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Fundamentals of Nursing

Patricia A. Poer, Anne Griffin Perry, Patricia A. Stockert

Chapter 10

Family Dynamics - all with Video Answers

Educators


Chapter Questions

01:40

Problem 1

A family includes a mother, a stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into a bedroom and is in the process of distributing household chores. Nursing assessment reveals all members of the family think that their family can adjust to lifestyle changes. This is an example of family:
A. Diversity.
B. Durability.
C. Resiliency.
D. Configuration.

Christina Sorrentino
Christina Sorrentino
Numerade Educator
07:58

Problem 2

A mother and her two children are homeless and enter a free health care clinic. Which statements most likely describe the effects of homelessness on this family? (Select all that apply.)
A. The children have stability in their education.
B. The family members may have symptoms of malnutrition, such as anemia.
C. The family is at a low risk for experiencing violence.
D. The children are at higher risk for developing ear infections.
E. All family members may have mental health issues.

Alyssa Mae L.
Alyssa Mae L.
Numerade Educator
05:04

Problem 3

A nurse is caring for a 66-year-old patient who lives alone and is receiving chemotherapy and radiation for a new cancer diagnosis. He is unable to care for himself because of severe pain and fatigue. He moves into his 68 -year-old brother's home so his brother can help care for him. Which assessment findings indicate that this family caregiving situation will be successful? (Select all that apply.)
A. Both the patient and his brother attend church together regularly.
B. The brothers are living together and enjoy eating the same foods.
C. Other siblings live in the same city and are willing to help.
D. The patient and his brother have a close network of friends.
E. The patient has obsessive-compulsive disorder and has difficulty throwing away possessions.

Josee Pacheco
Josee Pacheco
Numerade Educator
01:20

Problem 4

A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job.
The children will have to switch schools, and his wife will have to resign from the job she enjoys. Which of the following contribute to this family's hardiness? (Select all that apply.)
A. Family meetings
B. Established family roles
C. New neighborhood
D. Willingness to change in time of stress
E. Passive orientation to life

Emily Himsel
Emily Himsel
Numerade Educator
00:58

Problem 5

A patient who is newly diagnosed with breast cancer states, "Although I am really scared about what is going to happen to me, I know my family will learn from this experience, and we will be stronger in the end." What term does the nurse use in the patient's medical record to describe the characteristic displayed in this statement?
A. Resiliency
B. End-of-life care
C. Family functioning
D. Family's culture

Victor Salazar
Victor Salazar
Numerade Educator
01:01

Problem 6

A hospice nurse is caring for a family that is providing end-oflife care for their grandmother, who has terminal breast cancer. The nurse focuses on symptom management for the grandmother and on helping the family with developing coping skills. This approach is an example of which of the following?
A. Family as context
B. Family as patient
C. Family as a system
D. Family as structure

Nick Johnson
Nick Johnson
Numerade Educator
02:30

Problem 7

A 7 -year-old child was recently diagnosed with asthma. A nurse is providing education to the child and her parents about the treatment and management of asthma and changes they need to
make in their home environment to promote her health. Which statement made by the parents requires follow-up by the nurse?
A. "We have made an appointment to talk with the school nurse about the change in our child's health."
B. "We forgot to give our daughter her medications before bedtime, so we made a list of her medications to help us remember."
C. "We have worked out a schedule to check on her before and after school."
D. "We have not been spending time with our parents because we are so busy taking care of our daughter."

Yingtai Xiao
Yingtai Xiao
Numerade Educator
01:25

Problem 8

A family consisting of a grandparent, two adults, and three school-age children just immigrated to the United States. They come to a community wellness center to establish health care. Which of the following questions does the nurse ask to assess the family's function? (Select all that apply.)
A. "What does your family do to keep members healthy?"
B. "How does your family usually make decisions?"
C. "What health services are available in your neighborhood?"
D. "Which rituals or celebrations are important for your family?"
E. "Is there a lot of crime in your neighborhood?"
F. "How many parks are there in your community?"

Meredith Murphy
Meredith Murphy
Numerade Educator
02:19

Problem 9

A married couple has three children. The youngest child just graduated from college and is moving to a different city to take a job. The other two children left the home several years ago. Both of their parents are older and are beginning to need help to maintain their home. What assessment questions will help the nurse determine the family's functioning? (Select all that apply).
A. Which transitions or changes in your family are you currently experiencing?
B. Are your children having any problems that are affecting your family right now?
C. Describe a recent family conflict and how your family resolved it.
D. What coping strategies do you typically use as a family?
E. Who is involved in helping care for your parents?

Kari Hasz
Kari Hasz
Numerade Educator
00:51

Problem 10

During a visit to a family clinic, a nurse teaches a mother about immunizations, the use of car seats, and home safety for an infant and toddler. Which type of nursing interventions are these?
A. Restorative
B. Health promotion
C. Acute care
D. Growth and development

Joanna Quigley
Joanna Quigley
Numerade Educator