Nursing Capstone Course
Textbook Exam Questions
Course Introduction
The Nursing Capstone Course is a culminating experience designed for senior nursing students to integrate theoretical knowledge and clinical skills acquired throughout their academic program. Through this comprehensive course, students engage in evidence-based practice projects, reflective practice, and collaborative teamwork within healthcare settings. Emphasizing critical thinking, leadership, and professional development, the capstone provides opportunities for students to apply nursing concepts in real-world scenarios, preparing them for transition into professional practice. The course fosters personal growth, ethical decision-making, and effective communication, ensuring graduates are well-equipped to provide high-quality, patient-centered care in diverse healthcare environments.
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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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 nurse prepares to assess a family during a home visit. Which traits should the nurse expect that demonstrate a healthy family? Select all that apply.
A) Develops suspicion among members
B) Exhibits a sense of shared responsibility
C) Admits to and seeks help with problems
D) Enforces participation in rituals and tradition
E) Shares leisure time
Answer: B,C,E
Q2) The nurse prepares an in-service program on family nursing for new graduate employees. Which definition of family is the best one for the nurse to use?
A) Members of a family are self-defined
B) People who share strong emotional ties
C) A family is defined by blood ties, adoption, and marriage
D) A group of people who live together with or without legal or biological ties
Answer: A
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Chapter 2: Theoretical Foundations for the Nursing of Families
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10 Verified Questions
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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 is struggling with using a developmental model when assessing a family new to a community. Which data could explain the difficulty the nurse is having using this model?
A) The parental units are same-sexed.
B) The youngest son is beginning college.
C) The middle child is attending high school.
D) The oldest daughter has just gotten married.
Answer: A
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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 a middle-aged client lives alone. What should the nurse consider when planning this client's care?
A) A transfer to a skilled facility is required.
B) There is no one to help with care needs at home.
C) The client has the finances to purchase necessary supplies.
D) The client's health insurance covers home care.
Answer: B
Q2) The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse?
A) Higher risk for divorce if the couple marries
B) Financial inability to obtain needed health care
C) Children are at a higher risk for behavioral problems
D) Health care decisions can be made on behalf of each other
Answer: B
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Page 5
Chapter
Care
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Sample Questions
Q1) 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
Q2) The nurse desires to change health policy in a local community. Which action should the nurse take? Select all that apply.
A) Contact elected officials to lobby against harmful policies
B) Ensure resources are available for clients before discharge
C) Read articles to learn the process of making a policy into a law
D) Join a professional organization that supports change in family policies
E) Participate in community meetings where health policy is being challenged
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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 prepares to assess a family, which includes several members with chronic health problems. Which definition of assessment will the nurse use when meeting with this family?
A) The use of an instrument to quantify a particular family attribute
B) The use of a tool to collect family information within 15 minutes
C) The collection of subjective and objective data that begins upon first contact with the family
D) The process of assigning numbers or symbols to variables to assist nurses in measuring family member characteristics
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Chapter 6: Family Health Promotion
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12 Verified Questions
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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 school nurse is aware of several students who live in a home with a biological mother and a cohabitating stepfather. What problems should the nurse assess in these students? Select all that apply.
A) Delinquency
B) Lower grades
C) Behavior problems
D) Lack of college expectations
E) Irregular breakfast consumption
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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 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.
Q2) The nurse plans to attend a continuing education program for genetics. In which situations will the nurse use this knowledge?
A) In all health care settings
B) When caring for childbearing families
C) Only after being credentialed as a genetics nurse
D) After a genetic condition is diagnosed in a family
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10
Chapter 9: Families Living With Chronic Illness
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Sample Questions
Q1) The nurse is preparing a presentation about the needs of family caregivers for a senate hearing on caring for people with chronic health problems. What should the nurse suggest as positive actions to improve the economic status of these caregivers? Select all that apply.
A) Implement flextime
B) Provide a tax credit for caregiving
C) Expand funding for the National Family Caregiver Program
D) Reduce the fees for placing chronically ill family members into skilled facilities
E) Include the care of extended family members through the Family and Medical Leave Act
Q2) During a family conference, the nurse practitioner is leading a discussion with a family, which includes a 15-year-old adolescent who often "forgets" to check his morning blood glucose levels. Which questions would be the most appropriate for the nurse to ask?
A) Why would a person neglect his body?
B) Can I tell you about the dangers of high blood glucose levels?
C) Do you think forgetting to check the blood glucose is a way of acting out?
D) I understand that you are all concerned with checking blood sugars. Is that right?
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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) 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
Q2) The staff development trainer is preparing an educational program for nurses who provide palliative care. Which suggestion should the trainer make to encourage a trusting relationship between the nurse and family? Select all that apply.
A) Maintain a nonjudgmental approach when providing care
B) Listen to the family's experience with illness and suffering
C) Acknowledge the strengths of the individual family members
D) Encourage the family to take a break and permit the nurse to provide care
E) Demonstrate compassion by showing an understanding of the family's suffering
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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 attends an educational program that identifies people in the United States as experiencing post-traumatic stress disorder (PTSD) because of ongoing security threats. Which public health issues confirm the possibility of this being true? Select all that apply.
A) High obesity rate
B) High infant mortality
C) Increase in number of divorces
D) High use of opioids and other substances
E) Decline in the general health
Q2) The nurse notes that a client who returned from war is having difficulty remembering recent events and is unable to perform simple self-care tasks. Which part of the client's physiology is responsible for thesebehaviors?
A) Amygdala
B) Hippocampus
C) Adrenal glands
D) Prefrontal cortex
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13
Chapter 12: Family Nursing With Childbearing Families
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13 Flashcards
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Sample Questions
Q1) The nurse plans care to address the communication pattern within a family with a new infant. What intervention should the nurse select for this family?
A) Encourage talking when the baby is sleeping
B) Hold the baby while talking with each other
C) Teach how to recognize and respond to the baby's cues
D) Keep voice tone low when discussing a difficult situation
Q2) The nurse learns that a family has not planned a space for an expected infant. For which reason should the nurse assess the family about this lack of planning? Select all that apply.
A) Denying that the birth is pending
B) Viewing a birth as a routine occurrence that does not need special planning
C) A cultural belief that space planning occurs after the birth of a healthy infant
D) Too busy with other responsibilities to allow time to plan for the baby's space
E) Inability to please all members of the family regarding the location of the space
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Chapter 13: Family Child Health Nursing
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Sample Questions
Q1) 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
Q2) The nurse is preparing to assess a family with small children. Why should the nurse focus on the family transition points during this assessment? Select all that apply.
A) They represent a time when the family has a large amount of time to plan.
B) They represent a time when the family has to spend a great deal of money.
C) They represent a time when families are most likely to reorganize and change.
D) They represent a time when individuals within the family are at greatest risk for illness.
E) They represent a time when individuals within the family are most likely to change roles and related tasks.
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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) 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
Q2) The nurse provides care to a client who is experiencing an acute illness. What information about family-centered care should the nurse keep in mind when planning this client's care?
A) Visiting hours should be strictly enforced.
B) Care conferences serve little purpose.
C) Families influence client recovery.
D) Discharge planning begins when the client stabilizes.
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16
Chapter 15: Family Health in Mid- and Later Life
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12 Verified Questions
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Sample Questions
Q1) The nurse prepares to use the FAMILY tool to assess a client and family. Which of the following will the nurse assess with this tool? Select all that apply.
A) Years of age
B) Members' needs
C) Assistance needed
D) Family involvement
E) Integration into care plan
Q2) A frail older client does not have children. What should the nurse consider when planning this client's care?
A) Depend on formal services for assistance
B) Rely on friends and extended family for care
C) Consider admission to a long-term care facility
D) Identify an agency that provides care 24/7 in the home
Q3) 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
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Page 17
Chapter 16: Family Mental Health Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse learns that a family is providing care to a client with bipolar disorder. What should the nurse do to support this family? Select all that apply.
A) Offer support
B) Be noncritical
C) Remain nonjudgmental
D) Assure that cures are available
E) Provide honest information
Q2) 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.
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18
Chapter 17: Families and Community and Public Health Nursing
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Sample Questions
Q1) The nurse plans to visit families within a community. On what should the nurse focus when meeting with these families to reduce the risk for health disparities? Select all that apply.
A) Ways to avoid injuries
B) Actions to maintain health
C) Strategies to manage chronic disease
D) Reasons to receive required immunizations
E) Approaches to adhere to prescribed eating plans
Q2) Which action should the nurse take to reduce health inequities within a community? Select all that apply.
A) Develop families' skills
B) Improve access to resources
C) Increase the use of home care services
D) Reduce the cost for health care services
E) Increase participation in family care processes
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