Family Focused Nursing Care 1st Edition By Sharon A. Denham – Test Bank

Chapter 11- Family-Focused Care with Chronic Illness

MULTIPLE CHOICE

MULTIPLE RESPONSE

1. Family-focused care can assist a nurse to help a family achieve which of the following desired outcomes?
1. Decreased hospitalizations of the chronically ill member
2. Support of family resilience
3. Ambiguous loss
4. Realization of “courtesy stigma”

ANS: 1, 2
Rationale:
Decreased hospitalizations may occur as the result of family vigilance in detecting symptoms early. Family-focused nurses will commend the family for its resilience. Ambiguous loss would not be desired, since there is often no closure as the person gets stuck or is unable to move on. Courtesy stigma, or avoidance of ridicule that extends to others associated with a person viewed differently, would not be desired.

PTS: 1
KEY: Content Area: Use family-focused care to support and overcome barriers when child and adult members have a chronic illness | Integrated Process: Caring | Client Need: Management of Care | Cognitive Level: Application | Question Type: Multiple Response

2. The nurse is beginning the care of a 38-year-old adult mother of two who has just come to the ER with an acute asthma attack. The nurse is told that the patient’s family is anxiously waiting to see him. Which of the following responses by the nurse reflect his understanding of the family’s needs?
1. “I will go and answer the family’s questions as soon as possible.”
2. “If your mom is hospitalized, what does this mean for your family?”
3. “Don’t worry; your mom will be better soon.”
4. “I can see you are worried about your mother.”

ANS: 1, 2, 4
Rationale:
The nurse understands that families need information, and is readily able to provide it and respond to questions. The nurse understands that families have routines that may be disrupted when hospitalization occurs, and strives to understand what a hospitalization would mean for a particular family. The nurse understands that telling the family not to worry does not meet the family’s need for respect and understanding of feelings. Acknowledging worry demonstrates active listening and is therapeutic for the family.

PTS: 1
KEY: Content Area: Examine special family concerns associated with chronic disease management | Integrated Process: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Application | Question Type: Multiple Response

3. Which of the following are family needs during chronic disease care coordination?
1. Vigilance
2. Knowledge
3. Self-care
4. Counseling

ANS: 1, 2, 3, 4
Rationale:
Vigilance, knowledge, self-care, and counseling are all family needs when a family member has a chronic disease.

PTS: 1
KEY: Content Area: Examine special family concerns associated with chronic disease management | Integrated Process: Nursing Process | Client Need: Safe and Effective Care | Cognitive Level: Knowledge | Question Type: Multiple Response

4. Which of the following are needs of family members who have a chronically ill family member?
1. Care coordination
2. Constant supervision
3. Resilience
4. Some normalcy

ANS: 1, 3, 4
Rationale:
The family members of someone who is chronically ill commonly have need for care coordination, resilience, and some normalcy. They do not need constant supervision; family members are capable of being good caregivers who will ask for assistance when necessary.

PTS: 1
KEY: Content Area: Discuss management of family stressors in living with uncertainty | Integrated Process: Caring | Client Need: Safe and Effective Care | Cognitive Level: Application | Question Type: Multiple Response

5. Which of the following demonstrate family-focused chronic care management?
1. Evidence-based
2. Episodic care
3. Needs of family unit met
4. Preventive

ANS: 1, 2, 4
Rationale:
Family-focused chronic care management is characterized by being evidence-based, meeting family needs, and preventive. Episodic care is not a distinguishing feature of chronic care management.

PTS: 1
KEY: Content Area: Use family-focused care to support and overcome barriers when child and adult members have a chronic illness | Integrated Process: Nursing Process | Client Need: Psychological Integrity | Client Need: Physiological Integrity | Cognitive Level: Application | Question Type: Multiple Response

COMPLETION

1. Chronic diseases are health problems that require ____________________ over a period of ____________________, according to the World Health Organization.

ANS:
ongoing management; years or decades
ongoing management; years
ongoing management; decades
Rationale:
The World Health Organization defines chronic diseases as health problems that require ongoing management over a period of years or decades.

PTS: 1
KEY: Content Area: Explain chronic illness experiences from individual and family perspectives | Integrated Process: Nursing Process | Client Need: Psychosocial Integrity | Client Need: Physiological Integrity | Cognitive Level: Knowledge | Question Type: Completion

2. When individuals have more than one chronic condition, it is called ____________________.

ANS:
multimorbidity
Rationale:
The definition of multimorbidity is individuals having more than one chronic condition.

PTS: 1
KEY: Content Area: Explain chronic illness experiences from individual and family perspectives | Integrated Process: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | Question Type: Completion