Family focused nursing care Denham Eggenberger Young Krumwiede Test bank

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Family focused nursing care Denham Eggenberger Young Krumwiede Test bank

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Chapter 7- Using Family Theory to Guide Nursing Practice

MULTIPLE CHOICE

1. The professional caregiver who is knowledgeable about instrumental family rituals and routines:
1.
Knows that to make any health promoting changes in families, these rituals and routines must be altered.
2.
Knows that illness management does not alter rituals and routines.
3.
Knows that successful intervention depends upon changing theses rituals and routines.
4.
Knows that successful intervention depends upon incorporating new health-care practices into the familys rituals and routines.

ANS: 4

Feedback
1
Rituals and routines help families maintain integrity, so altering them may not be health-promoting.
2
The activities necessary for illness management can alter normal rituals and routines a great deal.
3
Changing rituals and routines may be seen as a threat to family integrity.
4
Nurses who recognize that they are temporary guests as they work within the familys routines and rituals are honoring family integrity.

PTS: 1
KEY: Content Area: Nursing practice | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

2. Use of a family nursing model in practice:
1.
Helps to provide a framework for assessment and decision-making.
2.
Contributes to other disciplines.
3.
Is essential so that nursing can be considered a profession.
4.
Is too time-consuming to be used in modern health care.

ANS: 1

Feedback
1
Use of a model gives the nurse a framework of components or concepts that aid in considering broad approaches to assessment and decision-making in planning care.
2
A nursing model does not necessarily contribute to other disciplines.
3
Use of a family nursing model is not enough to guarantee that nursing is considered a profession; there are several additional criteria.
4
There is evidence that time spent using a family nursing model conserves nursing time.

PTS: 1
KEY: Content Area: Family nursing models | Integrated Process: Nursing process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

3. When using the Calgary Family Assessment Model (CFAM), it is important to know that:
1.
The developmental assessment yields the most important information to guide nursing actions.
2.
Synthesis of the family development assessment, structural assessment, and functional assessment yields the most information to guide nursing actions.
3.
The structural assessment yields the most important information to guide nursing actions.
4.
The functional assessment yields the most important information to guide nursing actions.

ANS: 2

Feedback
1
Assessing just the developmental component of the CFAM is not sufficient to guide comprehensive family nursing actions.
2
According to the authors of the CFAM, the most information needed to guide nursing actions with families are gained from a synthesis of assessing family development, structure, and function.
3
Assessing just the structural component of the CFAM is not sufficient to guide comprehensive family nursing actions.
4
Assessing just the functional component of the CFAM is not sufficient to guide comprehensive family nursing actions.

PTS: 1
KEY: Content Area: Family nursing models | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Knowledge | Question Type: Multiple Choice

4. According to Wright and Leahy, effective family nursing actions are those that:
1.
The nurse believes to be in the best interest of the family.
2.
Are developed in collaboration with the family experiencing the illness event.
3.
Are informed by a family nursing theory.
4.
Are interdisciplinary in nature.

ANS: 2

Feedback
1
The nurse may not actually know what is in the best interest of the family if the nurse has not interacted with the family at a meaningful level to know their values, beliefs, and goals.
2
The most effective nursing actions are those developed in collaboration with the family.
3
Even if nursing actions are informed by a family nursing theory, they may not be relevant for the particular family unless values, beliefs, and goals are considered.
4
Even if nursing actions are interdisciplinary in nature, they may not be relevant for the particular family unless values, beliefs, and goals are considered.

PTS: 1
KEY: Content Area: Family nursing practice | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

5. Integrating conceptual and theoretical frameworks when working with families is:
1.
Confusing, because integration makes it difficult to create evidence-based approaches.
2.
Important, because no one conceptual or theoretical framework is sufficient.
3.
Not necessary if a middle-range nursing theory is used.
4.
Helpful, because the nurse can see the uniqueness of the individual through this lens.

ANS: 2

Feedback
1
Integration of frameworks assists the nurse in creating evidence-based approaches.
2
Integrating conceptual and theoretical frameworks gives the nurse broader choices from which to create evidence-based approaches.
3
One middle-range theory may not be appropriate for specific families.
4
Seeing the uniqueness of the individual is not necessarily supported by use of any one conceptual or theoretical framework; the process of assessment is still needed.

PTS: 1
KEY: Content Area: Family nursing frameworks | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

6. The family development realm of assessment within family-focused care addresses family development as:
1.
A functional process that is not influenced by contextual systems.
2.
Family change and transformation occurring in a pattern over time.
3.
A process that has a set end goal.
4.
Predictable and accurate.

ANS: 2

Feedback
1
Family development is not considered a family functional process.
2
Family development is concerned with change and transformation over time, not simply stages and tasks.
3
Family development does not have a set end goal because it is an ongoing process.
4
Family development is unpredictable and does not follow a specific path of accuracy.

PTS: 1
KEY: Content Area: Family development | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice

7. Family health beliefs are:
1.
Always the same as the culture from which the family originates.
2.
Usually the same as the nurses health beliefs.
3.
Inaccessible to the nurse.
4.
Unique to the family.

ANS: 4

Feedback
1
Family health beliefs are not solely dependent on the familys culture of origin.
2
Family health beliefs are not usually the same as the nurses health beliefs.
3
The nurse who completes an interactive and thorough family assessment can discover the familys health beliefs.
4
Family health beliefs are unique to each family because they are developed from within the specific family over time.

PTS: 1
KEY: Content Area: Family integrity | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | Question Type: Multiple Choice

8. The nurse who uses the Family Management Style Framework (FMSF) would pay attention primarily to:
1.
Whether the family is developing along a normal trajectory.
2.
The familys health beliefs.
3.
The familys interaction style.
4.
Whether the family is thriving, accommodating, enduring, struggling, and floundering.

ANS: 4

Feedback
1
The FMSF does not focus on family development.
2
The FMSF does not focus on family health beliefs.
3
The FMSF does not focus on family interaction style.
4
The nurse using the FMSF does assess whether the family is thriving, accommodating, enduring, struggling, or floundering based on definitions within the FMSF.

PTS: 1
KEY: Content Area: Family nursing models | Integrated Process: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Application | Question Type: Multiple Choice

9. When considering how to best maintain family integrity, the nurse would best focus on which of the following:
1.
Developmental tasks.
2.
The family stress response.
3.
Patterns of interaction.
4.
Family boundaries.

ANS: 4

Feedback
1
Accomplishing developmental tasks are not necessarily essential for maintaining family integrity.
2
The familys stress response is not essential for maintaining family integrity.
3
Family patterns of interaction, while important, do not preserve family integrity.
4
Maintaining family boundaries, and adjusting family boundaries when necessary, is an essential part of preserving family boundaries.

PTS: 1
KEY: Content Area: Family integrity | Integrated Process: Psychosocial Integrity | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

10. The goal of care in support of family coping is to:
1.
Decrease the stress linked with illness experiences.
2.
Provide the family with forms of support that will enhance individual healing and promote the construction of family health.
3.
Make certain that the familys perception of the illness event is as accurate as possible.
4.
All of the above.

ANS: 4

Feedback
1
Decreasing the stressor alone will not support family coping fully.
2
Providing family support alone will not support family coping fully.
3
Correcting the familys perception of the event along will not support family coping fully.
4
Answers number 1, 2, and 3 are all important goals for care supporting family coping.

PTS: 1
KEY: Content Area: Family coping | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application | Question Type: Multiple Choice

11. Family nursing models are an example of:
1.
Middle-range theories.
2.
Grand theories.
3.
Borrowed theories.
4.
Social science theories.

ANS: 1

Feedback
1
Family nursing models are considered middle-range theories because they are not at the highly abstract level and they have largely been developed within nursing practice.
2
Family nursing models are not highly abstract as is the case with the grand theories.
3
Family nursing models are developed within nursing and are, therefore, not borrowed from other disciplines.
4
Family nursing models are developed within nursing and are, therefore, not social science theories.

PTS: 1
KEY: Content Area: Family nursing theory | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

12. Health-seeking behaviors of the individual are influenced by:
1.
The familys health beliefs.
2.
The familys identity.
3.
The familys values.
4.
All of the above.

ANS: 4

Feedback
1
Health-seeking behaviors of the individual are influenced by the familys health beliefs, but also by their identity and values.
2
Health-seeking behaviors of the individual are influenced by the familys identity, but also by their health beliefs and values.
3
Health-seeking behaviors of the individual are influenced by the familys values, but also by their identity and health beliefs.
4
Health-seeking behaviors of the individual are influenced by a combination of the familys health beliefs, identity, and values.

PTS: 1
KEY: Content Area: Health Promotion and Maintenance | Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Comprehension | Question Type: Multiple Choice

TRUE/FALSE

1. A nurses definition of family health might influence the way the nurse practices with families.

ANS: T
Rationale:
A nurses definition of family health can influence how the nurse assesses families and the nursing actions chosen, thus influencing nursing practice.

PTS: 1
KEY: Content Area: Family health | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Question Type: True/False

2. Altering a familys perception of the illness event is possible.

ANS: T
Rationale:
Altering the familys perception of the illness event through teaching, educating, and interpreting the situation is possible.

PTS: 1
KEY: Content Area: Family coping | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application | Question Type: True/False

3. It is not possible to understand and attend to the individual and the family simultaneously in a care situation.

ANS: F
Rationale:
It is possible for the nurse to understand and attend to them simultaneously when guided by family nursing models, frameworks, and theories, and when the nurse intentionally interacts with family members.

PTS: 1
KEY: Content Area: Family coping | Integrated Process: Communication and Documentation | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension | Question Type: True/False

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