Family
A nurse is assessing a family in which grandparents, parents, and children all live together and share responsibilities. Which family structure does this describe?
A. Nuclear family
B. Extended family
C. Blended family
D. Single-parent family
Correct answer: B
Which statement reflects family systems theory?
A. Each family member functions independently
B. One member’s illness affects the entire family
C. Health behaviors are genetically determined
D. Families follow predictable developmental stages
Answer: B. One member’s illness affects the entire family
Which is the highest health risk for school-age children?
A. Suicide
B. Motor vehicle injuries
C. Hypertension
D. Substance use
Answer: B. Motor vehicle injuries
Which nursing action best empowers families who are experiencing a health crisis?
A. Scheduling all appointments
B. Providing written information about community clinics and insurance options
C. Telling family what to do
D. Limiting education to discharge
Answer: B. Providing written information about community clinics and insurance options
Which action occurs during termination phase?
A. Assess environment
B. Build rapport
C. Summarize findings and plan next visit with referrals
D. Complete head-to-toe assessment
Answer: C. Summarize findings and plan next visit with referrals
What puts men at an increased health risk?
A. Engaging in dangerous activities
B. Avoidance of seeking preventive care
C.Working in more hazardous environments
D. Poor genetics
Answer: B. Avoidance of seeking preventive care
Which situation best illustrates a change in family structure over time?
A. Parents establishing bedtime routines
B. A widowed parent moving in with adult children
C. Siblings arguing over chores
D. A child starting kindergarten
Answer: B. A widowed parent moving in with adult children
Which situation best demonstrates bioecological theory?
A. A child inherits asthma from parents
B. A teen develops obesity after moving
C. A parent experiences hypertension
D. A family history of diabetes
Answer: B. A teen develops obesity after moving
Which scenario is most concerning?
A. Teen wearing helmet while biking
B. Toddler riding in rear-facing car seat
C. Teen driving without seatbelt with peers in car
D. School-age child supervised at playground
Answer: C. Teen driving without seatbelt with peers in car
What is the nurse’s first step when beginning to work with the LGBTQ population?
A. Ask about sexual history
B. Assess personal biases and feelings
C. Provide pamphlets
D. Ask about gender identity
Answer: B. Assess personal biases and feelings
Why is a home visit beneficial?
A. Less documentation
B. Observe family in natural environment
C. Reduce nurse workload
D. Limit communication
Answer: B. Observe family in natural environment
Which group is considered a vulnerable population?
A. Middle-income adults
B. Elderly living alone with limited income
C. College students
D. Working adults
Answer: B. Elderly living alone with limited income
A family reports increased conflict after relocating for a parent’s job. Which contextual factor should the nurse consider when assessing stressors?
A. Parent education level
B. Loss of social support systems
C. Number of children
D. Family dietary preferences
Answer: B. Loss of social support systems
According to Neuman’s Systems Model, when a parent is diagnosed with a chronic illness, the nurse should recognize:
A. Only the parent is affected
B. Family stressors are irrelevant
C. The illness is a stressor affecting the entire family
D. Only children are affected
Answer: C. The illness is a stressor affecting the entire family
Which normative life event increases risk for illness?
A. Birth of a first child
B. Family member hospitalization
C. Divorce
D. Sudden job loss
Answer: A. Birth of a first child
Which child is most at risk for abuse?
A. 12-year-old
B. 8-year-old
C. 4-year-old
D. 1-year-old
Answer: D. 1-year-old
Which federal program provides healthy foods for families?
A. Medicaid
B. SNAP
C. OSHA
D. CHIP
Answer: B. SNAP
Which scenario reflects a health disparity?
A. Patient chooses not to exercise
B. Rural child lacks access to pediatrician
C. Teen refuses medication
D. Parent forgets appointment
Answer: B. Rural child lacks access to pediatrician
Using a systems approach when assessing a family after the mother has been diagnosed with breast cancer, which question is most appropriate?
A. “Who makes the healthcare decisions?”
B. “What has changed in your family recently?”
C. “How often do you see your provider?”
D. “Do you have insurance?”
Answer: B. “What has changed in your family since this diagnosis?”
A couple with a newborn reports sleep deprivation and stress. This reflects which concept?
A. Family dysfunction
B. Expected developmental stage challenge
C. Family crisis
D. Maladaptive coping
Answer: B. Expected developmental stage challenge
Which assessment best reflects genomic health care?
A. Asking about diet
B. Asking about family history of early heart disease
C. Checking immunizations
D. Assessing sleep habits
Answer: B. Asking about family history of early heart disease
A genogram is used to:
A. Assess family finances
B. Map family relationships and health patterns
C. Evaluate home safety
D. Assess community resources
Answer: B. Map family relationships and health patterns
Which intervention reduces leading cause of death in children?
A. Helmet use
B. Seatbelt use
C. Exercise
D. Nutrition
Answer: B. Seatbelt use
Which is a biological risk factor?
A. Poverty
B. Family history of hypertension
C. Unsafe neighborhood
D. Lack of insurance
Answer: B. Family history of hypertension
A nurse visits a household where a single mother lives with her partner, her two children, and her partner’s child on weekends. How should the nurse interpret this family context?
A. Traditional nuclear family
B. Blended family with complex structure
C. Extended family
D. Single-parent family
Answer: B. Blended family with complex structure
Which statement best reflects family systems theory?
A. Family members function independently of one another
B. Changes in one family member influence the entire family unit
C. Families progress in identical developmental stages
D. Health behaviors are determined by culture alone
Answer: B. Changes in one family member influence the entire family unit
A nurse is providing care for a migrant farmworker family. Which assessment finding represents the greatest health concern?
A. Children attend school intermittently
B. Family shares housing with another family
C. Lack of consistent access to healthcare facilities
D. Parents speak limited English
Answer: C. Lack of consistent access to healthcare facilities
During a home visit, which observation is most important for the nurse to assess first?
A. Family communication patterns
B. Cleanliness of the home
C. Immediate safety hazards in the environment
D. Family cultural practices
Answer: C. Immediate safety hazards in the environment
Which child scenario represents the highest health risk requiring immediate intervention?
A. 5-year-old riding a bike without knee pads in driveway
B. 8-year-old staying home alone for 30 minutes
C. 3-year-old riding in the front seat of a vehicle
D. 10-year-old eating fast food three times weekly
Answer: C. 3-year-old riding in the front seat of a vehicle