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Each evening,a newly disabled man becomes angry when his wife,just home from her new full-time job,does not have dinner on the table at 6 PM.Which action would be most appropriate for the nurse to take?


A) Allow the wife to express her frustration and anger to you
B) Explain to the husband that he is going to have to begin learning how to cook
C) Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone
D) Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on weekends

E) None of the above
F) A) and C)

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C

Record data demonstrated that there were a very large number of children in the school district whose insurance plan was the Children's Health Insurance Program (CHIP) .Which conclusion would be accurate for the nurse to make?


A) There are a large number of parents who know how to abuse government programs
B) There are a large number of homeless families
C) There are a large number of unemployed poverty-stricken families
D) There are a large number of working,low-income parents.

E) B) and C)
F) A) and B)

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The nurse has started to complete a family health tree.Which question would be most helpful as the nurse works with the family to promote their health?


A) "Can you tell me the cause of death of your older relatives back several generations?"
B) "Do you know of any chronic health problems any of your relatives or their spouses have had?"
C) "What concerns do you have about your family's health?"
D) "What do your family members do to keep in shape and handle stress?"

E) A) and B)
F) None of the above

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A nurse asked of a family,"Could each of you tell me what you typically do during the week?" Which would the nurse most likely say to follow up such an open-ended question?


A) "Could you tell me about what you do at your job?"
B) "Do you believe those choices are the best use of your free time?"
C) "How do you feel about those activities?"
D) "Is there anything you would like to do differently?"

E) A) and B)
F) A) and C)

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Which factors make family nursing particularly challenging? (Select all that apply.)


A) The health care system primarily focuses on care of individuals
B) Insurance reimbursement focuses on illness care and treatment of individuals
C) Family members are not always consistent in what they tell the nurse
D) More variables to be considered when completing an assessment
E) Number of chronic comorbidities
F) Theories related to working with families do not exist.

G) B) and D)
H) A) and E)

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Which statement best describes how a family can meet the needs of society?


A) By living and existing in the wider community
B) By meeting the needs of the individual family members
C) Through procreation and socialization
D) Through productivity seen in employment positions

E) B) and D)
F) B) and C)

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A nurse asked a family if they'd work with her to create a family genogram.The mother asked,"Why would you want to know so much about our family?" Which would be the most appropriate response by the nurse?


A) "A genogram helps you see how some problems run in families.Your children will need to know this."
B) "If you're willing to share,we can discuss family history and possibly some hereditary health issues."
C) "Please be assured you don't have to answer any question you don't want to answer."
D) "Why would you want to keep your family members secret? Is there some problem?"

E) B) and C)
F) A) and D)

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Beyond gathering needed information for future interventions,which purpose is served when the nurse interviews the family?


A) Assessing the safety of the immediate environment before further planning can be done
B) Establishing a process for the nurse and the family to make decisions
C) Engaging in focused planned conversation,which has healing potential in itself
D) Focusing on giving compliments to make the family feel good about themselves

E) A) and C)
F) B) and C)

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C

Which best describes why it is crucial that nurses who focus on the care of individual patients also be able to work with families? (Select all that apply.)


A) Anytime a person is ill,his or her whole family is affected
B) By understanding the family,understanding of the individual is improved
C) Families often are very demanding if they feel their loved one isn't receiving the best care possible
D) Individuals depend on their families for care and support
E) Most important decisions are made by families as a whole,not individuals
F) Risks caused by genetics or environment affect the whole family,not just the individual.

G) All of the above
H) A) and E)

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Which definition of family would be the most useful for the nurse practicing in the community?


A) A group of persons with shared convictions
B) A social unit interacting with the larger society
C) People descended from a common ancestor
D) Persons related either by blood or by legal contract (marriage)
E) Whoever the family says is in their family

F) All of the above
G) A) and B)

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E

A nurse was creating an ecomap for a family,which consisted of a 3-year-old girl,an 8-year-old boy,and their mother.Which question would be useful for the nurse to ask?


A) "Are you involved with any groups or resources in the community?"
B) "Can you tell me about your extended family wherever they live?"
C) "Have you thought about what would happen if you needed help?"
D) "What were the causes of death for your older family members?"

E) All of the above
F) C) and D)

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A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer.Which should be emphasized by the nurse when helping the woman make an appointment at the diabetic clinic for follow-up testing and treatment?


A) "Bring a food diary of everything you've eaten for one week with you to the appointment to help with future meal planning."
B) "It's really not that hard to learn how to inject insulin,and it really doesn't hurt."
C) "Please encourage all your family members,including your parents,to be tested for diabetes as well."
D) "They'll teach you how to manage your meals and medications to stay healthy."

E) B) and D)
F) C) and D)

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Which best describes what proportion of children live in a single-parent family?


A) Fewer than 10%
B) 11% to 15%
C) 16% to 20%
D) 21% to 26%
E) More than 30%

F) None of the above
G) C) and E)

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Which best describes an unexpected result of the decrease in funding to traditional public and private forms of health care?


A) Emergency departments where patients can't be turned away are overwhelmed with patients needing nonemergency care
B) Grants are increasingly being requested to pay for care
C) More people don't receive needed health care in a timely manner
D) Programs are developed as a result of community efforts.

E) None of the above
F) A) and B)

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A nurse needed to help a child who was not behaving consistently with the requirements of the new preschool program that began that fall.Which action would be most appropriate for the nurse to perform?


A) Meet with the child each day to let the child have a safe play environment without the regular program frustrations
B) Meet with the child's parents to discuss how their parenting may need to change to help improve their child's behavior at school
C) Meet with the child's teacher to brainstorm ways to help the child cope with school requirements
D) Point out to the child that if behavior doesn't improve,the child won't be able to play with all the other children at the school

E) B) and C)
F) A) and D)

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A man had been in an extended-care facility for 5 weeks and was now home.His wife tells the nurse,"He's trying to take up where he left off but we've adapted to not having him home.He keeps thinking things will be just as they were when he left,but they aren't." Which would be the most appropriate response by the nurse?


A) "Are the changes making him uncomfortable or are the rest of you uncomfortable?"
B) "Do you want me to talk to him and try to explain?"
C) "How can we make things as they were before he left?"
D) "You all adapted to running the house without him; it will be challenging now to adapt back."

E) B) and C)
F) All of the above

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A young son was so physically fidgety that his mother was seriously embarrassed by his inability to be quiet and involved in the interview.Which comment by the nurse would be the most helpful?


A) "Isn't it marvelous how much energy your son has?"
B) "Is there something your son could be doing for you that would use some of that energy?"
C) "Is your son always so fidgety? Have you discussed his behavior with his pediatrician?"
D) "Why don't you let your son go to his room until we're finished?"

E) All of the above
F) B) and C)

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Which are examples of the internal structure of the family?


A) Ethnicity and race
B) Extended family members
C) Gender and rank order of birth
D) Social class and religion

E) A) and B)
F) B) and D)

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Which best describes what is meant by cohabitation?


A) A living arrangement in which one adult is employed and the other is unemployed
B) A living arrangement in which an unmarried couple in a long-term relationship lives together
C) A living arrangement between two members of the same sex
D) A living arrangement between two single mothers with children

E) A) and D)
F) B) and C)

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Which is a major barrier to a nurse caring for the family as a whole?


A) Families often don't want to know what is wrong with their loved one
B) Nurses don't know how to care for families
C) Reimbursement is paid only for services given to an individual
D) The family often isn't available when the nurse is giving care.

E) None of the above
F) B) and D)

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