Introduction To Medical Surgical Nursing 4th Edition by Linton Test Bank

Test bank for Introduction to Medical Surgical Nursing 4th
Edition by Adrianne Dill Linton
Chapter 7: The Nurse and the Family
MULTIPLE CHOICE
1. The family is an important unit in society primarily because it:

1. offers unconditional love and acceptance.
2. provides emotional support and security.
3. is essential to life and society.
4. promotes cultural values and attitudes.
ANS: 2
The family is defined as being joined together by bonds of sharing and emotional closeness.
PTS: 1 DIF: Cognitive Level: ComprehensionREF: 72

OBJ: 1 TOP: The Family Unit
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
2. The nurse assesses that the client comes from an extended family because it has:
1. multiple wage earners.
2. three generations living together.
3. children from previous marriages.
4. parents of different ethnic origins.
ANS: 3
The extended family consists of relatives of either spouse who live with the nuclear family.
PTS: 1 DIF: Cognitive Level: Application REF: 72

OBJ: 2 TOP: Types of Families
KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A
3. According to the latest Census Bureau report, most families in the United States are:
1. nontraditional.
2. blended.
3. multigenerational.
4. traditional.
ANS: 4
Fifty-two percent of families live in a traditional family setting (current Census Bureau
report).
PTS: 1 DIF: Cognitive Level: Knowledge REF: 72
OBJ: 2 TOP: Family Settings
4. Children of racial minorities are more likely to live in a family that is:
1. blended.
2. extended.
3. traditional.
4. nontraditional.
ANS: 2
Current Census Bureau findings indicate that children of racial minorities are twice as
likely as white children to live in extended families.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 72

OBJ: 2 TOP: Family Settings
5. The nurse is designing a home care plan for a child with a congenital disease and is
assessing the family values regarding home care. The nurse will use as her best source:
1. current literature on congenital deformity.
2. general knowledge of the culture.
3. the family itself.
4. written survey.
ANS: 3
It is important to determine the family‟s values, beliefs, customs, and behaviors that
influence health needs and health care practice. The best source is the family itself.

OBJ: 2 TOP: Cultural Aspects
6. The nurse counsels a family that during the “families with adolescents stage,” one of
the developmental tasks is to:
1. maintain relationships with the extended family.
2. develop parental roles to meet the needs of children.
3. maintain a satisfying marital relationship.
4. communicate openly between parent and children.
ANS: 4
The family developmental tasks at this stage include balancing freedom with
responsibility, and maintaining communication between parents and children.

OBJ: 3 TOP: Family Life Cycles
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
7. Because the patients are attending role modification classes, the nurse assesses this family
as being at the developmental stage of:
1. beginning families.
2. families with young children.
3. families with adolescents.
4. families in later life.
ANS: 4
The last stage of the family life cycle includes families in later life who are adjusting
to retirement, the aging process, decreased self-esteem, status, and health issues.

OBJ: 3 TOP: Family Life Cycles
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
8. Culture and social class usually set precedent for different roles and responsibilities of
each family member. The healthiest family is one in which the:
1. father assumes the role as breadwinner.
2. mother assumes the role as homemaker.
3. father or mother shares the roles of breadwinner and homemaker.
4. roles of breadwinner or homemaker can be shifted as needed.
ANS: 4
A healthy family is one in which there is opportunity to shift roles easily from time to time.
PTS: 1 DIF: Cognitive Level: Analysis REF: 74

OBJ: 4 TOP: Family Role Structure
9. During a family counseling session, the patient, mother of a 5-year-old son states that “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.” As a nurse, you know that to maintain a healthy family unit, one of
the most important family interactions is to:
1. maintain open communication among all family members.
2. encourage self-acceptance and self-esteem for all family members.
3. encourage all family members to participate in community events.
4. realize that not all family members may be able to fulfill assigned roles.
ANS: 2
The most important influence on family interaction is the self-esteem of each member.

OBJ: 4 TOP: Family Interaction
10. For the past three evenings, shortly after their arrival in the hospital unit, the parents of a
14-year-old patient begin to argue about the cost of the hospitalization and the time
required to come to the hospital. Your patient begins to cry and complain about her
abdominal pain. The nurse assesses that the patient is assuming the role of:
1. caretaker.
2. martyr.
3. blocker.
4. scapegoat.
ANS: 4
A scapegoat usually assumes the role to maintain homeostasis, serving to divert
attention from marital conflict between spouses.
PTS: 1 DIF: Cognitive Level: Analysis REF: 74-75

11. The patient, a 36-year-old mother of four, 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.” The nurse assesses that the patient has taken the role of:
1. caretaker.
2. martyr.
3. contributor.
4. harmonizer.
ANS: 2
A martyr sacrifices everything for the sake of the family.

12. The nurse explains that children learn roles during family interaction by the process of:
1. interaction.
2. role playing.
3. observation.
4. rewards.
ANS: 4
Parents reward children for fulfilling certain roles.

13. The patient confides that her husband shares only the incidental happenings of his day at
work as he reads the paper, but he never tells her that he loves her any more. She is
beginning to wonder if their marriage is getting stale. The nurse recognizes this
communication pattern as: 1. affective.
2. affectional.
3. functional.
4. dysfunctional.
ANS: 4
One type of dysfunctional communication involves using chitchat about unimportant
daily occurrences to avoid discussing meaningful issues or expressing feelings.

OBJ: 4 TOP: Functional Communication
14. When discussing the communication patterns of families with the patient, it is important
for the nurse to consider the:
1. cultural aspects of the family.
2. age of the family members.
3. role adopted by each family member.
4. number of members in the family.
ANS: 1
Although each option has significance, cultural aspects must be considered in determining
the functioning level of the family in regard to roles taken.

15. The patient states that her 5-year-old 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.
Based on the concepts of functional communication, the most appropriate reply would be:
1. “Your daughter‟s actions are definitely dysfunctional.”
2. “Your daughter is just being a „little girl‟ and will outgrow being so affectionate.”
3. “Your daughter is going through a normal developmental phase.”
4. “Does your mother-in-law show signs of affection toward your daughter?”
ANS: 3
Physical expression of emotion usually dominates in early childhood and is normal in the
developmental pattern.

16. The nurse reminds the client that functional patterns of communication within the
family setting provide a means of:
1. nurturing.
2. information.
3. closeness.
4. openness.
ANS: 1
Functional patterns of communication include emotional and affective communication
dealing with the expression of feelings and nurturing. A healthy family is able to
demonstrate a wide range of emotions and feelings.

17. The nurse counsels a client that the manner in which a family unit adapts to stress can
affect the family‟s:
1. communication and function.
2. health and function.
3. affective communication.
4. adaptation and function.
ANS: 2
The manner in which a family handles stress can affect the health of the family.

OBJ: 5 TOP: Stress and Adaptation
18. The 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.
Your patient is exhibiting which of the following coping responses?
1. Internal family
2. External family
3. Family communication
4. Social support
ANS: 1
Coping responses of internal family are those that the family relationships use as support.

OBJ: 5 TOP: Coping Strategies
19. The nurse clarifies that the main role of the nurse when assessing families and their
coping strategies is:
1. emotional support and reassurance.
2. information and reassurance.
3. emotional support and referral.
4. elimination of the stressor.
ANS: 2
Families need information and reassurance.
OBJ: 6 TOP: Role of the Nurse
20. The patient who is recovering from a mastectomy relates that she doesn‟t feel like a
woman any more. The best response by the nurse would be:
1. “I am sure you will feel differently once you have your prosthetic bra.”
2. “Have you told your husband how you feel?”
3. “I will bring you a catalogue that carries built-in prosthetic bras.”
4. “Would you like me to arrange a visit from Reach for Recovery?”
ANS: 4
Information through organizations can help a patient learn about what to expect, the
disease process, and recovery.

OBJ: 7 TOP: Community Resources
KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A
21. The client states that her mother has just been diagnosed with Alzheimer‟s 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. The nurse assesses the coping strategy the client is using as:
1. internal family coping by sharing feelings.
2. external family coping by seeking information.
3. external family coping by seeking social support.
4. internal family coping to maintain a cohesive family unit.
ANS: 2
Coping responses include internal and external family coping. External coping strategies
refer to the use of social support systems to solve problems.

22. When assessing the coping measures of families under stress, the first priority of the
nurse should be to:
1. determine the type of coping mechanisms used by the family in the past.
2. consider the relationship of the family members.
3. relieve the anxiety and fear of the family members.
4. determine what stressors the family is currently experiencing.
ANS: 4
Family coping strategies are actions that families use to respond to stressors.

OBJ: 5 TOP: Coping Mechanisms
23. As the nurse is preparing the patient for a colonoscopy, the patient states that she is
nervous about the procedure, but that she knows it will help her physician to diagnose her
problem. The nurse assesses that this patient is using the coping strategy of:
1. internal family coping by interpreting events in a positive manner.
2. internal family coping by relieving anxiety and tension with humor.
3. external family coping by seeking social support.
4. external family coping by using information as an adjunct to serve.
ANS: 1
Coping strategies include interpreting the events in a positive way.

24. The current view of the family as a unit would generally best be described as:
1. functioning together to provide security and support to its members.
2. functioning to meet the needs of society and support its members.
3. a unit of two or more that shares common goals and mutual support.
4. a unit of two or more joined together by mutual bonds and identity.
ANS: 4
Friedman (1997) defined the family as “two or more persons joined together by bonds of
sharing and emotional closeness and who identify themselves as being part of the family.”

25. The nurse reminds the client that communication in the family unit involves
continual exchange of information and includes:
1. determining the intent of the communication being sent.
2. determining if the communication is functional or dysfunctional.
3. acceptance of individual differences.
4. exclusion of emotional responses.
ANS: 3
Clear communication is a way of fostering a nurturing environment. Communication
patterns in a functional family demonstrate acceptance of individual differences, openness,
honesty, and recognition of needs.

OBJ: 4 TOP: Family Communication
MULTIPLE RESPONSE
1. When the nurse is assessing for functional communication styles in a family, the nurse will
be looking for evidence of (select all that apply):
1. openness.
2. subtlety.
3. chit-chat.
4. spontaneity.
5. self disclosure.
ANS: 1, 4, 5
Functional communication is open and honest and has no subtlety or superficial “chit-chat.”

2. The nurse makes a client referral to community resource, knowing that such a resource
can (select all that apply):
1. provide helpful literature.
2. offer ongoing and consistent assistance.
3. reassure the family that they are not alone.
4. offer a variety of free services.
5. organize a support group.
ANS: 1, 2, 3, 5
Community resources can provide assistance, literature, and support in an ongoing
and consistent manner, but the services are not always free.

OBJ: 7 TOP: Community resources
MSC: NCLEX: Safe, Effective Care Environment
COMPLETION
1. The nurse congratulates the client for successfully coping with a family crisis. The state
of having used coping strategies effectively is classified as ____________________.
ANS: Mastery

OBJ: 5 TOP: Mastery KEY: Nursing Process Step: Evaluation
2. The nurse includes the family in client care to maintain the family‟s ____________________.
ANS: Self-esteem

OBJ: 5 TOP: Maintenance of Self-Esteem
KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity

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Introduction To Medical Surgical Nursing 4th Edition by Linton Test Bank

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Test bank for Introduction to Medical Surgical Nursing 4th

Edition by Adrianne Dill Linton

Chapter 7: The Nurse and the Family

1. The family is an important unit in society primarily because it:

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 72

PTS: 1 DIF: Cognitive Level: Application REF: 72

PTS: 1 DIF: Cognitive Level: Knowledge REF: 72

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 73

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 73

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 74

PTS: 1 DIF: Cognitive Level: Analysis REF: 74

PTS: 1 DIF: Cognitive Level: Analysis REF: 75

PTS: 1 DIF: Cognitive Level: Analysis REF: 74-75

PTS: 1 DIF: Cognitive Level: Analysis REF: 74

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 75

PTS: 1 DIF: Cognitive Level: Analysis REF: 75

PTS: 1 DIF: Cognitive Level: Analysis REF: 75

PTS: 1 DIF: Cognitive Level: Application REF: 75

PTS: 1 DIF: Cognitive Level: Analysis REF: 75

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 76

PTS: 1 DIF: Cognitive Level: Application REF: 76

PTS: 1 DIF: Cognitive Level: Analysis REF: 77

PTS: 1 DIF: Cognitive Level: Application REF: 76

PTS: 1 DIF: Cognitive Level: Application REF: 76

PTS: 1 DIF: Cognitive Level: Analysis REF: 76

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 74

PTS: 1 DIF: Cognitive Level: ComprehensionREF: 75

PTS: 1 DIF: Cognitive Level: Analysis REF: 75

PTS: 1 DIF: Cognitive Level: Application REF: 77

PTS: 1 DIF: Cognitive Level: Application REF: 76

PTS: 1 DIF: Cognitive Level: Application REF: 75

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