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Community Health Nursing A Canadian Perspective 3rd Edition Yiu Stamler Test Bank

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Community Health Nursing A Canadian Perspective 3rd Edition Yiu Stamler Test Bank

  • ISBN-10:013245565X
  • ISBN-13:978-0132455657

 

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Community Health Nursing A Canadian Perspective 3rd Edition Yiu Stamler Test Bank

  • ISBN-10:013245565X
  • ISBN-13:978-0132455657

 

 

 

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Free Nursing Test Questions:

Chapter 16

1. What term is defined by “a social group whose members share common values and interact with each other over time”?
 
a. Community
b. Couple
c. Population
d. Family

 

2. What type of family is the most common today?
 
a. Same-sex couples
b. Blended family
c. Mother, father, and children
d. Couples with no children

 

3. What is a characteristic of families who are launching children?
 
a. These often are three-generational families.
b. The children are referred to as baby boomers.
c. Children leave home at an earlier age than previously.
d. The children are more likely to marry.

 

4. What is required for a nurse to practise from a family systems nursing perspective?
 
a. Has a community health nursing certificate
b. Has knowledge of family subsystems
c. Experienced in public health nursing
d. Has extensive knowledge of family dynamics and systems theory

 

5. What is a universal characteristic of families?
 
a. Nurture each other
b. Has structure
c. Has similar values and rules
d. Socializes children

 

6. A health nurse is assessing how a family’s structure helps to meet its purpose. What theory is the nurse using?
 
a. Family health theory
b. Family developmental theory
c. Systems theory
d. Structural-functional theory

 

7. A nurse is using Friedman’s Family Assessment Model to collect data about family structure. What is the nurse assessing?
 
a. Family values and communication patterns
b. Associations with the community and role structure
c. Coping strategies and recreational activities
d. Family history and geographic mobility

 

8. A nurse is using the Calgary Family Intervention Model. What would be the most effective family intervention?
 
a. Learned during the process in which health behaviours are acquired
b. Uses the strengths of individual members and the family as a unit
c. Determined by the nurse based on a family assessment
d. Congruent with the family’s beliefs and values

 

9. A nurse during a family assessment asks the question, “What is the greatest challenge facing your family right now?” What data is the nurse attempting to elicit?
 
a. Clarify the expectations of the family
b. Identify past difficulties and coping mechanisms
c. Identify stress, roles, values, and beliefs
d. Assess family strengths and resources

 

10. A nurse is using the McGill Model in working with a family who has two children with epilepsy. What can the nurse expect of the family during the implementation phase?
 
a. Comfortable in the supportive environment the nurse has created
b. Passive as they recognize the nurse is the expert
c. Active learners in collaboration with the nurse
d. Partners in deciding with the nurse which areas need to explored in depth

 

11. What is the best strategy to make a family feel comfortable during the initial visit?
 
a. Introduce oneself and explain the purpose of the meeting
b. Set the interview at a time that works best for the family
c. Engage in small talk
d. Begin by asking questions that are less personal

 

12. A nurse has spent one hour interviewing the Petrovic family. What is the best way to terminate the interview?
 
a. Ask the family if they agree that it is time to terminate
b. Share the assessment of the situation with the family
c. Tell the family that another appointment is needed
d. Commend the family for their participation

 

13. What is the primary role of the case manager in community health nursing?
 
a. Monitor the caseload for the nurses in the health unit
b. Assess and develop a care plan for the family
c. Assess clients and assign them to a nurse
d. Provide quality, cost-effective outcomes for clients

 

14. An instructor is discussing the definition of a family with students. What example of a family given by a student indicates that more discussion is needed?
 
a. A senior living with her beloved cat
b. Two women living together
c. A common-law couple
d. A bachelor living alone

 

15. Mr. and Mrs. Johal live with their three children. Also living in the home are Mr. Johal’s mother and brother and Mrs. Johal’s youngest brother. What type of family is this?
 
a. Traditional family
b. Extended family
c. Nuclear family
d. Blended family

 

16. A nurse is providing culturally sensitive care to a family from Albania. What Canadian Community Health Nursing standard is the nurse attempting to meet?
 
a. Building relationships
b. Promoting health
c. Building capacity
d. Facilitating access and equity

 

17. Nicholas and Jacques are a gay couple who were recently married. They consider themselves to be a family. What is the status of their marriage in Canada?
 
a. Legal under the Civil Marriage Act
b. Recognized as a common-law couple
c. Illegal but would be recognized in the United States
d. Legal as long as they do not have children

 

18. Which family life cycle developmental stage is connected to the correct developmental task for North American middle-class families?
 
a. Stage: aging parents
Task: committing to and establishing a new family
b. Stage: childbearing families
Task: adjusting to parenthood and new family members
c. Stage: forming partnerships and/or marriage
Task: adjusting to needs of young adults leaving and/or re-entering family
d. Stage: launching children
Task: meeting age-appropriate developmental needs of children

 

19. The Schimdt family’s 13-year-old son recently became a paraplegic. The family uses a social networking site to keep friends and relatives informed. They openly talk about renovations to the house to allow their son wheelchair access. How would the nurse most accurately describe this family?
 
a. Family in crisis
b. Resilient family
c. Family in denial
d. Stigmatized family

 

20. What is an example of viewing the family as context to the client?
 
a. Helping a family following the death of child
b. Visiting a new mother and her baby at home
c. Giving care to a family following a motor vehicle accident
d. Visiting a new diabetic at home

 

21. What is a demographic change of the Canadian family?
 
a. There has been an increase in married couples with children.
b. Couples with children exceed those without children.
c. Married couples are a majority.
d. One-third of couples in Quebec are now common-law.

 

22. Which statement is correct about family assessment models?
 
a. The Developmental Model of Health and Nursing emphasizes health as a process and the nurse as an empowering partner.
b. Family systems theory focuses on the stages and tasks of family structure.
c. The Calgary Family Assessment Model fully describes the multifaceted nature of family relationships.
d. The McGill Model has health as the sole focus of working with a family.

 

23. Chapter 16 – Case 1

Oliver and Mary Smith live in their own home with their biological young children. Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.

(Refer to Case 1 above.) What type of family are the Smiths?

 
a. Extended family
b. Romanticized family
c. Blended family
d. Stigmatized family

 

24. Chapter 16 – Case 1

Oliver and Mary Smith live in their own home with their biological young children. Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.

(Refer to Case 1 above.) Considering the family developmental theory, what task is the Smith family working on?

 
a. Adjusting to changes in the partner relationship.
b. Adjustments to parenthood and new family members
c. Commitment to and establishing a new family
d. Maintenance of supportive relationships with children

 

25. Chapter 16 – Case 1

Oliver and Mary Smith live in their own home with their biological young children. Both their son and daughter do well in elementary school and are involved in extra-curricular activities through their school and church.

(Refer to Case 1 above.) A nurse, during an assessment of the Smith family, asks, “Who do you believe is suffering the most in your family right now?” What data is the nurse attempting to gain?

 
a. Identify alliances, resources, and conflictual relationships
b. Identify the family member who has the greatest need
c. Assess family strengths and resources
d. Increase collaboration

 

26. A nurse and the LeBlanc family are meeting to start a family assessment process. The LeBlancs’ son, 10 years old, has just been diagnosed with severe allergies. Describe three important features of the nurse’s comprehensive family assessment. What are two purposes of the assessment process? What are two advantages to the assessment occurring in the LeBlancs’ family home?

 

27. A nurse is facilitating an assessment of a Sudanese family who has come recently to Canada to work in a large meat-packing plant. The family has been referred to the nurse by the occupational health nurse from the plant as the mother is expecting her fourth child. The family is very unfamiliar with the Canadian health care system. Select four areas from the Friedman Family Assessment Model. Develop an appropriate question for the nurse to ask during the assessment from each of the selected areas.

 

28. Discuss three criticisms of case management as it relates to service delivery in community health nursing in Canada. What would improve case management in the future?

 

29. Describe five ways to look at the family in family nursing. Give a community health nursing practice example related to each.

 

30. Discuss the findings of the Sword, Krueger, and Watt (2006) study of postpartum home visits and outline the predictors of acceptance of the visit and recommendations for future studies.

 

Activity Name: Chapter 16

 

 

1. d. Family
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Correct: This is the definition of a family.
Incorrect: A couple is two people considered to be together.
Incorrect: A community may be defined as a group of people who live, learn, work, and play in an environment at a given time.
Incorrect: A population is a group of people who live in the same geographical area.
  Hints:
   

 

2. d. Couples with no children
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The majority of couples have no children.
Correct: The number of couples with no children exceeds those with children.
Incorrect: Same-sex couples are a minority group in Canada.
Incorrect: Couples without children are more common than a blended family unit.
  Hints:
   

 

3. a. These often are three-generational families.
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: Children are staying in the family home much longer than previously.
Correct: Seniors often move in with their children, resulting in a three-generational family.
Incorrect: The trend is for young adults to remain at home.
Incorrect: The children are called baby busters.
  Hints:
   

 

4. d. Has extensive knowledge of family dynamics and systems theory
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: Experience in systems theory is essential.
Incorrect: The certificate does not mean the nurse understands family systems theory.
Correct: This is true.
Incorrect: This looks at systems within the family, not the family as a system.
  Hints:
   

 

5. b. Has structure
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The family’s own values and rules are determined by the culture.
Incorrect: Not all families have children. Socialization is a role of the family, not a characteristic.
Correct: A characteristic is that families have structure.
Incorrect: This is a function of the family, not a characteristic.
  Hints:
   

 

6. d. Structural-functional theory
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: Systems theory looks at the interaction between members of the family and the relationship between the family system and other systems.
Incorrect: Family developmental theory looks at the stages of the family and the tasks for each stage.
Correct: Structural-functional theory looks at the structure of the family and how that contributes to its purpose.
Incorrect: There is no such theory.
  Hints:
   

 

7. a. Family values and communication patterns
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This is part of the developmental data.
Incorrect: This is an aspect of environmental data.
Correct: Data about structure looks at family values and communication patterns, power structures, and role structure.
Incorrect: This is a part of family coping data.
  Hints:
   

 

8. d. Congruent with the family’s beliefs and values
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This is a goal of the McGill Model.
Incorrect: most effective intervention as outlined in the Calgary Family Intervention Model.
Incorrect: The nurse and the family work together to determine the family’s interventions.
Correct: This would be the most effective intervention using this model.
  Hints:
   

 

9. c. Identify stress, roles, values, and beliefs
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This question will not elicit information about past challenges facing the family.
Correct: The question is trying to determine the family’s actual or potential suffering/challenges, roles, and beliefs.
Incorrect: Resources and strengths will need to be determined using other questions.
Incorrect: This question identifies the current challenges facing the family.
  Hints:
   

 

10. c. Active learners in collaboration with the nurse
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The family becomes active learners in the implementation stage.
Incorrect: During implementation the family will become active learners in collaboration with the nurse.
Correct: This is what the nurse would expect.
Incorrect: This is part of the planning process, not implementation.
  Hints:
   

 

11. c. Engage in small talk
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This may not be practical and does not reduce the anxiety for the family.
Incorrect: It is essential that the nurse do this, but it will not decrease anxiety.
Incorrect: This will not help to reduce anxiety.
Correct: Engaging in small talk will help to build a rapport and allow the family to feel more comfortable with the nurse.
  Hints:
   

 

12. a. Ask the family if they agree that it is time to terminate
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The decision to terminate the interview should be mutual.
Incorrect: The nurse may reflect on the situation, but should not be judgmental.
Correct: The decision to terminate is a mutual decision with the family.
Incorrect: Commendations should be sincere and used with care.
  Hints:
   

 

13. d. Provide quality, cost-effective outcomes for clients
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Correct: This is the goal of the case manager in community health nursing.
Incorrect: The case manager’s goal is not to assign clients to nurses.
Incorrect: This may be part of the process to meet the goal.
Incorrect: The case manager works with clients and does not monitor workload for nurses.
  Hints:
   

 

14. d. A bachelor living alone
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Correct: A person living alone is not considered a family.
Incorrect: Two women living together meet the definition of a family.
Incorrect: A common-law couple is a family.
Incorrect: A senior living with a beloved pet is considered a family.
  Hints:
   

 

15. b. Extended family
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: A nuclear family is two parents and their children.
Incorrect: This is a family where the mother and father bring children into the family from a previous marriage.
Correct: An extended family includes a nuclear family and other relatives living within the same home.
Incorrect: This is similar to a nuclear family.
  Hints:
   

 

16. d. Facilitating access and equity
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: In this standard the nurse establishes and nurtures a supportive environment with the family.
Incorrect: This standard focuses on actively involving the family in decision-making.
Correct: This standard deals with promoting access to resources and cultural safety.
Incorrect: This standard focuses on health promotion and prevention of disease.
  Hints:
   

 

17. a. Legal under the Civil Marriage Act
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The marriage is legal in Canada regardless of whether the couple has children.
Correct: In 2005 Canada legalized same-sex marriages.
Incorrect: This type of union is legal in Canada.
Incorrect: The couple is considered married in Canada.
  Hints:
   

 

18. b. Stage: childbearing families
Task: adjusting to parenthood and new family members
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This task is for the stage “launching children.”
Correct: This task is correct for this stage.
Incorrect: This task relates to the stage “forming partnerships and/or marriage.”
Incorrect: This task relates to the stage “families with preschool children, school-age children, and teenagers.”
  Hints:
   

 

19. b. Resilient family
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The family is facing a crisis but is coping.
Correct: This family is successfully coping with adversity.
Incorrect: This family is coping with their son’s condition and making plans to bring him home.
Incorrect: A stigmatized family has a number of problems. They are seen as dysfunctional.
  Hints:
   

 

20. d. Visiting a new diabetic at home
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This is an example of the third way: family subsystems.
Correct: This is an example of the first way: family as context to the client.
Incorrect: This is an example of the second way: family as a sum of its parts.
Incorrect: This is an example of the fourth way: family as client.
  Hints:
   

 

21. d. One-third of couples in Quebec are now common-law.
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: Married couples are now a minority in Canada.
Incorrect: Canada has more couples without children.
Incorrect: There has been a decrease in married couples with children.
Correct: This is true.
  Hints:
   

 

22. a. The Developmental Model of Health and Nursing emphasizes health as a process and the nurse as an empowering partner.
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: The McGill Model focuses on family, collaboration, health, and learning.
Incorrect: Systems theory looks at the family as a system within the community.
Incorrect: The Calgary Model looks at structural, functional, and developmental components of the family.
Correct: This statement is correct.
  Hints:
   

 

23. b. Romanticized family
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Correct: This is a typical romanticized family.
Incorrect: This is not an extended but a nuclear family.
Incorrect: A stigmatized family is one with a lot of problems.
Incorrect: This is not a blended family as the children are the biological offspring of the couple.
  Hints:
   

 

24. a. Adjusting to changes in the partner relationship.
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Incorrect: This is a task for the childbearing family. The Smiths have passed through this stage.
Incorrect: This task is for the stage when the family was forming partnerships and/or marriage.
Correct: This is a task the family is currently working on.
Incorrect: This is a task for middle-aged parents.
  Hints:
   

 

25. b. Identify the family member who has the greatest need
  Learning Objective:
  Chapter 16 Multiple Choice Questions
  Feedback:
  Correct: This question will determine which member of the family has the greatest need for support or intervention.
Incorrect: The question will not help the nurse identify this information.
Incorrect: Resources and strengths will need to be determined using other questions.
Incorrect: This question will not clarify expectations or increase collaboration.
  Hints:
   

 

26. Important features:
– detailed
– inclusive
– uses open-ended questions
– similar to a comprehensive cultural assessment
– ongoing
– added to and developed over time
– nurse facilitates process rather than conducts
Purpose:
– starts to build relationship with the family
– part of the nursing process
– foundation for planning, interventions, and evaluation
Advantages of home:
– family is likely to be more comfortable
– other family members may be present
– multiple visits promoting trust and relationship building
– data are gathered in the family’s own context
  Learning Objective:
  Chapter 16 Essay Questions
  Feedback:
   
  Hints:
   

 

27. – identifying data-e.g., Whom do you consider to be part of your family?
– developmental stage and history-e.g., How did your family come to be in Canada?
– environmental data-e.g., How would you describe your home?
– family structure-e.g., In your family, how do you organize various roles and responsibilities?
– family functions-e.g., What can you tell me about your beliefs about health?
– family coping-e.g., How do you cope with stress and change?
  Learning Objective:
  Chapter 16 Essay Questions
  Feedback:
   
  Hints:
   

 

28. criticisms:
– focus on cost containment
– high-quality care vs. managing finances
– prioritizing outcomes based on cost
– need to get the most benefit from the least cost
– needs of the client are balanced with the need to control costs
improvements:
– nationally funded home care program
  Learning Objective:
  Chapter 16 Essay Questions
  Feedback:
   
  Hints:
   

 

29. – family as context. CHN e.g., Mr. Smith with high blood pressure is the client. His family is his context.
– family is sum of its parts. CHN e.g., nursing care is provided to all members of the Jones family who are home from hospital after being treated for first- and second-degree burns in a house fire.
– family subsystem is client. CHN e.g., focus is on the mother/baby dyad during a postpartum home visit.
– family as client. CHN e.g., focus is on both Mrs. Green and her adult children simultaneously as they cope with her advancing Alzheimer’s disease.
– family as component of society. CHN e.g., family health is promoted through increases in social benefit payments.
  Learning Objective:
  Chapter 16 Essay Questions
  Feedback:
   
  Hints:
   

 

30. Predictors:
– first live birth, lower social support, lower maternal rating of services in L&D, poorer maternal self-reported health, probably postpartum depression, lower maternal rating of services on the postpartum unit, and breastfeeding initiation
Recommendation:
– reasons for women accepting or declining a visit, the perceived value of the visits by the mothers, the characteristics of women who accept a selective visit vs. a universal home visit, a comparison of effectiveness between telephone visits and home visits since telephone visits are less costly
  Learning Objective:
  Chapter 16 Essay Questions
  Feedback:
   
  Hints:
   

 

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