CHAPTER 1:

1. What are the four approaches to family nursing?

As a context for individual development, as a client, as a system and as a
component of society
2. What approach views individuals as a foreground with family as a
background? The family is a resource/ stressor with a family focus?
Family as a context
3. “How has diabetes affected family members?” Would fit with what
approach?
Family as a client
4. “Who will help with nightly med?” Would fit with what approach?
Family as a context
5. “What has changed between you and your wife since Timmy was
diagnosed with Diabetes?” Would fit with what approach?
Family as a system
6. Family as a system is what type of system?
Interaction system, focus on the individuals and family as a whole
simultaneously
7. How did the family as a system approach begin?
Psychiatric mental health that implied when one member of the family is ill
it would affect all the others.

MCQ
Select four traits that are common in healthy families.
a. Develops suspicion amongst members Rowe Kaakinen, Family Health
Care Nursing, 5e 13 Instructor’s Guide
b. Exhibits a sense of shared responsibility
c. Admits to and seeks help with problems
d. Enforces participation in rituals and tradition
e. Share leisure time
f. Updates each other through social media about daily happenings
g. Maintains unchangeable rule
h. Teach respect for other
CHAPTER 4+5:
1. According to the Friedman Family Assessment Model, broad categories
of assessment include all of the following areas except:
a. Structural information, including demographic data, sex, and ages of
members, power structure, communication patterns, and cultural and
spiritual values and beliefs.
b. Developmental assessment, including stages, tasks, and history of the
family.
c. Family functions, including affective, socialization, and health care
functions.
d. Family conflicts, including severed ties and verbal and physical patterns
of violence.
2. The Calgary Family Assessment Model by Wright and Leahey (2005)
blends:
a. Medicine and nursing
b. Nursing and family therapy
c. Nursing and social work
d. Nursing and ecology
3. The three major areas in the Calgary Family Assessment Model include
all of the following except:
a. Structure
b. Function
c. Development
d. Process
4. The unintended outcomes of No Child Left Behind include:
a. Low- functioning schools are unable to receive federal funding to
improve their services
b. High- functioning schools show continued growth and receive continued
funding
c. Parents can choose to leave a low-functioning school after 2 years of
poor reports
d. This program better serves children with special needs
CHAPTER 9:
1. According to the Family Health Model, the assessment of a family
includes three major domains. What are these domains?
Context, structure, and function
2. The nurse conducting a family assessment would focus on all of the
following except:
a. Family structure
b. Family beliefs
c. Family coping strategies
d. Individual financial resources
3. During a family conference, the nurse practitioner is leading a
discussion with the Smith family, which includes a 15-year-old youth
who often “forgers” to check his morning blood sugar. Which of these
questions from the nurse would be most appropriate initially?
a. Why would a person neglect his body?
b. Some teens act out.Mr.Smith, do you think that is the problem?
c. Can I tell you about the dangers of high blood sugar levels?
d. I understand that you are all concerned with checking blood sugars.
4. While providing care for a family, the nurse reviews common reactions
by siblings to the diagnosis of diabetes in their older brother. Which
statements is not true regarding siblings of individuals with diabetes?
a. Most siblings of children with a chronic illness develop behavior
problems
b. Some siblings will wish they had the chronic illness, too
c. Positive outcomes of siblings of children with chronic illnesses include
an increased level of compassion
d. It is common for siblings to resent the child with the chronic illness
because of increased responsibilities and parents being spread thinner,
which results in less attention
5. When planning interventions for the family with Rheumatoid Arthritis
at the stage of launching children, it is essential that the nurse include
which family member(s) in the discussions regarding treatment options?
a. The mother as primary caregiver
b. The child with the illness
c. The father as the breadwinner
d. All family members who are available
6. According to KnafL and colleague’s theory of normalization, families
with a child with a chronic illness must do which of the following to
adopt a “normalcy lens”?
a. Actively deny aspects of the illness that are unpleasant or burdensome
b. Focus attention equally on “normal” siblings and the child with the
chronic illness
c. Recognize the ongoing processes of actively adapting to the child’s
evolving physical, emotional, and social needs and establishing new
family routines
d. Advocate for the child to ensure that he or she is mainstreamed because it
provides the best hope for the child’s development
7. Chronic illnesses that are present at birth are more likely to be genetic
than are chronic illnesses diagnosed later in life
a. True
b. False
8. Individuals within the family disagree about importance of different
medical routines, and routines needed to be realigned in the service of
the child’s health.
a. Reeducation
b. The Family Health Model
c. Realignment
d. Family Household
9. Self- care, Family care, Safety/Precautions, Illness care, Mental health
behaviours, Member caretakin.
a. Contextual domain
b. Self- management
c. Functional domain
d. Structural domain

10.Any time there is a major change in the health care management of an

individual
a. Transition
b. Mental health routines
c. Chronic illness is often linked to…
d. Self- care routines
CHAPETR 10:
1. The single MOST IMPORTANT supplemental therapy to consider
when starting patients on opioids for pain is:
a. N- SAIDS for adjuvant pain
b. Laxatives for constipation
c. Anti- depressants to supplement pain relief
d. Anti- emetic to treat nausea
2. You are completing a family meeting for a patient with for moderately
advanced Alzheimer’s type dementia in which you have been describing
the nature and likely course of the disease. The patient is unable to
participate. In concluding the meeting, it is MOST IMPORTANT to:
a. Summarize the plan for care
b. Reassure the family that all will be OK
c. Tell them to be strong
d. Summarize their decisions about code status
3. Lung, heart, and liver disease:
a. Palliative care
b. Curative care turns into palliative care when…
c. Palliative care principles
d. Palliative care is difficult to introduce in illness that are hard to
prognosticate such as…
4. Explore own beliefs, attitudes, and experiences. Reflection will form the
foundation for inner strength that will enable provision of optimal care.
a. End- of- life care
b. Involvement of the family
c. Experiences with death may differ due to…
d. Personal Assumptions and Biases about Death and Dying
5. The need for follow-up with the family after the death by involved
HCP’s. This support may help prevent/alleviate prolonged suffering.
a. Experiences with death may differ due to…
b. In palliative care…
c. Involvement of the family
d. Bereavement care
6. Match the following terms with their definitions:
a. Palliative care
b. Terminal care
c. Life- support care
d. End- of- life care
e. Hospice care
 Care that focuses on management of symptoms to relieve suffering
during the last few days or weeks of life, when it becomes apparent
that the patient is in a state of decline and cure is not possible
 Care that focuses on improving the quality of life of patients and
families facing the problems associated with life- limiting illness to
assessment and treatment of pain and other symptoms whether
physical, psychosocial, or spiritual (WHO, 2006)
 Care that includes extraordinary medical measures to prolong or
sustain life
 Care that focuses on providing support to people in the final phase
of a terminal illness, with the focus being on comfort and quality
of life, rather than cure
 Care that focuses on the end of life when a steady decline is
expected. Professionals tend to refer to end- of- life care, whereas
family members tend to refer to care for a terminal illness or
terminal care.
7. A nurse is working with parents of a 6- year- old who is dying or cancer.
The nurse would help the family decide whether the 13- year- old sibling
should be present during the death. Important aspects to consider when
making this decision include all of the following except:
a. The developmental age of the sibling
b. The quality of the relationship between the two children
c. The hospital visiting hour policies
d. The cultural practices within the family regarding death and dying
8. During a family conference, the hospice nurse learns that the wife of a
74- year- old with end- stage Alzheimer disease has been caring for her
husband without assistance for the past 3 years. What are the risks to
this wife?
a. Feelings of helplessness
b. Depression
c. Lack of personal health care
 d. All of the above

CHAPTER 11:
1. Elizabeth Kubler- Ross proposed five stages of dying. Research has
indicated that:
a. The denial stage is the longest of the five stages
b. People experience the reactions described in the stages but not in the
order she proposed
c. Most people skip the bargaining stage
d. Most people do not reach the acceptance stage
2. The process of grieving:
a. Occurs in people who have been diagnosed with a chronic illness
b. Requires psychological counseling
c. Occurs in people whose loved ones have died
d. Both a and c
3. When was the end of life care programme established in UK?
a. 2003
b. 1996
c. 2004
d. 2002
4. When was the national strategy document for palliative care publishes
in UK?
a. 2000
b. 2006
c. 2010
d. 2008
5. What country ranked highest globally in the study of end- of- life in
2015?
a. India
b. United Kingdom
c. Canada
d. Germany
6. Which of these acts is not an end- of- life care?
a. Putting lotion on the delicate skin
b. Holding hands
c. Helping the sick walk around
 d. Combing hair

7. Which of these is not a sign that death may be near?

a. Drowsiness
b. Increased sleeping
c. Increased appetite
d. Unresponsiveness
8. How can pain be managed in end- of- life care?
a. Administration of morphine
b. Administration of formadehyde
c. Administration of paracetamol
d. Administration of atropine
9. Which of these is not associated with agitation in end- of- life care
patients?
a. Restlessness
b. Delirium
c. Respiratory tract infections
d. Terminal anguish
10.Which of these is controlled by use of benzodiazepines?
a. Respiratory tract infections
b. Fever
c. Pain
d. Agitation
11.Which of these symptoms is associated with breathlessness?
a. Agitation
b. Fever
c. Dyspnea
d. Nausea

12.Which of these route of administration can be assisted for such

patients?
a. Oral administration
b. Intra- dermal administration
c. Rectal administration
d. Subcutaneous administration