Advanced Family Nursing
Midterm Exam
Course Introduction
Advanced Family Nursing focuses on applying advanced nursing concepts and clinical skills to care for families across the lifespan. Emphasizing a holistic and culturally competent approach, this course explores the dynamics of family systems, health promotion, disease prevention, and management of complex health conditions within the family context. Students will engage in evidence-based practice, develop assessment and intervention strategies tailored to diverse family structures, and explore the impact of social determinants on family health. Ethical and legal considerations, interprofessional collaboration, and the use of advanced communication and counseling techniques are integrated to prepare nurses for leadership roles in family-centered care.
Recommended Textbook
Family Health Care Nursing Theory Practice and Research 6th Edition by Kaakinen
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200 Verified Questions
200 Flashcards
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Page 2
Chapter 1: Family Health Care Nursing: An Introduction
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3833
Sample Questions
Q1) The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care?
A) Interventions in family care address the future plans for the family.
B) Family members must be present before the implementation of family care.
C) Resources are placed to support an ill family member with the greatest chance for recovery.
D) The nurse and family together define the family and where therapeutic energy should be placed.
Answer: D
Q2) The nurse prepares to assess a client whose family is being used as a resource. Which approach to family nursing care is the nurse implementing?
A) Family as client
B) Family as system
C) Family as context
D) Family as component of society
Answer: C
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Chapter 2: Theoretical Foundations for the Nursing of Families
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Sample Questions
Q1) The nurse reviews a theory for applicability to a family health situation. On which part of the theory should the nurse focus in order to understand the expected relationship between the theory's concepts?
A) System
B) Hypothesis
C) Propositions
D) Conceptual model
Answer: B
Q2) The nurse selects the family systems theory as a guide for providing care to a family. Which concept of this theory should the nurse use to maintain the stability of this family? Select all that apply.
A) The whole is more than the sum of its parts.
B) All parts of the system are interconnected.
C) Families develop and change over time.
D) Systems can be organized into subsystems.
E) There is a boundary between the system and the environment.
Answer: A,B,D,E
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Chapter 3: Family Demography: Continuity and Change in
North American Families
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3835
Sample Questions
Q1) The nurse notes that a preadolescent male with same-sex parents is scheduled for a wellness examination. Which of the following should the nurse keep in mind when caring for this client?
A) Most likely this client is less psychologically developed than his peers.
B) Most likely this client is less emotionally developed than his peers.
C) Most likely this client is at greater risk for emotional distress.
D) Most likely this client is cognitively delayed in school performance.
Answer: C
Q2) Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse?
A) There will be fewer clients from outside of the United States.
B) Chinese interpreters will be needed most often.
C) A large number of clients will be considered undocumented immigrants.
D) Refugees will have access to health care through resettlement programs.
Answer: D
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Chapter
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11 Verified Questions 11 Flashcards
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Sample Questions
Q1) The nurse learns that a child being seen in the community clinic has health coverage through the State Children's Health Insurance Program (CHIP). What does this coverage indicate to the nurse?
A) The child has a chronic disability.
B) The child receives special education.
C) The child is being raised in a single-parent family.
D) The child has no insurance and is not eligible for Medicaid.
Q2) The nurse notes that a large number of clients in the community health clinic have type 2 diabetes mellitus. What should the nurse consider as reasons for the number of people with this chronic illness? Selectall that apply.
A) Lower income
B) Unhealthy diet
C) Lack of exercise
D) Use of public transportation
E) Inability to pay for medications
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Chapter 5: Family Nursing Assessment and Intervention
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse plans to use the Family Assessment and Intervention Model. What is the purpose of this model? Select all that apply.
A) Health promotion
B) Family change strategies
C) Restoration of family stability and family functioning
D) Family reaction and instability at lines of defense and resistance
E) Large amount of information that may not relate to the family problem
Q2) The nurse prepares to use the Calgary Family Assessment Model (CFAM) to assess a family. Which categories of assessment questions will the nurse use? Select all that apply.
A) Process
B) Function
C) Structure
D) Development
E) Evolution of change
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Chapter 6: Family Health Promotion
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse prepares to implement a care contract for a family. In which order should the nurse implement the components of the contract? All choices must be used.
A) Develop a plan
B) Evaluate the outcomes
C) Assign responsibilities
D) Determine the time frame
E) Modify, renegotiate, or terminate the contract
F) Set the goal, environmental planning, and reinforcement
G) Complete a family assessment of wellness and identify areas for improvement
Q2) 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?
A) Reduced incidences of chronic disease development
B) Improved health care access, quality, and efficiency
C) Decreased time for diagnosing health problems
D) Elimination of the need for face-to-face interactions with care providers
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8
Chapter 7: Nursing Care of LGBTQ Families
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is aware of several children adopted into same-sex families that are scheduled to participate in the community preschool program. What can the nurse do to facilitate the acceptance of these children'sfamily structure into the preschool learning environment? Select all that apply.
A) Ensure teaching materials demonstrate diverse family structures
B) Provide toys, books, and games that emphasize traditional gender roles
C) Select materials that show both genders performing a variety of roles
D) Instruct the preschool staff members on ways to reduce the stigma of these children
E) Encourage these children to play with toys that are opposite from their parents' gender
Q2) The nurse learns that a homosexual male has waited more than 2 months before seeking treatment for a sexually transmitted infection. What should the nurse consider as a reason for this client to delay seeking treatment? Select all that apply.
A) Lack of access to care
B) Lack of insurance coverage
C) Confusion regarding the symptoms
D) History of overt discrimination
E) Negative experience with the health care system
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Chapter 8: Genomics and Family Nursing Across the Life
Span
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A female learns of a genetic predisposition to breast cancer. What should the nurse identify as being the first line of defense for this person to be?
A) More frequent mammograms to detect early cell changes
B) Radical mastectomy to prevent the development of cancer
C) Counseling to consider adoption to decrease the spread of breast cancer
D) Grief and end-of-life counseling for family members experiencing breast cancer
Q2) A participant in a community health program asks how genetic diseases occur. What should the nurse include about genetic diseases in the response?
A) They are X-linked disorders.
B) They are diseases caused by environmental factors that family members share.
C) They are diseases caused by biological conditions inherited from family members.
D) They are diseases caused by biological and environmental factors that family members share.
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10
Chapter 9: Families Living With Chronic Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) When planning interventions for a family with rheumatoid arthritis, it is essential that the nurse include which family member in the discussions regarding treatment options?
A) The child with the illness
B) The father as the breadwinner
C) The mother as the primary caregiver
D) All family members who are available
Q2) The parents of a child with muscular dystrophy have a negative view of the child's future and feel hopeless about future care needs. Which view of the child is the family demonstrating?
A) Thriving
B) Enduring
C) Floundering
D) Accommodating
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Chapter 10: Families in Palliative and End-of-Life Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A client assigned to a student nurse for care dies shortly after the student completes morning care. What should the nurse do to support the student at this time?
A) Suggest the student leave the clinical area
B) Encourage the student to participate in postmortem care
C) Talk with the student about the experience and answer any questions
D) Assign the student to another client for the remainder of the clinical day
Q2) The spouse of a client nearing death is concerned because the client's breathing is "so noisy." How should the nurse refer to the client's respiratory status when talking with the spouse?
A) Pneumonia
B) Congestion
C) Death rattle
D) Fluid in the lungs
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12
Chapter 11: Trauma and Family Nursing
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Sample Questions
Q1) During a home visit the nurse believes that a client receiving treatment for post-traumatic stress disorder (PTSD) is improving. Which signs of resiliency did the nurse assess to make this clinical determination? Select all that apply.
A) Maintaining a positive attitude
B) Asking for help when needed
C) Expressing gratitude for help
D) Sitting quietly with minimal conversation
E) Waiting for a family member to prepare food
Q2) A client with PTSD arrives for a follow-up clinic appointment. Which intervention should the nurse confirm that the client is continuing to follow? Select all that apply.
A) Drinks 2 to 3 liters of fluid per day
B) Measures blood pressure every week
C) Adheres to an 1800 calorie/day eating plan
D) Attends cognitive-behavioral therapy sessions
E) Takes selective serotonin reuptake inhibitor (SSRI) as prescribed
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13
Chapter 12: Family Nursing With Childbearing Families
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse asks a family about space arrangements for an expected baby. What is the nurse assessing about the family at this time? Select all that apply.
A) The ability to meet the baby's basic needs
B) The fear about the survival of the baby
C) The acceptance of the reality of having a baby
D) The support from extended family
E) The ability to afford the financial obligations of a baby
Q2) The nurse plans to discuss an expectant client's decision regarding infant feeding. What is important for the nurse to do when considering feeding management for this family?
A) Inform the client that she should breastfeed
B) Assist the parents to form a nurturing relationship surrounding the feeding of the infant
C) Encourage bottle-feeding because this will guarantee proper nutrition for the infant
D) Encourage the father, or partner, to leave the feeding decision up to the mother
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14
Chapter 13: Family Child Health Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3845
Sample Questions
Q1) Which action will the nurse take to promote well-being in a family with children? Select all that apply.
A) Communicate with the family
B) Reinforce the use of discipline
C) Understand the family's routines
D) Encourage modeling positive behavior
E) Support development of parenting skills
Q2) A family with a child diagnosed with cystic fibrosis has newly relocated to a community. Which health trajectory will the nurse use as a guide for this family's care?
A) Chronicity
B) Uncertainty
C) Degenerative
D) Gradual onset
Q3) Which phrase most accurately characterizes the purpose for family child health nurses to practice family-centered health care?
A) Form partnerships between families and nurses
B) Provide consistently high-quality care for all families
C) View the nurse as the constant in family and child health
D) Foster partnerships between members of different families
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Page 15
Chapter 14: Family Nursing in Acute Care Adult Settings
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What should the nurse consider when determining the degree of family involvement in discharge planning?
A) Current advance directive for the client
B) Family's education and information needs
C) A family letter stating expectations for discharge
D) Legal advice provided by an attorney during the discharge meeting
Q2) What type of communication from nurses do families find as being the most helpful?
A) Brief
B) Honest
C) Vague
D) Limited
Q3) The nurse notes that a client has an advance directive stating that no cardiopulmonary resuscitation (CPR) should be performed if the heart stops. Which type of prescription should the nurse expect to be placedon this client's medical record?
A) All but CPR
B) Do not resuscitate (DNR)
C) Comfort measures only
D) No extraordinary measures
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16
Chapter 15: Family Health in Mid- and Later Life
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse notes that a large number of older clients are living longer. What could be the reason for this?
A) Decreased birth rates
B) Increased family care of older adults by family members
C) Improved social and community support systems
D) Overhospitalization and prescription drug use
Q2) Changes result in stress. Which type of change is found to be the most stressful for an older adult?
A) Normative
B) Nonnormative
C) Normative and nonnormative
D) Neither normative nor nonnormative
Q3) The nurse suspects that a family is experiencing ambivalence. To what does this term refer in the family?
A) The ability to avoid stress over time
B) Conflicting emotions regarding relationships with older adults
C) The level of harmony with extended family members over time
D) Maintaining a stable level of balance in the midst of changes
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Chapter 16: Family Mental Health Nursing
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12 Verified Questions
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Sample Questions
Q1) A client with a major depressive disorder is prescribed a serotonin reuptake inhibitor. What should the nurse instruct the family to do in order to prevent this client from developing serotonin syndrome?
A) Do not provide any herbal supplements.
B) Ignore mild fevers as they commonly occur with this medication.
C) Stop the medication if excessive sleeping occurs.
D) Double the dosage of the medication if diarrhea occurs.
Q2) A client is recovering from major depression. On which areas should the nurse focus when helping this client maintain a life in recovery? Select all that apply.
A) Home
B) Health
C) Purpose
D) Community
E) Employment
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Chapter 17: Families and Community and Public Health
Nursing
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3849
Sample Questions
Q1) The nurse prepares health promotion activities for a family. Which statement best describes the nurse's purpose for planning activities for this family?
A) To teach the family to resolve conflicts
B) To improve or maintain the well-being of family members
C) To help the family identify strengths and trust personal decisions
D) To protect family members from diseases and the outcomes of these illnesses
Q2) The nurse provides care to people within an urban community. What needs to be established in order for interventions to be successful?
A) The nurse-client relationship
B) Payment for services provided
C) Times when the nurse is available
D) Frequency of visits to the families
Q3) The nurse prepares material to share during a community health fair. Which definition of community should the nurse keep in mind while preparing this material?
A) A group of vulnerable people
B) A group of people with the same illness
C) A group of people with similar characteristics
D) A group of people living in the same environment
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