Chapter 07: The Nurse and the Family
Linton: Introduction to Medical–Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. What is the primary reason that family is an important unit in society?
a.
Offers unconditional love and acceptance
b.
Provides emotional support and security
c.
Is essential to life and society
d.
Promotes cultural values and attitudes
2. What should a nurse assess when a patient comes from an extended family?
a.
Multiple wage earners
b.
Three generations living together
c.
Children from previous marriages
d.
Parents of different ethnic origins
3. What type of families is most prevalent in the United States according to the latest Census
Bureau report?
a.
Nontraditional
b.
Blended
c.
Multigenerational
d.
Traditional
4. In what type of family are children of racial minorities most likely to belong?
a.
Blended
b.
Extended
c.
Traditional
d.
Nontraditional
5. A nurse is designing a home care plan for a child with a congenital disease and is assessing
the family values regarding home care. What is the best resource for the nurse to use?
a.
Current literature on congenital deformities
b.
General knowledge of the culture
c.
Patient’s family
d.
Written survey
6. A nurse counsels a family regarding the stage of families with adolescents. Which
developmental task is appropriate for the nurse to include?
a.
Maintaining relationships with the extended family
b.
Developing parental roles to meet the needs of children
c.
Maintaining a satisfying marital relationship
d.
Maintaining open communication between parent and children
7. Which developmental task should families master in later life?
a.
Becoming role models for their grandchildren
b.
Making a significant contribution to society
c.
Abandoning the parental role to grown children
d.
Maintaining a satisfactory living arrangement
8. Culture and social class usually set a precedent for different roles and responsibilities of each
family member. Which example best demonstrates the healthiest family?
a.
The father assumes the role as breadwinner.
b.
The mother assumes the role as homemaker.
c.
The father or mother shares the roles of breadwinner and homemaker.
d.
The roles of breadwinner or homemaker can be shifted as needed.
9. During a family counseling session, a patient, a mother of a 5-year-old son, states, “I don’t
understand why my husband continually tries to get our son involved in T-ball. My son said
the coach and his dad yelled at him and told him the game was lost because he couldn’t catch
the ball.” What is the most important family interaction to maintain a healthy family unit?
a.
Maintain open communication among all family members.
b.
Encourage self-acceptance and self-esteem for all family members.
c.
Encourage all family members to participate in community events.
d.
Realize that not all family members may be able to fulfill assigned roles.
10. For the past three evenings, shortly after their arrival in the hospital unit, the parents of a
14-year-old daughter begin to argue about the cost of the hospitalization and the time required
to come to the hospital. The patient begins to cry and complains about her abdominal pain.
What role is the patient assuming?
a.
Caretaker
b.
Martyr
c.
Blocker
d.
Scapegoat
11. A patient, a 36-year-old mother of four children, is crying. She relates to you that her best
friend just told her, “You are a good mother and you do everything perfectly, but I don’t think
you enjoy it.” What role is the patient assuming?
a.
Caretaker
b.
Martyr
c.
Contributor
d.
Harmonizer
12. What is the basis for the roles children assume in families?
a.
Obligation
b.
Instinct
c.
Observation
d.
Rewards
13. A patient confides that her husband shares only the incidental happenings of his day at work
as he reads the paper, and he never tells her that he loves her anymore. She is beginning to
wonder if their marriage is getting stale. What communication pattern should the nurse
recognize?
a.
Affective
b.
Affectional
c.
Functional
d.
Dysfunctional
14. What should a nurse consider when discussing the communication patterns of families with
the patient?
a.
Cultural aspects of the family
b.
Age of the family members
c.
Role adopted by each family member
d.
Number of members in the family
15. A patient states that her 5-year-old daughter is always running up to relatives and friends and
wants to give them a big hug and kiss. The patient asks if her daughter is appropriate in her
actions. What is the most appropriate reply based on the concepts of functional
communication?
a.
“Your daughter’s actions are definitely dysfunctional.”
b.
“Your daughter is just being a ‘little girl’ and will outgrow being so affectionate.”
c.
“Your daughter is going through a normal developmental phase.”
d.
“Does your mother–in–law show signs of affection toward your daughter?”
16. For what should functional patterns of communication in the family setting provide a means?
a.
Nurturing
b.
Information
c.
Closeness
d.
Openness
17. What does the manner in which a family unit adapts to stress affect?
a.
Ability to communicate and function
b.
Health and function
c.
Level of affective communication
d.
Ability to adapt and function
18. A patient who was recently diagnosed with cancer tells the nurse that she is so grateful for her
children and family because she does not know what she would do without them. Which
coping response is being exhibited?
a.
Internal family
b.
External family
c.
Family communication
d.
Social support
19. What is the main role of the nurse when assessing families and their coping strategies?
a.
Emotional support and reassurance
b.
Information and reassurance
c.
Emotional support and referral
d.
Elimination of the stressor
20. A patient who is recovering from a mastectomy relates that she no longer feels like a woman.
What is the best response by the nurse?
a.
“I am sure you will feel differently when you have your prosthetic bra.”
b.
“Have you told your husband how you feel?”
c.
“I will bring you a catalog that carries built–in prosthetic bras.”
d.
“Would you like me to arrange a visit from ‘Reach for Recovery’?”
21. A patient states that her mother has just been diagnosed with Alzheimer disease and that she is
devastated and does not know what to do. The nurse suggests that she attend a support group
meeting where she can discuss her concerns with others. The patient says that she will call and
attend a meeting. Which coping strategy is the patient using?
a.
Internal family coping by sharing feelings
b.
External family coping by seeking information
c.
External family coping by seeking social support
d.
Internal family coping to maintain a cohesive family unit
22. What is a nursing priority when assessing the coping measures of families under stress?
a.
Determine the type of coping mechanisms used by the family in the past.
b.
Consider the relationship of the family members.
c.
Relieve the anxiety and fear of the family members.
d.
Determine what stressors the family is currently experiencing.
23. As a nurse is preparing a patient for a colonoscopy, the patient states that she is nervous about
the procedure but knows it will help her physician diagnose her problem. Which coping
strategy should the nurse recognize the patient is using?
a.
Internal family coping by interpreting events in a positive manner
b.
Internal family coping by relieving anxiety and tension with humor
c.
External family coping by seeking social support
d.
External family coping by depersonalizing the procedure
24. What is the best description of the current view of the family as a unit?
a.
Functioning together to provide security and support to its members
b.
Functioning to meet the needs of society and support its members
c.
A unit of two or more that shares common goals and mutual support
d.
A unit of two or more joined together by mutual bonds and identity
25. A nurse reminds a patient that communication in the family unit involves continual exchange
of information. Which is the best example of this concept?
a.
Determining the intent of the communication being sent
b.
Determining whether the communication is functional or dysfunctional
c.
Accepting individual differences
d.
Excluding emotional responses
MULTIPLE RESPONSE
26. What is included in the functional communication styles in a family? (Select all that apply.)
a.
Openness
b.
Subtlety
c.
Chitchat
d.
Spontaneity
e.
Self-disclosure
27. A nurse makes a patient referral to a community resource. What benefit(s) will this referral
provide? (Select all that apply.)
a.
Provision of helpful literature
b.
Ongoing and consistent assistance
c.
Reassurance to the family members that they are not alone
d.
A variety of free services
e.
Organization of a support group
COMPLETION
28. A nurse congratulates a patient for successfully coping with a family crisis. The state of
having used coping strategies effectively is classified as _____.
29. The nurse includes the family in patient care to maintain the family’s _____.