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PNLE

The document provides answers and explanations to 5 multiple choice nursing questions about assessing families. The first question is about viewing the family as either context or client, and answer B is selected which demonstrates viewing the family as context by focusing on the individual client's ability to manage their own dietary needs. The second question asks what a nurse would expect to find in a healthy family, and answer C is chosen which is that a healthy family has a flexible structure to adapt to crises. The third question is about how a nurse should begin a family assessment during an initial visit, and answer D is selected which is to determine issues pertinent to the client's well-being. The fourth question is about how a nurse should define "family" and answer

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Jonas Marvin Anaque
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646 views

PNLE

The document provides answers and explanations to 5 multiple choice nursing questions about assessing families. The first question is about viewing the family as either context or client, and answer B is selected which demonstrates viewing the family as context by focusing on the individual client's ability to manage their own dietary needs. The second question asks what a nurse would expect to find in a healthy family, and answer C is chosen which is that a healthy family has a flexible structure to adapt to crises. The third question is about how a nurse should begin a family assessment during an initial visit, and answer D is selected which is to determine issues pertinent to the client's well-being. The fourth question is about how a nurse should define "family" and answer

Uploaded by

Jonas Marvin Anaque
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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1. When working with families, the nurse may view the family either as context or client.

Which
one of the following examples demonstrates the view of the family as context?
a. The family's ability to support the client's dietary and recreational needs
b. The client's ability to understand and manage his or her own dietary needs
c. The family's demands on the client based on his or her role performance
d. The adjustment of the client and family to changes in diet and exercise

ANS: B
When the nurse views the family as context, the primary focus is on the health and development of an
individual member existing within the client's family. The client's ability to understand and manage his
or her own dietary needs demonstrates the view of the family as context.
The family's ability to support the client's dietary and recreational needs demonstrates the view of the
family as client.
The family's demands on the client based on his or her role performance demonstrates the view of the
family as client.
The adjustment of the client and family to changes in diet and exercise demonstrates the view of the
family as client. Nursing practice that focuses on family as client is also known as family systems nursing.

2. The nurse is observing for the signs of a healthy family. While assessing a healthy family, what would
the nurse expect to find?
a. Change is viewed as detrimental to family processes.
b. A passive response exists to stressors.
c. The structure is flexible enough to adapt to crises.
d. Minimal influence is exerted on the environment.

ANS: C
A healthy family has a flexible structure that allows adaptable performance of tasks and acceptance of
help from outside the family system. The structure is flexible enough to allow adaptability but not so
flexible that the family lacks cohesiveness and a sense of stability.
The healthy family is able to integrate the need for stability with the need for growth and change. It
does not view change as detrimental to family processes.
The healthy family demonstrates control over the environment and does not passively respond to
stressors.
The healthy family exerts influence on the immediate environment of home, neighbourhood, and
school.

3. The nurse is visiting a client and family in the community for the first time. How should the nurse
begin completing a client's family assessment?
a. Gathering the health data from all the family members
b. Testing the family's ability to cope
c. Evaluating communication patterns
d. Determining issues that are pertinent to the client's well-being

ANS: D
The nurse begins the family assessment by determining issues that are pertinent to the client's well-
being. During the assessment the nurse, client, and family collaboratively engage in conversation to
systematically collect information and reflect on the issues important to the client's well-being.
Gathering health data from the family members is not the starting point for a family assessment.
Testing a family's ability to cope is not where the nurse should begin a family assessment.
Evaluating communication barriers would not be an initial action of the nurse when completing a client's
family assessment.

4. In assessing the family, how should the nurse define "family"?


a. Identifying those members who are related biologically
b. Applying one of the family forms that are recognized by society
c. Referring to family forms that social scientists and legislators have identified
d. Accepting that "family" is defined by individuals

ANS: D
The nurse must think of "family" as defined by each individual. The nurse can think of family as a set of
relationships that the client identifies as family or as a network of individuals who influence each other's
lives, whether or not there are actual biological or legal ties. In other words, the family is each person's
definition of who or what constitutes it.
Biological relationship is one of the many types or forms of family that defines family. Different
definitions have resulted in heated debates among social scientists and legislators. The nurse must
realize that families are as diverse as the individuals that compose them and that their various
definitions must be respected.
A socially recognized form of the family is only one of the many family types or forms. Different
definitions have resulted in heated debates among social scientists and legislators. The nurse must
realize that families are as diverse as the individuals that compose them and that their various
definitions must be respected.
A family form that is identified by social scientists and legislators is only one of the many ways of
defining what is a family. Different definitions have resulted in heated debates among social scientists
and legislators. The nurse must realize that families are as diverse as the individuals that compose them
and that their various definitions must be respected.

5. What is the nurse's ultimate goal when offering interventions to families?


a. Suggesting new coping measures
b. Increasing the family's autonomy in solving their own problems
c. Providing families with specific guidelines on how to manage their time and resources more
effectively
d. Referring families to the appropriate support system

ANS: B
The ultimate goal when offering interventions to the family is to help family members discover solutions
that reduce or alleviate emotional, physical, and spiritual suffering. The nurse's role is to guide the
family in problem solving.
The nurse will assist the family to identify coping mechanisms that have been successful in the past and
to explore with them new coping mechanisms with them. The intervention is collaborative and the client
is encouraged to make his or her own decisions. The ultimate goal is to empower families.
The nurse collaborates with the family to identify appropriate approaches to time and resource
management. The ultimate goal is to empower families.
At times the nurse may need to refer families to community resources when family functioning is
impaired. The ultimate goal is to empower families.

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