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Exam 26: Family

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Question 1

Multiple Choice

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A client being treated for newly diagnosed schizophrenia will be discharged to the family home.The family is developing an image of the disease process and expectations of mental health professionals and has reached Stage 2 of family recovery.Which concepts are included in this stage of recovery? Select all that apply.

A) Coping
B) Problem solving
C) Acceptance
D) Recognition
E) Personal and political advocacy

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

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Question 2

Multiple Choice

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The nurse is determining the type of support the family of a client with newly diagnosed mood disorder is going to need.Which types of support should the nurse consider to help this family? Select all that apply.

A) Financial
B) Professional
C) Friend
D) Family
E) Spiritual

F) B) and D)
G) A) and B)

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Question 3

Multiple Choice

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A client with a bipolar disorder arrives at the emergency department disheveled,arguing with family members.The nurse recognizes that the family is suffering from an objective family burden.To which is this burden related?

The nurse is creating a plan of care for the family of a client with a terminal illness.Which aspects of this family's care should the nurse emphasize when creating this plan? Select all that apply.

The nurse is caring for a client who is hospitalized with pneumonia.Which will the nurse assess when determining the impact of the illness on the family? Select all that apply.

A nurse in a busy outpatient pediatric clinic notes that a preschool-aged child who was due to be seen is a no-show.The child is not up to date on vaccinations.Which action by the nurse is appropriate?

The nurse is caring for a client who was involved in a car accident.The client's spouse was killed in the accident.The couple has two teenage children.Which statement explains how this tragedy will be approached by the family?

During a home visit,the nurse observes children acting out,shouting,and hitting each other when taking a small amount of food out of the refrigerator.The mother sits nearby yelling for the children to shut up while reaching for a cigarette.Which should the nurse consider as being helpful for this family situation? Select all that apply.

The community nurse identifies that a family new to the community needs assistance with family dynamics and material resources.What should the nurse consider offering to the parents of this family to support their needs? Select all that apply.

The community nurse is planning a wellness seminar for families in an urban community.Which resources should the nurse consider obtaining to support these families' needs? Select all that apply.

While attending a community health fair,the nurse observes the children of one family walking quietly behind the father with their mother and periodically shyly asking the father questions.The father responds gruffly and continues walking while the children and mother scurry behind to keep up.What does this observation indicate to the nurse? Select all that apply.

During a home visit,the nurse determines that care interventions are needed to address alcohol and substance abuse by family members.Which interventions should the nurse consider when planning care for this family? Select all that apply.

During a follow-up home visit,the nurse is evaluating the success of a family's ability to use internal resources to cope with the illness of a family member.Which does the nurse observe that indicates that internal resources are being accessed? Select all that apply.

The nurse educator is teaching a group of students about health promotion and disease prevention.Which nursing activities promote health and health maintenance? Select all that apply.

The nurse is discussing hospice care with the family of a client dying of cancer.The spouse asks the nurse if Medicare will continue to pay if the client lives longer than 6 months.Which response by the nurse is appropriate?

A nurse is caring for family members who have recently lost their home and belongings in a fire.The family is staying with extended family in the area.Which is the most appropriate nursing diagnosis for this family?

A pediatric home health care nurse is making an initial visit to assess the parenting style for a family in preparation for treating a child with drugs to reduce hyperactivity.Which approach should the nurse use for this assessment?

A nurse is caring for a preschool-age client who was admitted for dehydration.The child lives with the parents and maternal grandparents.In which type of family does this child reside?

The nurse is determining psychosocial risk factors for a family prior to planning care.Which assessment tool should the nurse use when initially screening families for these health risks?

The nurse is assigned to care for a child in a spica cast for a fractured femur suffered in an automobile accident.The child's father was driving the car,which was badly damaged.In assessing the family,the nurse learns that the father just recently lost his job and the mother has been working through a "temp" agency.Which nursing diagnosis is most appropriate for this family?