Family Health Care
Textbook Exam Questions
Course Introduction
Family Health Care explores the principles and practices involved in promoting and maintaining the health of families across the lifespan. This course examines the dynamics of family systems, the impact of health and illness on family functioning, and strategies for delivering holistic care within the family context. Students will learn assessment tools, evidence-based interventions, and collaborative approaches that support family resilience, health promotion, and the management of acute and chronic conditions. Emphasis is placed on cultural sensitivity, health education, and the roles of interdisciplinary teams in optimizing family health outcomes.
Recommended Textbook
Family Health Care Nursing Theory Practice and Research 6th Edition by Kaakinen
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17 Chapters
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
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Sample Questions
Q1) The spouse of a client with complex care needs is unavailable to attend a care conference at 2 p.m. What should the nurse do to support family nursing care?
A) Have the client attend in place of the spouse
B) Schedule the conference when the spouse is available
C) Ask the spouse to telephone in during the time of the conference
D) Provide the spouse with outcomes determined during the meeting
Answer: B
Q2) The adult daughter of an older client is expected to be at the client's bedside yet personal family responsibilities are not being completed. Which family interactional process is the daughter experiencing?
A) Role strain
B) Role conflict
C) Role ambiguity
D) Role expectations
Answer: B
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Chapter 2: Theoretical Foundations for the Nursing of Families
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) 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
Q2) The nurse uses the bioecological system theory to assess a family. On which system should the nurse focus to determine the impact of the mother's change in employment?
A) Mesosystem
B) Exosystem
C) Microsystem
D) Macrosystem
Answer: B
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Chapter 3: Family Demography: Continuity and Change in
North American Families
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse learns that an older female client lives alone. Which statement best explains the reason for this client's living arrangement?
A) Older adult women are more likely to prefer living alone when compared with men.
B) Older adult women are more financially secure and able to live alone when compared with men.
C) Older adult women tend not to get along with their adult children, and therefore have no choice but to live alone.
D) Older adult women live longer than men, and therefore find themselves outliving their spouse or partner and living alone.
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 suspects that members of a community are being subjected to subtle acts of institutional racism. What did the nurse assess to make this determination? Select all that apply.
A) Waited to be seen by the clinic physician after others who arrived later were seen
B) Notified by the city that trash removal would occur on Mondays and Thursdays every week
C) Received notification of an increase in Medicaid benefits for members of the household
D) Had the water and electricity turned off by the landlord of an apartment because the children "make too much noise"
E) Overlooked for a job in a fast food restaurant even though open positions were posted and other people in the community were hired after the individual applied
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6
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 a family genogram during a family assessment. What assessment information does this tool provide?
A) Tension between family members
B) Multigenerational patterns and health conditions
C) Communication patterns among family members
D) Relationships between family members and the community
Q2) The nurse refers to the Family Reasoning Web when caring for a family. What is the purpose of this tool?
A) Diagrams family members across three generations
B) Diagrams relationship within and external to the immediate family
C) Provides comprehensive data about family structure, development, and function
D) Organizes data into family categories
Q3) 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 reviews assessment data before creating a family plan of care. Which definition of family health promotion should the nurse keep in mind when selecting interventions for this family?
A) Having resources to pay for medical bills
B) Living in a location where health resources are readily available
C) Planning for retirement and achieving a quality and dignified death
D) Improving or maintaining the physical, social, emotional, and spiritual well-being of the family
Q2) The nurse is planning care for a family facing a health crisis in one of the members. Which action should the nurse take to promote spirituality and increase the resiliency of this family? Select all that apply.
A) Clarify ambiguity
B) Create and hold a sacred space
C) Encourage routine expression of spirituality
D) Help make meaning of the adverse experience
E) Be fully present to demonstrate compassion
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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) A school nurse working at a middle school recognizes that several students identify as LGBTQ. Which of the following should the school nurse keep in mind when assessing these students?
A) Later onset of puberty
B) Greater popularity among student peers
C) Earlier sexual activity
D) Greater risk of teen pregnancy
Q2) The nurse manager suggests that the nursing staff include an assessment of mental health for all clients who are of the LGBTQ community. Why is the manager most likely making this suggestion? Select all that apply.
A) The higher risk of substance abuse within this community
B) The greater risk for depression within this community
C) The high level of social stigma and discrimination that this community often experiences
D) A preexisting bias against this community
E) The fact that suicide is a leading cause of death within this community
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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) The nurse cares for a family who has a member with Huntington's disease. What should the nurse realize about the other family members?
A) They are not at risk for the disease.
B) They are likely to avoid predictive testing.
C) They are likely to have various opinions about predictive testing.
D) They are likely to request predictive testing.
Q2) A family learns that their newborn has a genetic anomaly. Which statement best describes what genes control?
A) Major organs of the body
B) Personality characteristics of a person
C) Ability to learn across the life span
D) Functions of the human body at the cellular level
Q3) A married couple arrives for an appointment for genetic testing after discovery of genetic diseases in their family histories. What should the nurse explain about genetic conditions to this couple?
A) They always become worse as a person ages.
B) They can be attributed to a mutation in a gene.
C) They are commonly presented in newborn infants.
D) They are diagnosed after recognizing a genetic condition in a family.
Page 10
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Chapter 9: Families Living With Chronic Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) 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
Q2) The nurse notes that a family including a member with end-stage renal disease is feeling emotionally drained. On what should the nurse focus when assessing this core process? Select all that apply.
A) Culture
B) Control
C) Language
D) Attachment
E) Commitment
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11
Chapter 10: Families in Palliative and End-of-Life Care
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Sample Questions
Q1) The family of a client receiving palliative care for a terminal illness hesitate to call for the nurse since all staff seem to be too busy to address the client's needs. Which action should the nurse take to improve the connection with the family?
A) Vary the number and type of caregivers who respond to the client's needs
B) Enter the room and stand or sit at the bedside to talk with the client and family
C) Provide the family with reading material that explains the role of palliative care
D) Attend to infusions and environmental issues while talking with the client and family
Q2) The nurse helps the family decide whether a 13-year-old sibling should be present during the death of a younger brother. Which aspect should the nurse keep in mind when the family is making this decision?
A) Hospital visiting hours' policy
B) Reason for the child to be dying
C) Developmental age of the sibling
D) Quality of the relationship between the children
E) Cultural practices within the family regarding death and dying
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Chapter 11: Trauma and Family Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse suspects that an adult client experienced domestic violence as a child. Which observations caused the nurse to come to this conclusion? Select all that apply.
A) Several arrests for armed robbery
B) Meets with friends once a week to play poker
C) Red-flagged for suicide precautions when incarcerated
D) Repeatedly admitted to a rehabilitation facility for heroin use
E) Worked for a company for 2 years and then sought new employment
Q2) The spouse of a client with post-traumatic stress disorder (PSTD) seeks medical attention for new symptoms. Which findings suggest to the nurse that the client's health problem is affecting a family member? Select all that apply.
A) Anger
B) Flat affect
C) Weight loss
D) Poor muscle tone
E) Heart rate of 72 bpm
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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) Although the nurse desires to use Duvall's Family Developmental Theory to guide the care of a family, the nurse decides against it. Which is the major reason for the nurse to make this decision?
A) The theory does not use the life-span approach.
B) The theory is based on individuals rather than families.
C) The theory does not include family life before having children.
D) The theory is based on traditional nuclear families and does not address diverse family structures.
Q2) The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression?
A) Most mothers recognize the symptoms.
B) Most mothers are reluctant to ask for professional help.
C) Most fathers and mothers become depressed after the birth of a child.
D) Most health care providers confuse postpartum depression with anxiety.
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14
Chapter 13: Family Child Health Nursing
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11 Verified Questions
11 Flashcards
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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) Which principle should family nurses incorporate in their care to help a family with a child who has diabetes?
A) Protection is paramount in each interaction.
B) Patterns of illness and disease differ in between families.
C) Patterns of illness are usually predictable in families.
D) Reorganization of family routines is discouraged.
Q3) During a home visit the nurse learns that a family is experiencing a situational transition. Which event most likely occurred in this family?
A) Parents filed for divorce
B) Child diagnosed with cystic fibrosis
C) Oldest daughter accepted into college
D) Grandparent retired from a full-time job
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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) Which emotion might a family experience when a family member is in the intensive care unit (ICU)? Select all that apply.
A) Fear
B) Peace
C) Relief
D) Sadness
E) Helplessness
Q2) Nurses can anticipate which family reaction as a family member is transferred from intensive care to the regular medical-surgical care area? Select all that apply.
A) Confusion
B) Vulnerability
C) Ambivalence
D) Abandonment
E) Unimportance
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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 completes an instrumental activities of daily living (IADL) with an older client. Which activity will this assessment include?
A) Bathing
B) Hygiene
C) Shopping
D) Toileting
Q2) Why is it important for acute care nurses to have gerontological nursing experience? Select all that apply.
A) Older clients are less likely to have health insurance.
B) Older clients make up 25% of trauma cases.
C) Older clients are at risk for geriatric syndromes.
D) Older clients experience typical symptoms for diseases.
E) Older clients make up a high percentage of acute and critical care cases.
Q3) What age group should the nurse identify as the fastest growing group of older adults in the United States?
A) 55 to 65 years
B) 65 to 75 years
C) 75 to 85 years
D) Older than 85 years
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Page 17
Chapter 16: Family Mental Health Nursing
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12 Verified Questions
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Sample Questions
Q1) Which approach describes a growing trend in the care of individuals with a mental health condition?
A) Use of family members as caregivers
B) Implementation of wraparound services in all communities
C) Practice of multigenerational assessments in all settings
D) Decreased use of psychotropic medications in the treatment
Q2) The health care provider suggests that a family participate in psychoeducation. What should the nurse instruct the family to expect when participating in this type of instruction? Select all that apply.
A) Social support
B) Family education
C) Home care support
D) Training in coping skills
E) Behavioral therapy techniques
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18
Chapter 17: Families and Community and Public Health Nursing
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Sample Questions
Q1) The nurse provides care to a culturally diverse community. Which outcome indicates that this care is culturally safe? Select all that apply.
A) Trust
B) Confusion
C) Humiliation
D) Empowerment
E) Open communication
Q2) The nurse reviews the Alma Ata Declaration on Primary Health before meeting a family new to the community. On what are the foundational principles for this health promotion framework based? Select all that apply.
A) Equity
B) Technology
C) Empowerment
D) Access to health
E) Access to health care
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Page 19