(Test Bank) Family Health Care Nursing Theory, Practice, and Research

Kaakinen,Coehlo,Steele,Robinson, 6

Nursing

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6th Edition

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Test Bank for Family Health Care Nursing Theory, Practice, and Research, The downloadable file consists of 163 pages, and the total size of the file is 1.78 MB. Purchase now only for highly discounted price.

Author(s): Kaakinen, Coehlo, Steele, Robinson

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Multiple Choice: 1. The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care? 1. Interventions in family care address the future plans for the family. 2. Family members must be present before the implementation of family care. 3. Resources are placed to support an ill family member with the greatest chance for recovery. 4. The nurse and family together define the family and where therapeutic energy should be placed. 2. The nurse notes that a client has been previously married and participates in raising the current spouse’s children from a previous marriage. How should the nurse document this family type? 1. Extended 2. Cohabitation 3. Nuclear dyad 4. Reconstituted 3. 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? 1. Members of a family are self -defined 2. People who share strong emotional ties 3. A family is defined by blood ties, adoption, and marriage 4. A group of people who live together with or without legal or biological ties Test Bank for Family Health Care Nursing Theory, Practice, and Resear ch, 6e Joanna Rowe Kaakinen, Deborah Padgett Coehlo, Rose Steele, Melissa Ro binson Test Bank for Family Health Care Nursing Theory, Practice, and Research, 6e Joanna Rowe Kaakinen, Deborah Padgett Coehlo, Rose Steele, Melissa Robinson Chapter 1: Family Health Care Nursing: An IntroductionRowe Family Health Care Nursing, 6e 1-2 4. The nurse prepares to assess a client whose family is being used as a resource. Which approach to family nursing care is th e nurse implementing? 1. Family as client 2. Family as system 3. Family as context 4. Family as component of society 5. During a home visit the nurse teaches the client and family about actions to reduce the spread of infection between the family members. Which role is the nurse implementing? 1. Counselor 2. Care deliverer 3. Health teacher 4. Family advocate 6. The nurse stays with a client who is having chemotherapy for the first time until the family arrives. Which role is the nurse implementing with the client? 1. Surrogate 2. Researcher 3. Role model 4. Case manager 7. 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? 1. Have the client attend in place of the spouse 2. Schedule the conference when the spouse is available 3. Ask the spouse to telepho ne in during the time of the conference 4. Provide the spouse with outcomes determined during the meeting 8. The nurse observes parents discussing an adolescent’s plans for the weekend and setting boundaries to which the adolescent agrees. Which function did this family unit demonstrate? Rowe Family Health Care Nursing, 6e 1-3 1. Affective 2. Economic 3. Health care 4. Socialization 9. The adul t 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? 1. Role strain 2. Role conflict 3. Role ambiguity 4. Ro le expectations Multiple Response: 10. 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. 1. Develops suspicion among members 2. Exhibits a sense of shared responsibility 3. Admits to and seeks help with problems 4. Enforces participation in rituals and tradition 5. Shares leisure time Rowe Family Health Care Nursing, 6e 1-4 Answers: 1. The nurse is transferring to a care area that focuses on family nursing practice. What should the nurse realize about this approach to care? Ans: 4 Page: 9 Feedback 1. Family care is concerned with the experience of the family over time. It considers both the history and the future of the family group. 2. The physical absence of family members does not preclude the nurse from offering family care. 3. Family nursing is directed at families whose members are both healthy and ill regardless of the severity of the illness in the family member. 4. The intervention that “family nurses must define with the family which persons constitute the family and where they will place their therapeutic energies” is an intervention used by family nurses to provide structure to working with families regardless of the theoretical underpinning of the nursing approach. This is an enduring idea that supports the practice of family nursing. 2. The nurse notes that a client has been previously marrie d and participates in raising the current spouse’s children from a previous marriage. How should the nurse document this family type? Ans: 4 Page: 16 Feedback 1. An extended family is defined as two or more adult generations and one that includes grandparents and grandchildren living in the same household. 2. A cohabitation family type is defined as an unmarried couple sharing a household who are involved in an emotional and/or sexually intimate relationship. 3. A nuclear dyad is defined as a married couple with no children. 4. A reconstituted or blended family type is defined as an arrangement in which one or more of the parents was previously married and brings children from the previous marriage into the current marriage. Rowe Family Health Care Nursing, 6e 1-5 3. 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? Ans: 1 Page: 5 Feedback 1. The definition of family that is most inclusive and takes the individual family members into consideration is that the members of a family are self -defined. 2. The definition that a family is made up of people who share strong emotional ties is a psychological definition of a family. 3. The definition that a family is defined by blood ties, adoption, and marriage is a legal definition of a family. 4. The definition that a family is a group of people who live together with or without legal or biological ties is a sociological definition of a family. 4. The nurse prepares to assess a client whose family is being used as a resource. Which approach to family nursing care is the nurse implementing? Ans: 3 Page: 9 Feedback 1. The second approach to family nursing care centers on the assessment of all family members. The family nurse is interested in the way all the family members are individually affected by the health event of one family member. In this approach, all members of the family are in the foreground. 2. The third approach to care views the family as a system. The focus in this approach is on the family as a whole as the client; here, the family is viewed as an interactional system in which the whole is more than the sum of its parts. In other words, the interactions between family members become t he target for the nursing interventions. 3. The first approach to family nursing care focuses on the assessment and care of an individual client in which the family is the context. This is the traditional nursing focus, in which the individual is foregrou nd and the family is background. The family serves as context for the individual as either a resource or a stressor to the individual’s health and illness. 4. The fourth approach to care looks at the family as a component of society, in which the family is viewed as one of many institutions in society, similar to health, educational, Rowe Family Health Care Nursing, 6e 1-6 religious, or economic institutions. The family is a basic or primary unit of s ociety, and it is a part of the larger system of society. 5. During a home visit the nurse teaches the client and family about actions to reduce the spread of infection between the family members. Which role is the nurse implementing? Ans: 3 Page: 13 Feedback 1. As a counselor, the family nurse has a therapeutic role in helping individuals and families solve problems or change behavior. 2. As a care deliverer, the family nurse either delivers or supervises the care that families receive in various settings. To do this, the nurse must be a technical expert both in terms of knowledge and skill. 3. The family nurse teaches about family wellness, illness, relations, and parenting. 4. As an advocate the family nurse advocates for families and empowers family members to speak with their own voices, or the nurse speaks out for the family. 6. The nurse stays with a client who is having chemotherapy for the first time until the family arrives. Which role is the nurse implementing with the client? Ans: 1 Page: 14 Feedback 1. The family nurse serves as a surrogate by substituting for another person, such as when he or she stays with the client until family arrives. 2. As a researcher, the family nurse identifies practice problems and finds the best solution for dealing with these problems through the process of scientific investigation. 3. The family nurse is continually serving as a role model to other people, demonstratin g positive health actions and strategies. 4. As a case manager the nurse coordinates and collaborates between a family and the health care system. Rowe Family Health Care Nursing, 6e 1-7 7. 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? Ans: 2 Page: 14 Feedback 1. It is inappropriate to expect an ill client to attend a care co nference. 2. One obstacle to family nursing practice is the hours for care. Because the spouse is not available during the scheduled meeting, the approach to overcome this obstacle is to schedule the meeting when the spouse can attend. 3. The spouse is n ot available. Telephoning in for the conference is not appropriate. 4. Providing the spouse with the outcomes of the meeting does not take the family’s needs into consideration and violates the purpose of the meeting. 8. The nurse observes parents discussing an adolescent’s plans for the weekend and setting boundaries to which the adolescent agrees. Which function did this family unit demonstrate? Ans: 1 Page: 19 Feedback 1. The affective function, one of the basic functions of family, is essential for creating a harmonic and stable environment, and optimal for healthy child development and for the satisfaction of all family members. Affective function has to do with the ways family members relate to one anothe r and those outside the immediate family boundaries. Well -functioning families are able to maintain a consistent level of involvement with one another, yet at the same time not become too involved in each other’s lives. 2. The economic function of the fam ily is focused on providing the necessities of food, clothing, and shelter for the family members. 3. The health care function of the family is when the family learns how to maintain, protect, and restore health. 4. The family is the first and one of the most influential settings for socialization. Families are the primary source of individual development and the primary setting in which children begin to acquire the beliefs, attitudes, values, and behaviors consider ed Rowe Family Health Care Nursing, 6e 1-8 appropriate to society. This situation does not demonstrate family socialization. 9. 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? Ans: 2 Page: 23 -24 Feedback 1. Role strai n occurs when the person lacks knowledge about performance of a role. 2. Role conflict occurs when expectations about familial roles are incompatible. The adult daughter needs to help an aging parent; however, she is also expected to maintain personal rol e functions. 3. Role ambiguity occurs when the person does not know what to do in a situation. 4. Role expectations occur when a person who is performing a role is expected to pick up additional responsibilities and incorporate them into the current role. 10. 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. Ans: 2, 3, 5 Page: 6 Feedback 1. A healthy family fosters trust and respect instead of fostering suspicion. 2. A trait common to healthy families is exhibiting a sense of shared responsibility. 3. A trait common to healthy families is admitting to and seeking help with problems. 4. A healthy family welcomes rituals and traditions but does not enforce participation in such family practices. 5. A trait common to healthy families is sharing leisure time. Rowe Family Health Care Nursing, 6e 2-1 Chapter 2: Theoretical Foundations for the Nursing of Families Multiple Choice: 1. The nurse reviews potential theories to use as a guide for providing care to a family in the community. What should the nurse keep in mind as a major function of theory in family nursing? 1. Identifies a specific hypothesis 2. Answers “How?” or “Why?” questions 3. Examines how the concepts create a meaningful pattern 4. Improves nursing services provided to families 2. The nurse reviews a theory for applicability to a family health situation. On which part of the theory should the nurse focus in or der to understand the expected relationship between the theory’s concepts? 1. System 2. Hypothesis 3. Propositions 4. Conceptual model 3. The nurse prepares to assess a family according to a family development theory. Which action will the nurse compl ete first during this assessment? 1. Health of individual members 2. Employment status of the parents 3. Family structure and life cycle stages 4. Education status of the children 4. 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? 1. The parental units are same -sexed. 2. The youngest son is beginning college. 3. The middle child is attending high school. 4. The oldest daughter has just gotten married. Rowe Family Health Care Nursing, 6e 2-2 5. 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? 1. Mesosystem 2. Exosystem 3. Microsystem 4. Macrosystem 6. The nurse reviews the bioecological system theory before discussing this approach with a group of new graduate nurses. What should the nurse explain as the blu eprint for the ecology of human and family development? 1. There is no one system that can serve as a blueprint. 2. Macrosystems contain mesosystems and exosystems. 3. The microsystem sets the stage for all future development. 4. Sociohistorical conditi ons determine developmental progress. 7. The nurse works in an environment in which a family therapy theory serves as the model for assessing and planning care. Which data should the nurse expect when assessing the family? 1. Pathology 2. Health problem 3. Illness treatment 4. Normal traject ory Multiple Response: 8. 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. 1. The whole is mor e than the sum of its parts. 2. All parts of the system are interconnected. 3. Families develop and change over time. 4. Systems can be organized into subsystems. Rowe Family Health Care Nursing, 6e 2-3 5. There is a boundary between the system and the environment. 9. The nurse learns that t he father of a family passed away at age 41. How should the nurse classify this family event in relation to family development theory? Select all that apply. 1. On time 2. Off time 3. Normative 4. Conflicting 5. Nonnormative 10. The nurse prepares to employ the family systems theory to assess a family. Which actions will the nurse complete during this assessment? Select all that apply. 1. Complete a family ecomap 2. Determine normative and nonnormative events 3. Complete a family genogram 4. Conduct family member care -planning sessions 5. Collect data on the family and individual members Rowe Family Health Care Nursing, 6e 2-4 Answers: 1. The nurse reviews potential theories to use as a guide for providing care to a family in the community. What should the nurse keep in min d as a major function of theory in family nursing? Ans: 4 Page: 29 Feedback 1. Theories construct hypotheses, or the question, “What is expected to happen?” 2. Theories in general explain what is happening; they provide answers to “How?” and “Why?” questions, help to interpret and make sense of complex phenomena, and predict what could happen in the future based on careful thought and study about what has happene d in the past. 3. Theories are designed to make sense of the world by showing how one concept is related to another and how together they make a meaningful pattern that can predict the consequences of certain clusters of characteristics or events. 4. The major function of theory in family nursing is to provide knowledge and understanding that improves nursing services to families. 2. The nurse reviews a theory for applicability to a family health situation. On which part of the theory should the nu rse focus in order to understand the expected relationship between the theory’s concepts? Ans: 2 Page: 29 Feedback 1. System is not part of a theory. 2. A hypothesis is a way of stating an expected relationship between concepts or an expected proposition. 3. Propositions are statements about the proposed relationship between two or more concepts. 4. A conceptual model is a set of general propositions that integrate concepts into meaningful configurations or patterns. 3. The nurse prepares to assess a family according to a family development theory. Which action will the nurse complete first during this assessment? Rowe Family Health Care Nursing, 6e 2-5 Ans: 3 Page: 45 -46 Feedback 1. The health of individual members is analyzed according to the impact on the entire family unit. 2. The employment status of the parents is not a specific feature of family development theory. 3. When conducting family assessments using the developmental model, nurses begin by determining the family structure and where this family falls in the family life cycle stages. 4. The children’s education is addressed after the family structure and life cycle stage is identified. 4. The nurse is struggling with using a developmental model when assessing a family new to a community. Whic h data could explain the difficulty the nurse is having using this model? Ans: 1 Page: 47 Feedback 1. A primary criticism of family development theory is that it best describes the trajectory of intact, two -parent, heterosexual nuclear families. It does not consider same -sex couples and normalizes one type of family while ignoring others. 2. Children leaving home to go to college would be an expected trajectory within the developmental model. 3. Children progressing through basic educa tion would be an expected trajectory within the developmental model. 4. Children leaving home or “launching” is an expected trajectory within the developmental model. 5. 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? Ans: 2 Rowe Family Health Care Nursing, 6e 2-6 Page: 49 Feedback 1. Mesosystems are the relationships among major microsystems in which persons or families actively participate, such as families and s chools, families and religion, and families with peers. 2. An exosystem is an external environment that influences an individual and family indirectly such as the effect of job experience on family life. 3. Microsystems are the settings in which individu als/families experience and create day - to-day reality. They are the places people inhabit, the people with whom they live, and the things they do together. 4. Macrosystems are the broad cultural attitudes, ideologies, or belief systems that influence institutional environments within a particular culture/subculture in which individuals/families live. 6. The nurse reviews the bioecological system theory before discussing this approach with a group of new graduate nurses. What should the nu rse explain as the blueprint for the ecology of human and family development? Ans: 2 Page: 49 Feedback 1. Mesosystems and exosystems, within macrosystems, serve as blueprints. 2. Mesosystems and exosystems are set within macrosystems, and together they are the “blueprints” for the ecology of human and family development. 3. The microsystem is the setting for day -to-day reality. It does not serve as a blueprint for the family’s development. 4. Chronosystems are time -related contexts that e ffect the other systems and are influenced by sociohistorical conditions. 7. The nurse works in an environment in which a family therapy theory serves as the model for assessing and planning care. Which data should the nurse expect when assessing the f amily? Ans: 1 Rowe Family Health Care Nursing, 6e 2-7 Page: 34 Feedback 1. The target population for family therapy theories is families with pathology or troubled families. 2. The target population for any nursing theory is families with health problems. 3. The target population for any nursing theory is families with illness treatment. 4. The target population for a family social science theory is a “normal” family with an expected trajectory. 8. 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. Ans: 1, 2, 4, 5 Page: 39 -40 Feedback 1. The second concept of the family systems theory is that the whole is more than the sum of its parts. This means that the family as a whole is composed of more than the individual lives of family members. It goes beyond parents and children as separate entities. Families are not just relationships between the parent -child but are all relationships seen together. 2. The first concept of the family systems theory is that all parts of the system are interconnected. This means that whatever influences one part of the system influences all parts of the system. 3. The concept that families develop and change over time is a concept associated with family development theories. 4. The fourth concept in the family systems theory is that systems can be further organi zed into subsystems. These subsystems identify relationships between family members and are used to create interventions specific to the needs of those members. 5. The third concept is that all systems have some form of boundary between the system and the environment. Boundaries are physical or abstract imaginary lines that families use as barriers or filters to control the impact of stressors on the family system. Rowe Family Health Care Nursing, 6e 2-8 9. The nurse learns that the father of a family passed away at age 41. How should the nurse classify this family event in relation to family development theory? Select all that apply. Ans: 2, 5 Page: 43 Feedback 1. On time refers to a family transition within family development theory. It is considered to be “on time” when a family unit experiences something that is considered a societal norm such as being married before having children. 2. Off time refers to a family transition within family development theory. It is considered to be “off time” when a family unit experiences something that is against a societal norm such as having children before being married. 3. Normative refers to a predictable change that occurs within a family based on expected developmental steps. 4. Conflicting is not a term or concept related to family development theory. 5. Nonnormative refers to a change in a family that occurs out of sequence or is caused by an illness or other family event. 10. The nurse prepares to employ the family systems theory to assess a family. Which actions will the nurse complete during this assessment? Select all that apply. Ans: 1, 3, 4, 5 Page: 34 -35 Feedback 1. A family ecomap is completed to see how individuals and the family relate to the community around them. 2. Determining normative and nonnormative events is an action completed when following a family development and life cycle theory. 3. A family genogram is completed to understand patterns an d relationships over several generations over time. 4. Care -planning sessions are held to address the needs of individual members and the family as a whole. 5. Assessment questions relate to the interaction between the individual and the family, and the interaction between the family and the community in which the family lives. Rowe Family Health Care Nursing, 6e 3-1 Chapter 3: Family Demography: Continuity and Change in North American Families Multiple Choice: 1. The nurse prepares to assess a female client who is 25 years old. What should the nurse most likely expect when assessing this client’s family structure? 1. Attends college 2. Married with one child 3. Lives with a sexual partner 4. Lives at home with parents 2. Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse? 1. There will be fewer clients from outside of the United States. 2. Chinese interpreters will be needed most often. 3. A large number of clients will be considered undocumented immigrants. 4. Refugees will have access to health care through resettlement programs. 3. The nurse learns that a middle -aged client lives alone. What should the nurse consider when planning this client’s care? 1. A transfer to a skilled facility is required. 2. There is no one to help with care needs at home. 3. The client has the finances to purchase necessary supplies. 4. The client’s health insurance covers home care. 4. The nurse learns that an older female client lives alone. Which statement best explains the reason for this client’s living arrangement? 1. Older adult women are more likely to prefer living alone when compared with men. 2. Older adult women are more financially secure and able to live alone when compared with men. 3. Older adult women tend not to get along with their adult children, and therefore have no choice but to live alone. Rowe Family Health Care Nursing, 6e 3-2 4. Older adult wom en live longer than men, and therefore find themselves outliving their spouse or partner and living alone. 5. The nurse prepares an educational program on the living arrangements of young adults for a community health fair. What should the nurse explain as an important difference between the young adults of today and those of previous generations? 1. Young adults are marrying younger today than before. 2. Young adults are entering the military more than before. 3. Young adults are spending more years l iving with their parents than before. 4. Young adults are entering the workforce at younger ages than before. 6. The nurse notes that a young female client lives in a homeless shelter with her children. Which characteristic is most likely associated wit h this client? 1. Widowhood 2. Never married 3. Divorced from a spouse 4. Separated from a spouse 7. The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse? 1. Higher risk for divorce if the couple marries 2. Financial inability to obtain needed health care 3. Children are at a higher r isk for behavioral problems 4. Health care decisions can be made on behalf of each other 8. When considering nursing care of families today, how will changing demographics affect the nurse’s approach to care? 1. Adult children will provide primary care for aging parents. 2. Fathers are not involved with the health care of their children. 3. More fathers are awarded the custody of children after a divorce. 4. More children live in nontraditional families, which negatively affects their well -being Rowe Family Health Care Nursing, 6e 3-3 9. The nurse notes that a preadolescent male with same -sex parents is scheduled for a wellness examination. Which of the following should the nurse keep in mind when caring for this client? 1. Most likely this client is less psychologically developed than hi s peers. 2. Most likely this client is less emotionally developed than his peers. 3. Most likely this client is at greater risk for emotional distress. 4. Most likely this client is cognitively delayed in school performance. Multiple Response: 10. The community health nurse notes a large number of cohabitation households in the community. Which statement could explain the reason for this? Select all that apply. 1. Wider availability of reliable birth control 2. Increased uncertainty about the stability of marriage 3. Easier to separate when compared with a married relationship 4. Loss of stigma associated with cohabitation and sexual relations outside of marriage 5. Desire to express that unmarried cohabitation is different from the life of mar ried couples 11. Which characteristic should the nurse remember when caring for a single mother? Select all that apply. 1. Less likely to be able to pay for care 2. More likely to seek health care services 3. More likely to fill out health care forms c orrectly 4. Less likely to understand care instructions 5. Less likely to communicate effectively with nurses and doctors 12. During a community fair presentation, a participant asks why health care costs continue to increase in the United States. How should the nurse respond? Select all that apply. 1. Rising incomes 2. Insurance coverage fees 3. Care of children in poverty 4. Changes in medical technology 5. Increased use of pharmaceuticals Rowe Family Health Care Nursing, 6e 3-4 Answers: 1. The nurse prepares to assess a female client who is 25 years old. What should the nurse most likely expect when assessing this client’s family structure? Ans: 3 Page: 53 Feedback 1. A 25 -year-old client has most likely completed a college education. 2. A young woman reaching adulthood in the first decades of the 21st century is not likely to marry before her 27th birthday. 3. Cohabitation among opposite - and same -sex couples continues to rise in North America. Therefore, the nurse should expect that th is client lives with a sexual partner. 4. A young woman today may move in and out of her parents’ home several times; however, because this varies, this assessment finding would not be expected. 2. Immigration rates increased after the Immigration and Naturalization Act was amended in 1965. Which observation demonstrates the greatest impact of this act to the practicing nurse? Ans: 4 Page: 59 Feedback 1. Immigration to the United States increased to an average of 900,000 persons per year in the 1990s and to 1 million in 2014. 2. Estimates based on U.S. American Community Survey data reveal that 60 million people older than age 5 speak a language other than English at home, the most common being Spanish. 3. Undocumented immigrants are ineligible for any type of federal public benefits including welfare, Social Security, and health services such as Medicaid and Medicare. Undocumented immigrants are less likely to seek care for themselves or for their children, even when their children are citizens, for fear of detection and deportation. 4. In the United States and Canada, immigration laws provide refugees with resettlement assistance including temporary health care services. Rowe Family Health Care Nursing, 6e 3-5 3. The nurse learns that a midd le-aged client lives alone. What should the nurse consider when planning this client’s care? Ans: 2 Page: 61 Feedback 1. There is no evidence to support that the client will need to be transferred to a skilled facility for assistance with care. 2. The proportion of households with just one person in the United States more than doubled from 13% to 27% between 1960 and 2012. This means that fewer Americans live with family members who can help care for them when they are ill or injured. In Canada, sin gle-person households are the fastest growing type of household and projections indicate this trend will continue well into the 21st century. 3. The scenario does not support the assumption that the client has the resources to pay for necessary supplies. Living alone does not mean that the person has extra finances. 4. There is no information about the client’s health plan coverage. Home care may or may not be required. 4. The nurse learns that an older female client lives alone. Which statement best explains the reason for this client’s living arrangement? Ans: 4 Page: 61 Feedback 1. Older women do not prefer to live alone. This living arrangement is most likely because the male spouse has passed away and the older woman is widowed. 2. Older women have fewer financial resources than men. 3. Geography and size of the family impact an older woman’s ability or desire to live with adult children. 4. A woman is likely to spend more years living alone after a spouse dies than will a man because life expectancy is about 3 years longer for an older woman than for an older man, and because women usually marry men older than themselves. Therefore, older Ame rican women are nearly twice as likely as men to be living alone. Rowe Family Health Care Nursing, 6e 3-6 5. The nurse prepares an educational program on the living arrangements of young adults for a community health fair. What should the nurse explain as an important difference between the young adults of today and those of previous generations? Ans: 3 Page: 63 Feedback 1. Today marriage is delayed. In 2015, 54% of women aged 25 to 29 in the United States and 67% of men in the same age group had never been married. 2. There is no evidence to support that the number of young adults entering the military is greater than before. 3. American parents often take in their children after they return from the military or school, or when they are between jobs. Today, leaving and returning home seems to be a common part of a successful transition to adulthood. 4. Entrance into the workforce occurs after completing high school or college. 6. The nurse notes that a young female client lives in a homeless shelter with her children. Which characteristic is most likely associated with this client? Ans: 2 Page: 72 Feedback 1. Based upon the client’s age, it is unlikely that the client is a widow. 2. Never -married single mothers are disadvantaged because they are younger, less educated, and less often employed than are divorced single mothers and married mothers. Single mothers often must curtail their work hours to care for the health and well-being of their children. Mothers who never -married are much less likely to get child support from the father than are mothers who are divorced or separated. 3. Most divorced mothers with custo dy of children younger than 21 receive some child support from the children’s father. 4. Women who are separated are more likely to receive financial support from the father of their children. Rowe Family Health Care Nursing, 6e 3-7 7. The nurse learns that a client is in a cohabitation living arrangement. What should this information indicate to the nurse? Ans: 2 Page: 65 Feedback 1. There is no evidence to support a higher risk for divorce if the couple marries after cohabitating. 2. On average, cohabitating couples re port poorer health and have lower incomes than do married couples. Although they are more likely to need health care services, they may be less likely to have the financial ability to secure them. 3. There is no evidence to support that children living in a cohabitating household have a higher risk for behavioral problems. 4. Because cohabitating relationships are not legally sanctioned in most states, partners may not have the right to make health care decisions on behalf of each other or of the other’s children. 8. When considering nursing care of families today, how will changing demographics affect the nurse’s approach to care? Ans: 4 Page: 77 Feedback 1. Because of geographical location and number of children, it is unlikely that an adult child will provide primary care for aging parents. 2. The new ideal father is a co -parent who is responsible for and involved in all aspects of his children’s care. Fathers spend more time caring for children when mothers are employed and when child ren are young. 3. Custody of children after a divorce is more likely to be awarded to the mother than to the father. 4. Similar to children growing up in single -parent families, children with stepparents have lower levels of well -being than children grow ing up with biological parents. It is not simply the presence of two parents, but the presence of two biological parents that seems to promote children’s healthy development. Rowe Family Health Care Nursing, 6e 3-8 9. The nurse notes that a preadolescent male with same -sex parents is scheduled for a wellness examination. Which of the following should the nurse keep in mind when caring for this client? Ans: 3 Page: 76 Feedback 1. Studies have found that children of same -sex parents fare relatively as well, if not better, in psychological development. 2. Studies have found that children of same -sex parents fare relatively as well, if not better, in emotional development. 3. Sons of same -sex couples are m ore likely to experience disapproval from their peers and face greater homophobic teasing than girls. Boys may be at greater risk of experiencing emotional distress. 4. Studies have found that children of same -sex parents fare relatively as well, if not better, in school performance. 10. The community health nurse notes a large number of cohabitation households in the community. Which statement could explain the reason for this? Select all that apply. Ans: 1, 2, 3, 4 Page: 64 Feedback 1. Research has shown that one reason for the i ncrease in cohabitation is the availability of reliable birth control. 2. Considering the increase in divorce rates, there is greater uncertainty about the stability of marriage. If a marriage is not successful, the parties suffer through a lengthy and difficult divorce. 3. If a relationship between a cohabitating couple is not successful, one can simply move out. 4. Research has shown that the stigma associated with cohabitation and sexual relations outside of marriage has eroded. 5. There is no evidence to suggest that people cohabitate because of the desire to make a statement that unmarried cohabitation is different from married life. Rowe Family Health Care Nursing, 6e 3-9 11. Which characteristic should the nurse remember when caring for a single mother? Select all that apply. Ans: 1, 4, 5 Page: 73 -74 Feedback 1. In the United States, single mothers are more likely to be poor and uninsured, making it more likely they will not be able to pay for it. 2. In the United States, single mothers are more likely to be poor and unins ured, making it less likely they will seek health care services. 3. Single mothers today are younger and less educated than they were a few decades ago. This presents problems because these mothers have more difficulty filling out health care forms correc tly. 4. Single mothers today are younger and less educated than they were a few decades ago. This presents problems because these mothers are less likely to understand their care instructions. 5. Single mothers today are younger and less educated than they were a few decades ago. This presents problems because these mothers are less likely to communicate effectively with nurses and doctors. 12. During a community fair presentation, a participan t asks why health care costs continue to increase in the United States. How should the nurse respond? Select all that apply. Ans: 1, 4, 5 Page: 59 Feedback 1. A major cause of increased health expenditures in industrialized countries is rising incomes. 2. Insurance coverage fees are not identified as a reason for the increase in health care costs. 3. Providing care to children in poverty is not identified as a reason for the increase i n health care costs. 4. A major cause of increased health expenditures in industrialized countries is changes in medical technology.