Family nursing Theory Questions With Complete Solutions, Exams of Nursing

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Family nursing Theory Questions With Complete Solutions 2-developmental (Stages; Tasks; Attachments) 3-functional (Instrumental; Expressive) Correct Answer A circular pattern diagram Correct Answer illustrates a reciprocal positive or negative communication cycle between individuals. outlines the thought; feelings; and behaviours of each person within interaction and their impact on another's behaviour. A client is newly admitted to the intensive care unit for an acute illness. Which of the following family needs do the client's family require during this time? SATA Correct Answer 1. Comfort 3. Proximity 4. Assurance 5. Information A client is recently admitted to a medical-surgical care area. Which action should the nurse take to help reduce the family's stress? SATA Correct Answer 1. Clarify information 2. Facilitate family conference 3. Provide time for the family to visit 4. Recognize the uniqueness of the family a concept is Correct Answer the building blocks of a theory; the major ideas expressed by a theory; words that create mental images or abstract representations of a phenomenon of study; Major ideas expressed by a theory (on a continuum from concrete to abstract) A family accompanies a client to the hospital for treatment of an acute illness. Which characteristic is likely to increase the degree of family stress? SATA Correct Answer 1. Feeling

alone 2. Being unsure of their role 3. Feeling chaos and loss of control 4. Neglecting personal health needs A health care system is planning to implement telehealth in all facilities. Which outcome should the nurse expect when this approach to care is fully implemented? Correct Answer Improved health care access, quality, and efficiency a healthy functioning family has a structure/function/process that is Correct Answer flexible enough to adapt to a crisis. A nurse is working with a newcomer family who is experiencing language barriers unemployment, and precarious housing. Many of the family's traditions and values from their culture of origin remain helpful. What statement best describes the family's situation, Correct Answer The family's traditions and values are strengths in a situation currently shared by many Canadians. a phone call to your family you will include in your conversation the purpose of the requested meeting including Correct Answer who referred the family to you; be factual about the need for the meeting but do not provide details; and offer several possible times for the meeting including late afternoon or evening times. a significant number of families in Canada are headed by Correct Answer a single adult - usually a woman - but the majority are not According to the Models of Family Health Promotion healthy behaviors are learned Correct Answer A.lifelong efforts to

sustain or improve quality of life. B.lifelong efforts to nurture family members. C.lifelong efforts to strengthen the family as a unit. E.all of the above All of the following characteristics are likely to increase the degree of family stress associated with hospitalization except Correct Answer repeated family experiences with the illness. An empowerment process with the family also requires Correct Answer that the nurse develop a process with the family that promotes active participation in the care process. An individual's health and illness affects the entire family's functioning and in turn, the family's ability to function affects each individual member's health Correct Answer True Assessment Correct Answer first step and involves critical thinking skills and data collection; subjective and objective. Subjective data involves verbal statements from the patient or caregiver. Objective data is measurable tangible data such as vital signs; intake and output; and height and weight. Assessment can be defined as Correct Answer an instrument used by family nurses to give a quantifiable result when a particular attribute is examined. assessment is a continuously evolving process of data collection to Correct Answer assist nurses in using information from the past and present to predict the future.

Attachment refers to Correct Answer a relatively enduring; unique emotional tie between two specific persons Biological Family Correct Answer Genetic, biological networks among and between people CFAM sub-categories under Family Structure Correct Answer Internal (composition;gender; sexual orientation; rank order; subsystems; boundaries) External (extended family; larger systems) circular questioning explore Correct Answer interactional characteristics. questions asked by the nurse during family interviews that are meant to inform the nurse about the family's descriptions or perceptions of a problem. CIrcular questioning is applied to relationships between family members or between the practitioner and the family since the practitioner and the family also mutually influence each other Correct Answer It invites the practitioner to think interactionally about: problems (and to help the family think internationally) Can be drawn with one or more persons by asking behavioural effect questions and other circular questions Communication patterns in families vary widely according to the family's cultural background. Communication differences can be present in which of the following areas Correct Answer A.The extent and explicitness of information conveyed in conversation. B.The meaning of silence in conversation. C.The expression of conflict.

D.All of the above. Concepts Correct Answer building blocks for theory development—concrete or abstract images of a phenomenon Concepts are Correct Answer are building blocks for theory development - concrete or abstract images of a phenomenon considering culture nurses must be aware of Correct Answer the most important social determinants of health as these factors impact those families in cultural minorities in Canada at a greater rate. Cultural affiliation Correct Answer B.impacts family nursing care of the hospitalized patient because family beliefs and practices around hospitalization vary across cultures. C.should be assessed by nurses and interventions adapted accordingly. Cultural affiliation is a critical concept for nurses to understand because it can Correct Answer shape the family's beliefs and practices related to hospitalization; and therefore how nurses adapt their assessment of the family and how they provide/facilitate interventions. Cultural competency is The understanding of values beliefs, knowledge, and behavior in the context of age, developmental stage, geographic location, socioeconomic status, environment, and experiences Correct Answer True

Cultural ignorance and insensitivity lead to the following problems in the family nursing process Correct Answer A.Poor communication with family. B.Interpersonal tension. C.Stigmatization. D.Inadequate assessments. E.All of the above. Data may come from Correct Answer the patient directly or from primary caregivers who may or may not be in direct relation with family members. Friends can play a role in data collection. Electronic health records may populate data and assist in assessment. Critical thinking skills are essential to assessment thus the need for concept-based curriculum changes. Deductive Reasoning Correct Answer Thinking about the whole and then breaking down into parts; move from the general to the specific describe the CFAM structure Correct Answer by Wright and Leahey (2013) blends nursing and family therapy concepts that are grounded in systems theory; cybernetic; communication theory; change theory; and biology of recognition. Developmental and Life Cycle Theory Correct Answer Provides a framework for nurses to understand normal family changes and experiences over the member's lifetimes. It assesses and evaluates both individuals and families as a whole because individual family members and the family as a whole develop and change over time. This approach views the evolving needs and priorities of the family members and the family. Concept 1:

families develop and change over time. Concept 2: families experience transitions from one stage to another During the home visit, the nurse teaches the client and family about actions is to reduce the spread of infection between the family members. Which role is the nurse implementing? Correct Answer Health teacher Ecomap provides Correct Answer information outside of immediate family that are sources of social support or stressors; It helps to clarify relationships between family members and the community as well as any tension between family members. Empowerment health promotion principles include Correct Answer people are the principal actors in making health decisions Evaluation Correct Answer this step is vital to a positive patient outcome. Whenever a healthcare provider intervenes or implements care they must reassess or evaluate to ensure the desired outcome has been met. Reassessment may frequently be needed depending upon overall patient condition. The plan of care may be adapted based on new assessment data. External family variables Correct Answer locations of family household; social policy and economic trends Facilitating change is a nurse's responsibility however Correct Answer understanding (by the family) alone does not lead to change.

Facilitating change is the nurse's responsibility Correct Answer True Factors that contribute to differences in health status in various cultural groups include all of the following except Correct Answer personality differences. Families living with chronic illness who are coping effectively demonstrate they have; the bonds; rituals and unity to continually reintegrate. they have the capacity to shift plans and to modify roles within the family if necessary and they have adequate resources to draw from. Correct Answer Families who have members who must be hospitalized may experience Correct Answer less family stress if they have some experience with the illness and the impact of the illness on their family functioning and process. Is it critical nurses assess these elements of family function and process. Families who live below the poverty line are at greater risk for experiencing which of the following? Correct Answer A.Homelessness B.Poor health status C.Lack of access to health services D.Greater mortality rates E.All of the above Families who live below the poverty line are at greater risk of Correct Answer experiencing poor health status; lack of access; greater mortality rates and homelessness.

Family as a client Correct Answer all the family members are individually affected by the health event of one family member (all members of the family are in the front) Family as a component of society Correct Answer family is viewed as one of many institutions in society similar to health; educational; religious or economic situations Family as a Component of Society Correct Answer The family is a component of the main institutions of society. (Community health) Family as a context- the traditional nursing focus Correct Answer focuses on the assessment and care of an individual client in which the family is the context (individual is the front and the family is in the background) Family as a system Correct Answer emphasis on the interactions between family members Family as Client Correct Answer All family members are in the foreground, and no individual is exclusive of the whole. (Family-centered care) Family as Context Correct Answer The individual is in the foreground, and the family is in the background. The family is the resource for the individual. (Traditional) Family as System Correct Answer The family is the client. (Family therapy)

Family Assessment and Intervention Model Correct Answer is a multidimensional framework consisting of three key groupings: structural; developmental; and functional. Each category has its own subcategories and clarifies family strengths; limitations; roles and all possible resources the family has or may need. These findings assist the nurse to assess the Jones family's perspectives at this specific time in their lives and enable the nurse to help with any difficulties or challenges the family may encounter. The CFIM is a classifying framework conceptualizing the interconnection between a particular domain (i.e. cognitive; affective; or behavioral) of family functioning and a particular intervention offered the nurse. Family empowerment is a process outcome, and intervention. Nurses working toward assisting families in becoming more empowered need to focus on Correct Answer A.providing information. B.providing encouragement and support. C.using specific strategies or interventions shown to increase family strength. D.all of the above. Family empowerment is a process, outcome, and intervention. On what should the nurse focus when assisting a family to become more empowered? SATA Correct Answer 1. Providing information 3. Encouraging family participation in goal setting

4. Providing encouragement and support 5. Using strategies to increase family strength Family Functions Correct Answer Reproduction; Socialization; Affective; Economic; Health care

Family Functions include Correct Answer reproduction; health care; socialization Family Health Care Nursing Correct Answer the process of providing for the health care needs of families that are within the scope of nursing practice. This nursing care can be aimed toward the family as context, the family as a whole, the family as a system or the family as a component of society. Family health care nursing is the process of Correct Answer providing for the healthcare needs of families that are within the scope of nursing practice. Family Health is a dynamic changing state of well-being which includes Correct Answer the biological; psychological; spiritual; sociological and cultural factors of individual members and the whole family system (this definition and approach combines all aspects of life for individual members as well as for the whole family) Family health promotion refers to Correct Answer activities that families engage in to strengthen the family as a unit; Process by which families work to improve or maintain the physical; social; emotional and spiritual well-being of the family unit and its members Family involvement in discharge planning should include Correct Answer assessment of family capabilities.

Family is a universal human experience and no two individuals have the exact same experience within a family Correct Answer there is no universally agreed-upon definition of family Family must be viewed as Correct Answer a 'unit of care' and not as 'the patient and his/her family.' The family nursing process involves the assessment of the family's strengths and their challenges in meeting the needs of the family and the needs of its members. family nursing care is concerned with Correct Answer the experience of family over the lifespan; is directed at families with both healthy and ill members; that the nurse works together with the family to define who family is; and if FNP is successful the family members will achieve increased health outcomes. Family Nursing Theory - Critical concepts Correct Answer No single theory or conceptual framework sufficiently describes the multifaceted relationships of family structure, function, and process; Family theories assist nurses in making critical decisions concerning the care of families; Improving the quality of nursing care of families is the major function of theory in family nursing; Family theories guide practice and research, and vice versa; Incorporating various theories enhances nursing practice; Integrating inter-professional practice theory with family nursing theory is critical to contemporary nursing practice. family refers to two or more individuals who depends on one another for Correct Answer emotional; physical and economic support. Members of a family are self-defined

Family resilience is defined as the ability to cope positively with adversity Correct Answer True Family rituals can be described as Correct Answer receptive behaviors or activities between two or more family members that occur with regularity in the day-to-day activities of daily living. Family structure Correct Answer individuals who comprise the family; the relationships between them; the interactions between the family and the interactions with other societal systems Family systems theory Correct Answer Is an approach that allows nurses to understand and assess families as an organized whole and/or as individuals within family units who form an interactive and interdependent system. It is constructed of concepts and propositions that provide a framework for thinking about the family as a system. One of the major assumptions is that the family system features are designed to maintain stability although these features may be adaptive or maladaptive. The goal for nurses is to help maintain or restore the stability of the family in order to help the family members achieve the highest level of functioning that they can. Concept 1: all parts of the system are interconnected. Concept 2: the whole is more than the sum of its parts. Concept 3: all systems have some form of boundaries or borders between the system and the environment For which reason might a nurse experience role ambiguity when caring for a critically ill client and the family? Correct Answer

Deciding whether to eliminate the family's worries or provide emotional support Four major assumptions of the McCubbins Resiliency Model of Family Coping Correct Answer Unexpected or unplanned events are usually perceived as stressful; Events within the families (serious illness) defined as stressful are more disruptive than stressors that occur outside the family such as war; flood; or depression; Lack of previous experience with stressor events leads to increased perceptions of stress. Ambiguous stressor events are more stressful than non-ambiguous events Functional healthy families have the ability to change factors in response to situations Correct Answer Dysfunctional families or unhealthy families, have less ability to adapt and flex in response to change Genogram Correct Answer illustrates multigenerational patterns and health conditions which can be assessed; visual diagram of the family tree that records information about family members and their relationships over the past three generations; Captures significant non-blood kin who are considered family as well as pets; Displays complexity of a family visually and graphically in a way that provides a quick overview; Helps both nurses and families to see and think systematically about families and the impact of the health event on family structure Having an understanding of the "contextual nature of families"nurses view "Family as client" to mean Correct Answer All family members are in the foreground, and no individual is exclusive of the whole

Health promotion can be further defined by primary Correct Answer secondary and tertiary interventions and educating a family who, has a member newly diagnosed with diabetes about nutrition is a secondary prevention intervention. Health promotion can best be described as Correct Answer activities that improve or maintain the well-being of people. Healthy families are defined by their Correct Answer unity; flexibility and communication style. Healthy family behaviours are learned efforts to Correct Answer sustain and improve the quality of family life, efforts to nurture family members and a lifelong effort to strengthen the family as a unit. Helping families to maintain healthy lifestyle choices is Correct Answer particularly important for nurses in the pre-illness phase. How should the nurse categorize a family who is willing to discuss withdrawal of treatment has good communication with other family members, uses facts and family wishes to make decisions, and is able to identify a time and date to withdraw treatment? Correct Answer Progressing Hypothesis Correct Answer a statement predicting an expected relationship between concepts

If a family member is experiencing a life-threatening illness or injury it is essential that nurses Correct Answer answer questions honestly; provide clear facts about the situation and provide explanations of the care process. If nurses could embrace the idea that nurse-led family conversations may have healing potential then these kinds of conversations could become a natural part of nurses' work. the aim being to establish a partnership with the family in a co- created struggle to promote health and to prevent ill-health and suffering Correct Answer True Implementation Correct Answer the step involving action or carrying out of nursing interventions outlined in the plan of care. This phase requires nursing interventions such as applying a cardiac monitor or oxygen; direct or indirect care; medication administration; standard treatment protocols and standards. In the degree Family Case Study the various theories were applied. Weakness in using the Family Systems Theory was Correct Answer The traditional linear family life cycle is no longer the norm. In the Jones Family Case Study the various theories were applied. Strength in using Calgary Family Assessment Model was Correct Answer The model and instrument provide a structure approach to family assessment and intervention based on both quantitative and qualitative data.

In the structural assessment of the family the nurse determines which of the following? Correct Answer Which factors influence the roles and behaviours within the family In which of the following ways does an ecomap help in the assessment of a family? SATA Correct Answer 3. Highlights tension among family members 5. Identifies the relationship between family members and the community Inductive Reasoning Correct Answer Thinking about parts to create a whole; move from specific to general/whole Instrumental Functioning includes Correct Answer activities of daily living Internal family variables Correct Answer unique individual characteristics; communication and interaction Interventive questions help the nurse identify the family's experiences linked to illness and health and provide ways to understand family member differences and similarities. Which of the following is an example of an interventive question Correct Answer A.How is this illness affecting your family B.What seems to be the most troubling thing for your family in managing this situation? C.How does this illness situation most interfere with family life? D.all of the above It is vital that the family is involved with discharge planning and it is critical that families are also assessed for Correct Answer

their capability to respond effectively when family member is discharged. Jolene is a 25-yr-old single mother who has a new baby. You are a nurse visiting her home. When you enter the home you smell cigarette smoke and notice a pile of butts in an ashtray. The mother has the newborn and two other children. You are concerned about the impact of second-hand smoke on the children and you decide that because this is an urgent matter you will begin by Correct Answer Listening while Jolene tells you about her conditions of living. Kaakinen's characteristics of healthy family include Correct Answer unity; flexibility and communication Legal family Correct Answer Relationships through blood ties, adoption, guardianship, or marriage Many factors help determine whether a family is involved in health promotion. Which of the following factors may influence the promotion of a family's health? Correct Answer A.Type of family B.Quality of family interaction C.Developmental level of family D.All of the above most caregiving of children and elders is done by Correct Answer women in Canada

Nurse-led health promotion with families defines Correct Answer activities that improve or maintain the well-being of families. Nurses can anticipate which family reaction as a family member is transferred from intensive care to the regular medical-surgical care area? SATA Correct Answer 2. Vulnerability 3. Ambivalence 4. Abandonment 5. Unimportance Nurses use an ecomap to assess Correct Answer relationships between family members and the community. Nursing care can be aimed toward the family as a Correct Answer (1) context, the family as a (2) whole, the family as a (3) system of the family as a component of (4) society nursing concepts and theories that contribute to family nursing theory require Correct Answer further study and development. Nursing diagnosis Correct Answer nurses use clinical judgment to assists in the planning and implementation of patient care. The North American Nursing Diagnosis Association (NANDA) provides nurses with an up-to-date list of nursing diagnoses. A nursing diagnosis according to NANDA is defined as a clinical judgment about responses to actual or potential health problems on the part of the patient; family or community. Nursing process Correct Answer a critical reasoning or inquiry process that facilitates clinical problem solving; in partnership and collaboration; with individuals; families; groups and communities

Of all the sources contributing to family nursing theorynursing concepts/theories are the best developed. Is this a true or false statement? Correct Answer False One strength of using a genogram during a family assessment is that Correct Answer multigenerational patterns and health conditions can be assessed. Planning Correct Answer where goals and outcomes are formulated that directly impact patient care; patient-specific goals and the attainment of such assist in ensuring a positive outcome. Care plans provide a course of direction for personalized care tailored to an individual's unique Needs; goals to be SMART (specific, measurable, attainable, realistic, timely) Propositions Correct Answer statements about the relationship between two or more concepts Psychological family Correct Answer Groups with strong emotional ties Recent research has repeatedly demonstrated that Correct Answer family involvement in the care of hospitalized patients improves outcomes. Sociological family Correct Answer Groups of people living together with or without legal or biological ties the 3 major categories of the CFAM Correct Answer 1- structural (internal; External; Context)

The adult daughter of an older client is expected to be at the client's bedside yet personal family responsibilities are not being completed. Which family interactional process is the daughter experiencing? Correct Answer Role conflict The amount of stress experienced by any one family because of the hospitalization of a family member varies depending on Correct Answer A.the timing of the hospitalization. B.the availability of resources to the family. C.the extent of perceived or actual loss. D.all of the above. The assessment phase of the family nursing process helps determine the family story or Correct Answer narrative as it relates to health and illness. The story of a family in health/illness and the collection of family data comes from both objective/subjective sources. The Calgary Family Assessment Model Correct Answer is a multidimensional framework consisting of three key categories: structural, developmental and functional. The CFAM by blends nursing and family therapy concepts that are grounded in systems theory cybernetics, communication theory, change theory, and a biology of cognition Correct Answer True The client story represents Correct Answer the assessment phase.

the client's story is represented in the Correct Answer assessment phase of the family nursing process. The concept of attachment in the CFAM refers to Correct Answer a relatively enduring; unique emotional tie between two specific persons. Each person has the need for emotional connection while also remaining secure in his or her own individuality. There is the need to balance two life forces: (1) togetherness and the capacity for intense intimacy in relationships and individuality (2) the capacity for independent thinking and goal-oriented action. The concepts from general systems theory and family systems theory make up the theoretical framework for this CFAM Correct Answer ■ A family system is part of a larger supra system and is also composed of many subsystems.■ The family as a whole is greater than the sum of its parts. ■ A change in one family member affects all family members. ■ The family is able to create a balance between change and stability. ■ Family members' behaviours are best understood from a perspective of circular rather than linear causality. The conceptual models that guide nursing have evolved from three major disciplines Correct Answer family social science (e.g. Family Stress Theory and Change Theory); family therapy and nursing models and theories (e.g. Neuman's Systems Model & Parse's Human Becoming Theory). Conceptual models are based on observations, insights and deductions, and nurses typically draw from many theoretical conceptual foundations, using a more pluralistic and eclectic approach.

The Family Developmental and Life Cycle Theory Correct Answer focus is on the lifestyle of families and the normal stages of development they experience. The Family Systems Theory Correct Answer families are examined as an organized whole, and family members are interdependent and interactive. the family will decide the amount of Correct Answer information sharing and decision-making they want. the intention of theories is to Correct Answer make sense of the world; to show how one point is connected to another and how together they form a blueprint that can predict the consequences of certain clusters of characteristics or events. The intention of theories is to make sense of the world to show how one point is connected to another and how together they form a blueprint that can predict the consequences of certain clusters of characteristics or events Correct Answer True The major assumptions of McCubbins Resiliency Model of Family Coping are Correct Answer an event; resources; family perception of the event; the crisis the major assumptions of the McCubbins Resiliency Model of Family Coping. The Resiliency Model of Family Stress; Adjustment and Adaptation Correct Answer describes a family's ability to adapt to their adverse situation based on their resources (the cohesiveness of the family; social and community support; inherent abilities of the individual family members).

The model focuses on the family as a singular unit more than the abilities of the individual members. This view is important as the coping strategies of one parent will influence the coping abilities and resilience of the other. the most current and most relevant definition of family Correct Answer who the family says it is. The most relevant definition of family is Correct Answer the family is who they say they are The nurse begins to assess a family. What best describes the family story? Correct Answer The gathering of data from a variety of sources to see the whole picture of the family experience The nurse can draw attachment diagrams to depict the nature of the attachment between family members Correct Answer Strong attachments ////;Moderately attached ///; Slightly attached //; Very slightly attached /; Negatively attached X The nurse cares for a client with a life-threatening illness. Which need should the nurse address with this client's family? SATA Correct Answer 2. Giving reassurance 3. Offering realistic hope

4. Conveying honest answers 5. Assessing the level of anxiety The nurse desires to change health policy in a local community. Which action should the nurse take? SATA Correct Answer contact elected health officials to lobby against harmful policies; ensure resources are available for clients before discharge; join a professional organization that supports change in family

policies; participate in community meetings where health policy is being challenged The nurse is assessing the rituals that a family follows. Which definition of a family ritual should the nurse use when identifying these activities? Correct Answer Repetitive pattern of formal behavior around a specific event that is repeated The nurse is observing for the signs of a healthy family. While assessing a healthy family what would the nurse expect to find? Correct Answer The structure is flexible enough to adapt to crises. The nurse is planning care for a family facing a health crisis in one of the members. Which action should the nurse take to promote spirituality and increase the resiliency of this family? SATA Correct Answer 1. Clarify ambiguity 2. Create and hold a sacred space 4. Help make meaning of the adverse experience

5. Be fully present to demonstrate compassion The nurse is struggling with using a developmental model when assessing a family new to the community. Which data could explain the difficulty the nurse is having using this model? Correct Answer The parent unit is same-sexed The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care? Correct Answer The nurse and family together define the family and wheree therapeutic energy should be placed