill family member
d.
The neighbors of the family who may be able to help
ANS: B
Changes in family patterns, fears, emotional responses, and expectations of individual family
members can be assessed in the family interview. Special needs of the primary caretaker
(i.e., often the spouse, daughter, or daughter-in-law) must be assessed.
DIF: Cognitive Level: Understand (Comprehension)
7. Which is a major barrier to a nurse caring for the family as a whole?
a.
Families often don’t want to know what is wrong with their loved one.
b.
Nurses don’t know how to care for families.
c.
Reimbursement is paid only for services given to an individual.
d.
The family often isn’t available when the nurse is giving care.
ANS: C
As a result of the current era of cost containment, constraints on the community health nurse
will increase. Reimbursement is almost entirely calculated for services rendered to the
individual and thus is a major constraint toward moving toward planning care for the family
as a unit.
DIF: Cognitive Level: Understand (Comprehension)
NURSINGTB.COM
Chapter 20: Family Health
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which definition of family would be the most useful for the nurse practicing in the
community?
a.
A group of persons with shared convictions
b.
A social unit interacting with the larger society
c.
People descended from a common ancestor
d.
Persons related either by blood or by legal contract (marriage)
e.
Whoever the family says is in their family
ANS: E
Although some believe even these definitions are too narrow, the widest definitions are “the
members of the family are self-defined” and “the family is who they say they are.”
DIF: Cognitive Level: Understand (Comprehension)
2. A nurse was teaching a class on good hygiene at a local daycare center when one child
volunteered, “I have two mommies.” Which would be the most appropriate response by
the nurse?
a.
“Don’t tell anyone; that’s a secret.”
b.
“That’s nice—why did you share that?”
c.
“Yes, some children have two mommies, some have a mommy and a daddy, and
some just have daddies. S om e pe opl e on ly h ave one grown-up to love them.”
N R I G B .C M
d.
“Which mommy is your reUal mSomNmy?T” O
ANS: C
The Human Rights Campaign (2009) urges that health professions acknowledge all types of
families including gay, lesbian, and even grandparents as heads of family.
DIF: Cognitive Level: Apply (Application)
3. Which statement best describes how a family can meet the needs of society?
a.
By living and existing in the wider community
b.
By meeting the needs of the individual family members
c.
Through procreation and socialization
d.
Through productivity seen in employment positions
ANS: C
The family fulfills two important purposes. The first is to meet the needs of society, and the
second is to meet the needs of individual family members. The family meets the needs of
society through procreation and socialization of family members.
DIF: Cognitive Level: Understand (Comprehension)
4. Which best describes what is meant by cohabitation?
a.
A living arrangement in which one adult is employed and the other is unemployed
b.
A living arrangement in which an unmarried couple in a long-term relationship
NURSINGTB.COM
, Chapter 20: Family Health
lives together
c.
A living arrangement between two members of the same sex
d.
A living arrangement between two single mothers with children
ANS: B
The most comprehensive definition of cohabitation is a living arrangement in which an
unmarried couple live together in a long-term relationship that resembles a marriage. One of
the key aspects of this definition is the long-term relationship which is not mentioned in the
other definitions.
DIF: Cognitive Level: Remember (Knowledge)
5. Which best describes what proportion of children live in a single-parent family?
a.
Fewer than 10%
b. 11% to 15%
c. 16% to 20%
d. 21% to 26%
e. More than 30%
ANS: E
In 2012, 34% of all U.S. children lived in single-parent homes.
DIF: Cognitive Level: Remember (Knowledge)
6. When making a home visit, a nurse is usually expected to focus attention on the ill family
member. But whom would the nurse possibly focus on instead?
a.
The children who are being affected by the stress of the situation
b.
The ill family member’s NU primSRary
N IT
carGegiv
O Be.r C M
c.
The spouse of the ill family member
d.
The neighbors of the family who may be able to help
ANS: B
Changes in family patterns, fears, emotional responses, and expectations of individual family
members can be assessed in the family interview. Special needs of the primary caretaker
(i.e., often the spouse, daughter, or daughter-in-law) must be assessed.
DIF: Cognitive Level: Understand (Comprehension)
7. Which is a major barrier to a nurse caring for the family as a whole?
a.
Families often don’t want to know what is wrong with their loved one.
b.
Nurses don’t know how to care for families.
c.
Reimbursement is paid only for services given to an individual.
d.
The family often isn’t available when the nurse is giving care.
ANS: C
As a result of the current era of cost containment, constraints on the community health nurse
will increase. Reimbursement is almost entirely calculated for services rendered to the
individual and thus is a major constraint toward moving toward planning care for the family
as a unit.
DIF: Cognitive Level: Understand (Comprehension)
NURSINGTB.COM
