Chapter 18 - Family Development and Family Nursing Assessment Flashcards - Quizlet

9/16/21, 10:37 AM Chapter 18: Family Development and Family Nursing Assessment Flashcards | Quizlet
Science / Engineering / Systems Theory

Chapter 18: Family Development and Family Nursing Assessment Study
Chapter 18: Family Development and Family Nursing

Assessment
Terms in this set (34)
A nurse in community health is

ANS: B. responsible for
working with a single parent of providing/managing
three children, ages 4, 6, and 8. the care of their members.

The 6-year old has cerebral
palsy. The 4-year-old has
asthma. The maternal
grandmother lives with the
family and has diabetes.
The nurse understands the

importance of working within
the context of the existing
family structure and community
resources because families
are:
A. Restrictive to outside
intervention or involvement.
B. responsible for
providing/managing the care
of their members.
C. unable to manage the stress

of complex health needs.
D. restricted in their ability to

identify interventions
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Chapter
The nurse in18: Family health
community DevelopmentANS:
andA.Family
family
Nursing Assessment Study
uses information about family demographics.

structure, household
composition, marriage,
divorce, birth, death, adoption,
and other family life events to
forecast and predict stresses
and developmental changes
experienced by families and
identify possible solutions to
family challenges. This best
describes the study of:
A. family demographics.
B. family functions.
C. family health.
D. family resilience.
Chapter 18: Family

The current-day Development
definition of andC.Family
ANS: Nursing
Members of a
Assessment Study
family refers to two or more family are self-defined.

individuals who depend on
one another for emotional,
physical, and/or financial
support. Which of the following
is the most important principle
to support this broader
definition?
A. Families are defined by

genetic ties.
B. Family names are needed to

confer status.
C. Members of a family are

self-defined.
D. Traditional family functions

have been redefined.
A family nurse is working with a ANS: B. contemporary family function.

married couple that has
decided to remain child-free.
The nurse recognizes this
decision as a:
A. biological necessity.
B. contemporary family
function.
C. religious belief decision.
D. threat to family survival.
Chapter 18: Family

The family systems DevelopmentANS:
theory andD.Family
Focuses Nursing Assessment
on the interaction of the familyStudy
with
encourages nurses to view other systems
both the individual clients as
participating members of a
whole family. What is the major
weakness of the systems
framework?
A. Views families from both a

subsystem and a supra-system
approach
B. Defines the direction of

interactions
C. Views the family as an agent

of change
D. Focuses on the interaction

of the family with other systems
In applying the developmental ANS: A. age of the
theory, a family nurse eldest child.

determines the developmental
stage of the family based on:
A. age of the eldest child.
B. family strengths.
C. individual growth patterns.
D. overall tasks of the family.
Chapter 18:following
Which of the Familysocial
DevelopmentANS:
andD.Family Nursing
Bio-ecological Assessment
systems theory Study
science theories is used by

public health nursing to
describe how environments
and systems outside of the
family influence the
development of a child over
time?
A. Life cycle theory
B. Family developmental theory
C. Family systems theory
D. Bio-ecological systems
theory
Chapter 18: Family

The family nurse Development
conducts the andA.Family
ANS: Nursing
fosters equal familyAssessment
and provider Study
family nursing assessment with commitment to success.

the family as a unit. Using a
systematic process, family
problems are identified and
family strengths are
emphasized as building blocks
for interventions. Which of the
following best completes the
statement to demonstrate the
importance of assessment to
outcomes? Integrating the
extended families:
A. fosters equal family and

provider commitment to
success.
B. facilitates outcomes-
oriented family nursing
research.
C. decreases the need for

nurse contact and intervention.
D. removes barriers to needed

services to achieve success.
Chapter 18:can
Family health Family DevelopmentANS:
be defined and Family Nursing Assessment Study
as a dynamic, changing, B. Family functioning affects the health of

relative state of well-being that individuals.
includes the biological, D. The individual's health affects family functioning.
psychological, sociological, E. Simultaneous assessment of individual family

cultural, and spiritual factors of members and the family system as a whole is
a family system. This family important to family health.
health approach would best
include which of the following
underlying principles? (Select
all that apply.)
A. Assessment of the
individual's health does not
determine the overall family
system's health.
B. Family functioning affects

the health of individuals.
C. Family system assessment

specifically addresses the
individual's health.
D. The individual's health

affects family functioning.
E. Simultaneous assessment of
individual family members and
the family system as a whole is
important to family health.
Chapter
What terms18:
areFamily
used to DevelopmentANS:
and
Family Nursing Assessment Study
describe healthy families? A. Families with strengths
(Select all that apply.)

C. Functional families
D. Resilient families
A. Families with strengths
B. Dysfunctional
C. Functional families
D. Resilient families
E. Resistant families
Chapter 18:people
The following Family Development
enter the andD
Family Nursing Assessment
ANS: Study
health clinic together: an Nurses working with families should ask an adult
unmarried man and his year- member to identify all those considered to be
old son, an unmarried woman family members and then include those members in
with a year-old daughter, and health care planning. A family may range from the
the mans married brother, who traditional nuclear model with extended family to
is separated from his wife. such postmodern family structures as single-parent
During the assessment it is families, step families, same-gender families, and
determined that both men families consisting of friends.
work and contribute to the
household, where all of them
live. Which of the following
best describes the family?
A. The group consists of three

families: the man and his son,
the woman and her daughter,
and the brother, who is
married even though he and
his wife are separated.
B. There are two families

involved: first, the unmarried
man and woman and their two
children, and second, the
brother, who is married even
though he and his wife are
separated.
C. There is no family here, only

three adults sharing resources
between themselves and two
biologically related children.
D. The family includes whoever

the adults state are family
members.
Chapter
The nurse in18: Family health
community DevelopmentANS:
andD
needs to conduct a family The members of a family are self-defined. The family
assessment within a commune includes whoever the woman says are family
but is uncertain how to members. The nurse should include all those
proceed because family lines members in health care planning.
appear blurred. The best way
to determine the family of a
mother and her child is to ask
the woman which of the
following questions?
A. How many children do you

have, and who is the father of
each?
B. Is there a register of families

who are members of this
commune?
C. Tell me about your

significant other.
D. Who are the members of

your and your child's family?
Chapter 18: Family

In taking a family history,Development
the andC
ANS: Study
nurse in community health

Family structure refers to the characteristics and
finds that this is the second demographics (gender, age, number) of individual
marriage for the previously
members who make up the family. Structure defines
divorced parents and that the the roles and the positions of family members.
male partner is the
stepparent to the oldest child.

For which of the following
aspects of the family
assessment is data being
gathered?
A. Dynamics
B. Function
C. Structure
D. System
Which of the following ANS: A
statements best explains why

The functions that families serve evolve and change
family functions and structures over time. Some become more important and
create unique challenges in others less so. Family structures also change over
family nursing?
time. The great speed with which changes in family
structure, values, and relationships are occurring
A. Function and structure makes working with families at the beginning of the
change over time.
twenty-first century exciting and
B. Function and structure do challenging.

not apply to all family units.
C. Some clients do not have

families.
D. Traditional families are rare

in society.
Chapter 18: Family

A nurse is working with aDevelopment
family andB
ANS: Study
who is confronting major The labels of dysfunctional, non-compliant,

challenges to their health. resistant, or unmotivated all denote families who are
Which of the following
not functioning well; however, such labels do not
approaches would be most create an environment conducive for positive family
helpful for the nurse to use?
change and intervention and should not be used.
Families are neither all good nor all bad; families
A. Allowing the family to be have both strengths and difficulties and
non-compliant
have seeds of resilience. Recognizing the families
B. Building on the families strengths gives the nurse assets on which to draw in
strengths and resilience
planning care.
C. Labeling the family as
resistant
D. Recognizing that the family

is dysfunctional
Chapter
The nurse is18: Family
told DevelopmentANS:
that a healthy, andB
functional family
In functional, healthy, or resilient families, the basic
consisting of a 25-year-old survival needs are met. Healthy families exist based
man and a 24-year-old woman, on attachment and affection. There is nothing in the
who are expecting their first example to suggest that they are married, that their
child, would appreciate a nurse income is low, or that they lack other resources or
coming to their apartment for support systems.
anticipatory guidance in
preparing themselves and their
apartment for the baby. Based
on that statement, which of the
following assumptions can the
nurse safely make about the
family?
A. The family is lacking a strong

support system.
B. The families basic needs are

being met.
C. The couples in-laws are

unavailable to share their
expertise about child care.
D. The married couple is

excited about their first baby.
Chapter 18: Family

A nurse focuses Development
on the care of andC
ANS: Study
the individual
Family as the context, or structure, has a traditional
while viewing the clients family focus that places the individual first and the family
as a background
second. In the family as context concept, the family
resource or possible stressor. serves as either a resource or a stressor to individual
Which of the following health and illness.
conceptualizations of family
does this nurses view
represent?
A. Client
B. Component of society
C. Context
D. System
A nurse asks a family member, ANS: C
What has changed between When the focus is on the family as a system, the
you and your spouse since family is viewed as an interactional system in which
your child's head injury? Which the whole is more than the sum of its parts. The
of the following focuses of the approach simultaneously focuses on individual
family is the nurse assessing?
members and the family as a whole at the same
time. The interactions between family members are
A. The context
the target for nursing interventions
B. The client
C. A system
D. A component of society
Which of the Familytheories
DevelopmentANS:
andD
views the family as a whole The theory that views the family as a whole with
with boundaries that are boundaries that are affected by the environment is
affected by the environment?

the family systems theory
A. Family developmental
theory
B. Structural-functional theory
C. Family role theory
D. Family systems theory
A nurse organizes care for a ANS: C
family by focusing on the The family developmental theory focuses on

common tasks of family life and common tasks of family life and provides a
considering a longitudinal view longitudinal view of the family life cycle.

of the family life cycle. Which
theory is being applied?
A. Family systems
B. Structural-functional
C. Family developmental
D. Interactionist
Chapter 18: isFamily

A new mother DevelopmentANS:
a full-time andA
college student who lives with Developmental theory explains and predicts the
her parents, because the changes that occur to humans or groups over time.
babies father has been Achievement of family developmental tasks helps
imprisoned related to theft and individual members accomplish their tasks. In this
drug abuse. The infants case the new mother has tasks, whereas her parents
grandmother, although also have temporarily interrupted their progress in
employed, cares for the child response to their daughters (and grandchildren's)
while the young mother needs.
attends classes. Which of the
following theoretical
frameworks would be most
helpful to the nurse when
assessing this families needs?
A. Developmental
B. Interactional
C. Structure-function
D. Systems
A nurse considers how the ANS: A
environment outside of the The bio-ecological systems theory describes how
family influences the environments and systems outside of the family

development of a child when influence the development of a child over time
planning care for a family.
Which of the following theories
is being used by the nurse?
A. Bio-ecological systems
theory
B. Family systems approach
C. Family developmental
theory
D. Interactionist theory
Chapter
A nurse is in18:
theFamily DevelopmentANS:
termination andB
phase of the nurse-family It also includes decreasing contact with the nurse,
relationship. Which of the extending invitations to the family for follow-up, and
following strategies would the an assumptive evaluation meeting for formal closure
nurse most likely implement?
A. Increasing sessions with the

nurse
B. Making referrals when

appropriate
C. Providing a formative
evaluation of the relationship
D. Refusing additional
communication with the family
A nurse is making an ANS: B
appointment with a family for a It is important to encourage all family members to

nursing visit. Which of the attend the meeting. However, it can be difficult to
following describes a potential find a convenient time for all family members to
barrier the nurse may attend. Many times late afternoon or evening
encounter?
appointments are necessary to accommodate the
needs of the family

A. The assessment cannot be
done unless the extended
family is present.
B. It may be difficult to find a

convenient time for all family
members to be present.
C. Nurses have limited time to

do home visits.
D. Families are often scattered

over a large area, making
access difficult.
Which of the Familyfactors
DevelopmentANS:
andB
must be considered before Family theorists stress that any intervention plan
deciding on an appropriate must be developed in collaboration with the family,
plan of action?
using and enhancing family strengths and increasing
independence of family members. The plan cannot
A. Family agrees to the nurses be the nurses choice alone. Further, the plan must
plan.
be within the information and skill level of the family,
B. Family is capable of the and the family must be committed to the plan and
required actions.
have adequate resources available to implement the
C. Family will learn better plan.
coping skills from the nurses
plan.
D. Nurse has informed family

how to complete the required
actions.
Which of the following terms ANS: D
refers to government actions Government actions that have a direct or indirect

that have a direct or indirect effect on families are called family policy
effect on families?
A. Family funding
B. Family legislation
C. Family planning
D. Family policy
Chapter 18: Family

A nurse is using DevelopmentANS:
the provisions andD
of the Family Medical Leave The Family Medical Leave legislation allows for a
legislation. Which of the family member to take a defined amount of leave
following actions is the nurse for family events, such as births and deaths, without
most likely to take?
fear of losing his or her job.
A. Resigning from employment,

but retaining health insurance
B. Sharing family information

with colleagues
C. Providing Medicaid to a
family who cannot afford
health insurance
D. Taking a defined time off of
work for family events without
fear of job loss
A nurse is conducting a family ANS: D
assessment. Which of the Evidence of healthy families can be seen in a variety

following behaviors would the of observations, including open communication
nurse recognize as suggestive among all members, mutual play with humor,
of a family with problems?
balanced interactions among all members,
expressions of a religious core or other value
A. Before eating, the family system, and each member being allowed some
prayed, expressing gratitude privacy.
for their blessings.
B. During family play, jokes and

laughter were heard.
C. Each person had a private
room with a door for alone
time.
D. Most of the conversation

was between the father and
the eldest daughter.
Chapter 18: Family

The hospital-based nurseDevelopment
has andB
ANS: Study
worked with a client at some Family systems typically maintain stable patterns,
length regarding appropriate although families do change constantly in response
diet. Based on
to stresses. Change in one part of the family affects
the family systems theory, the total system. It is not realistic to
which of the following will

expect the whole family to change eating patterns
most likely occur when the immediately based on the needs of one family
client returns home?

member. However, if family members are
supportive, they will want to try to help the ill
A. The family member who member. Because of the rapid change and stress in
prepares food will probably American society, preparing different sets of meals
suggest the newly discharged is not very realistic. Therefore, the member who
member eat the meals
prepares the meals will probably compromise by
everyone in the family enjoys.
trying to meet the ill members needs without
B. The family member who making drastic changes in the overall eating
prepares food will probably
patterns of the family.
try to modify family meals
without obvious change for the
family as a whole.
C. The family member who

prepare meals based on the

diet plan for all the family.
D. The family member who

prepare special meals for the

newly discharged member.
Chapter
A nurse has18:
justFamily DevelopmentANS:
met a family andC
and is being doing their family Assessment is interactive. As you are evaluating
assessment. Which of the families, they are evaluating you. Too much
following actions should the disclosure during the early contacts between the
nurse take before engaging in family and nurse may scare the family away. Slow
self-disclosure?
the process down, and take time to build trust.
A. Confirm the reason for the

assessment.
B. Demonstrate culture
awareness.
C. Take time to build trust.
D. Understand the family

dynamics.
Chapter 18: Familya tertiary

A nurse is completing DevelopmentANS:
andA
prevention activity in a Tertiary prevention is undertaken to prevent

predominantly poor additional health problems when a problem has
community, where eating clay occurred. Early intervention in the school system is
(pica) is a common practice. an example of primary prevention. Lab testing and
Which of the following actions surveying families are screening activities to
would the nurse most likely determine whether a problem is present and to
take?
catch it in the early phases; such screening activities
are representative of secondary prevention.
A. Assist those who eat large
amounts of clay to obtain food
stamps after explaining that
clay, although filling, does not
provide necessary nutrients.
B. Initiate early intervention in

the school system through
education programs designed
to focus on healthy food
choices.
C. Provide laboratory testing

and physical assessments to
assess for nutritional deficits
resulting from clay intake.
D. Survey families in the

community to determine
whether they eat clay and how
much clay they eat.
Chapter 18: Family

A nurse requests to meetDevelopment
a andA,Family
ANS: B, D
newly referred family in their Advantages to meeting in the family home include
home. Which of the following the fact that it allows the nurse to see the everyday
best explains the rationale for family environment and observe typical family
this request? (Select all that interactions. Also, more family members can be
apply.)
present, and families are often more comfortable in
their own environment. However, a disadvantage to
A. The nurse can assess the meeting in the families home is that family members
family environment.
may view this as an intrusion into the only place they
B. The family will feel more feel safe from outside observation; thus, the nurse
comfortable.
must be highly skilled in guiding the interactions and
C. Families typically welcome setting limits.
others into their home.
D. More family members can

typically be involved.
In comparison with traditional ANS: C, D
norms, which family functions Historically, families have had several functions
have become increasingly including financial survival, reproduction, protection
important in modern American from hostile forces, and acculturation, including
society? (Select all that apply.)
religious faith, education, conferring social status.
Today, however, the more important functions are
A. Conferring appropriate fostering relationships (emphasizing how people
social status
get along and their level of satisfaction) and
B.Educating the younger promoting physical and mental health.
members
C. Ensuring physical and

mental health
D. Fostering interpersonal
relationships and support
Chapter 18: Family DevelopmentANS:

andA,Family
C, D
Assessment of families requires an organized plan,

Which of the following must be
including the purpose of seeing the family, which
firmly established before
family members can be present, what you are
beginning a family assessment?
assessing and why, and how will you obtain the

(Select all that apply.)
necessary data. It can be assumed that the nurse

would already know agency policies. It is more
A. Why the data are needed
informative to interview the family as a whole so

B. How best to interview each
that you can observe family interaction (rather than
individual in the family
focusing on interviewing each individual). Therefore,

C. The most convenient time
the preferred time to visit is when most family
for you to visit the family
members will be available. Similarly, it is more

D. The rationale or purpose of
informative to see the family in their home setting
the visit
than to establish a different site for the visit.

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9/16/21, 10:37 AM Chapter 18: Family Development and Family Nursing Assessment Flashcards | Quizlet

Science / Engineering / Systems Theory

Chapter 18: Family Development and Family Nursing

A nurse in community health is

working with a single parent of providing/managing

three children, ages 4, 6, and 8. the care of their members.

The nurse understands the

C. unable to manage the stress

D. restricted in their ability to

uses information about family demographics.

Chapter 18: Family

family refers to two or more family are self-defined.

A. Families are defined by

B. Family names are needed to

C. Members of a family are

D. Traditional family functions

A family nurse is working with a ANS: B. contemporary family function.

C. religious belief decision.

D. threat to family survival.

Chapter 18: Family

A. Views families from both a

B. Defines the direction of

C. Views the family as an agent

D. Focuses on the interaction

In applying the developmental ANS: A. age of the

theory, a family nurse eldest child.

A. age of the eldest child.

C. individual growth patterns.

D. overall tasks of the family.

science theories is used by

A. Life cycle theory

B. Family developmental theory

C. Family systems theory

Chapter 18: Family

family nursing assessment with commitment to success.

A. fosters equal family and

C. decreases the need for

D. removes barriers to needed

be defined and Family Nursing Assessment Study

as a dynamic, changing, B. Family functioning affects the health of

includes the biological, D. The individual's health affects family functioning.

psychological, sociological, E. Simultaneous assessment of individual family

B. Family functioning affects

C. Family system assessment

D. The individual's health

important to family health.

describe healthy families? A. Families with strengths

(Select all that apply.)

A. The group consists of three

B. There are two families

C. There is no family here, only

D. The family includes whoever

A. How many children do you

B. Is there a register of families

C. Tell me about your

D. Who are the members of

Chapter 18: Family

nurse in community health

stepparent to the oldest child.

Which of the following ANS: A

statements best explains why

B. Function and structure do challenging.

C. Some clients do not have