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Sample Question
Chapter 3: The Family
Multiple Choice Identify the choice that best completes the statement or answers the question.
____ 1. Margaret Giddings, the senior member of her family, wants to know how she can best protect her family from illness. The nurse could instruct her to: a.
Have periodic health screenings
b.
Decrease exercise
c.
Fortify diet with saturated fats
d.
Ignore periodic stress
____ 2. Angie has a 2-year-old child and questions how she can instill good discipline. You would tell her to: a.
Disregard temper tantrums
b.
Provide unsupervised play periods
c.
Calmly say “No” to change behavior
d.
Offer several choices
____
3. A functional family is one that:
a.
Isolates disruptive members
b.
Frowns upon low achievers
c.
Fosters growth and development
d.
Compares and contrasts accomplishments of its members
____ 4. Four-year-old Henry’s parents were separated for several months and now are divorced. He may likely experience feelings of: a.
Relief
b.
Contentment
c.
Jealousy
d.
Abandonment
____ 5. A middle-aged couple was admitted to the hospital after a motor vehicle accident. Two days later, the spouse expired. While observing a staff member offering grief support, which action is correct? a.
She states that “death happens to everyone at some time.”
b.
She states that “maybe your husband was driving too fast.”
c.
She tells the patient to “act strong.”
d.
She says little but stays with the patient.
____ 6. Mary, age 30, just experienced the untimely death of her father. You might expect her to immediately exhibit feelings of: a.
Anger
b.
Shock
c.
Ambivalence
d.
Euphoria
____
7. Two common bonds that hold a family together are:
a.
Persuasion and fortitude
b.
Attachment and commitment
c.
Aggression and firmness
d.
Love and hate
____
8. Which of the following is a stage of family development?
a.
Denial
b.
Withdrawal
c.
Negativism
d.
Reproduction
____ 9. Four-year-old Sam is the second child of Jim and Pat Gates. How may Sam’s birth order affect his development? a.
Sam will believe he has unlimited power over his other siblings.
b.
Sam will feel a need to compete with his other siblings.
c.
Sam will more easily mimic the behavior of adults around him.
d.
Sam will believe he must have the attention of both parents and all siblings.
____ 10. In a laissez-faire–type family pattern, 9-year-old Jane would: a.
Be used to her parents making all the decisions
b.
Be able to participate in decision making
c.
Have complete freedom in making all decisions
d.
Have all decisions reviewed and modified
____ 11. A function basic to all families is the need to: a.
Direct its members
b.
Punish its members
c.
Judge its members
d.
Protect its members
____ 12. An example of a break in family structure is: a.
Divorce
b.
Remarriage
c.
Illness
d.
Unemployment
____ 13. Reproduction provides the family with a means of: a.
Readiness
b.
Division
c.
Structure
d.
Survival
____ 14. Melvin Carey, a 22-year-old nurse, is employed in the intensive care unit. In interacting with patients’ families, he must be which of the following? a.
Sympathetic
b.
Aggressive
c.
Unyielding
d.
Nonjudgmental
____ 15. Millicent, age 30, is being discharged from the hospital after treatment for depression. The nurse has encouraged the family to spend time together, because this will lead to: a.
Awareness
b.
Cohesiveness
c.
Disengagement
d.
Fulfillment
____ 16. Jeremy, age 4, lives with his mother, father, and 6-month-old sister. This living arrangement describes the: a.
Blended family
b.
Nuclear family
c.
Reconstituted family
d.
Cohabitative family
____ 17. One of the major advantages of the extended family is: a.
There is always close attachment between all members.
b.
All financial concerns are eliminated.
c.
Roles and resources are shared.
d.
All members generally enjoy better health.
____ 18. To resolve a family conflict, the members must be able to: a.
Have open communication
b.
Confront each member
c.
Avoid further interaction
d.
Isolate each member
____ 19. The “empty nest” is best described as the: a.
Time parents begin to age
b.
Entrance of the firstborn in the family
c.
Time grown children leave home
d.
Time the first child begins school
____ 20. A dysfunctional family is one that is:
a.
Unable to meet the family’s needs
b.
Able to foster the growth and development of its members
c.
Unable to enhance the intelligence of its members
d.
Able to improve its members’ ability to socialize
____ 21. The family is the primary socializing agent for the child. For the family to be successful, it should help in: a.
The identification of gender roles
b.
The regulation of behavior according to society’s standards
c.
The identification of learning
d.
The development of ethics
____ 22. Divorce is a known stressor for the family unit. Which of the following responses by the nurse would best support the individual’s decision to divorce? a.
“You should try and stay in the marriage at least until your children are older.”
b.
“I would have left him long ago.”
c.
“Explain to the children that they are not to blame for the marriage failing.”
d.
“I have a good divorce lawyer to recommend to you.”
True/False Indicate whether the statement is true or false.
____ 23. Definitions of the basic family unit have remained constant over the span of years.
____ 24. The authoritative family style offers its members choices and encourages participation and individual responsibility.
Multiple Response Identify one or more choices that best complete the statement or answer the question.
____ 25. The nurse recognizes that a functional family has which of the following characteristics? (Select all that apply.) a.
Emotional needs are met
b.
Support from others
c.
Freedom to grow and explore
d.
Isolated and fearful
e.
Blamed for failures or actions
Matching
Match the example with the appropriate stage listed below a.
Childbearing stage
c.
Grown
b.
Older Family stage
d.
____ 26. Two adults bringing home their newborn infant son
____ 27. Family consisting of adults enjoying their retirement and recreation along with their new roles in their family
____ 28. The family unit has changed resulting in an empty nest.
____ 29. These adults have chosen to start out on their own and focus on developing their careers.
Ch03 Answer Section
MULTIPLE CHOICE
1. ANS: A Early detection through periodic health screenings helps to treat or reduce the severity of illnesses.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
2.
ANS: D
Couple
Two-year-olds can handle simple choices better than a directive because that gives them a sense of control.
PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity
3. ANS: C A major goal of the family is to help the members reach their full potential.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
4. ANS: D Four-year-olds tend to worry that they could be left alone or abandoned by their parents after a divorce or separation.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
5. ANS: D Using silence can tell the patient that you are focusing on him or her and what he or she is saying.
PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity
6. ANS: B Shock and disbelief are the initial responses after an untimely death.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
7. ANS: B Families experience high and low periods and are kept together by feelings of attachment and a sense of commitment.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
8. ANS: D The stages of the family include couple, childbearing (reproduction), grown child, and older family.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
9. ANS: B Children with siblings have to learn to share and try to compete for their parents’ attention.
PTS: 1
KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
10. ANS: C Laissez-faire types of families allow their members complete freedom in decisions.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
11. ANS: D Protection is the most basic need of all families. Once this is accomplished, other needs can be addressed.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
12. ANS: A Anything such as death, divorce, or separation can cause instability to the family structure.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
13. ANS: D Families survive and pass on their genes by reproducing.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance
14. ANS: D Families and patients must be treated with a nonjudgmental approach.
PTS: 1 KEY: Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity
15. ANS: B Families can be a great source of support for patients.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
16. ANS: B The nuclear family consists of a mother, father, and their children.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
17. ANS: C Extended families permit a better distribution of family roles.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
18. ANS: A Open communication fosters a sharing of information and the chance for conflict resolution.
PTS: 1 KEY: Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity
19. ANS: C The period in which grown children leave their home is referred to as the empty nest period.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
20. ANS: A All families experience stresses. A dysfunctional family is unable to assist its members in meeting their needs.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance
21. ANS: B Socialization teaches individuals how to interact with their environment.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity
22. ANS: C The nurse should refrain from giving advice to individuals. Information that can assist a person with his or her decision can support and direct without influencing the individual.
PTS: 1 KEY: Integrated Processes: Nursing Process: Evaluation | Client Needs: Health Promotion and Maintenance
TRUE/FALSE
23. ANS: T The old definition of the family unit has been updated to reflect societal changes in living arrangements.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance
24. ANS: T The authoritative family style works on the philosophy of mutual respect and individual responsibility.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
25. ANS: A, B, C Functional families are able to support, encourage growth and exploration, and help members meet their emotional needs.
PTS: 1 KEY: Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance
MATCHING
26. ANS: A PTS: 1 KEY: Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity
27. ANS: B PTS: 1 KEY: Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity
28. ANS: C PTS: 1 KEY: Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity
29. ANS: D PTS: 1 KEY: Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity