Solutions - Chapter 24 - Kozier Erb's Fundamentals Nursing - 10 Ed

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1TYK. Because a severely injured middle-aged client informed the nurse that he did not have any immediate family members, the nurse«contacted extended family members. Which of the follow­ing is most representative of extended family members?
1.  Grandparents, aunts, and uncles
2.  Parents and spouse
3.  Children who no longer live at home
4.  Roommates and close family friends
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2CTC. Linda is a young mother of three children who has developed a severe arthritic condition that has affected her ability to work and adequately care for her family. Her illness has created a financial hardship for the family and has strained their roles. Linda and her husband have cus-tody of their children from previous marriages as well as a daughter of their own. They are reluctant to seek assistance from outside sources because they fear interference from their ex-spouses with regard to their children.
Explain why Linda’s family is considered to be in a health crisis when only Linda is experiencing an illness.
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2TYK. Examine Figures 24-3 and 24-4 on pages 390-391. Based on the information in these two diagrams, which family member is at greatest risk for developing a health problem?
1.   Alice
2.   Bill
3.   Kim
4.   Mary
Reference Figure 24-3:
 
Reference Figure 24-4:
 
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3TYK. Examine Figures 24-3 and 24-4 on pages 390-391. Based on the information in these two diagrams, which family member is at greatest risk for developing a health problem?
1.   Alice
2.   Bill
3.   Kim
4.   Mary

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4CTC. Linda is a young mother of three children who has developed a severe arthritic condition that has affected her ability to work and adequately care for her family. Her illness has created a financial hardship for the family and has strained their roles. Linda and her husband have cus-tody of their children from previous marriages as well as a daughter of their own. They are reluctant to seek assistance from outside sources because they fear interference from their ex-spouses with regard to their children.
Describe Linda’s family from the perspective of general systems theory.
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4TYK. A visual representation of family members by sex, age, health status, and lines of relationships through the generations is referred to as a.________
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5TYK. To assess the impact of illness on the family as a unit, it is essential for the nurse to assess which factors? Select all that apply.
1.  The duration of the illness
2.  The meaning of the illness to the family and its significance to family systems
3.  The coping mechanisms used by other families with similar illnesses
4.  The financial impact of the illness (including factors such as insurance and ability of the ill member to work)
5.  The incidence of the illness in the community at large
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6TYK. An adult child brings a parent to an agency with signs and symptoms of potential fluid retention (e.g., high blood pressure, swollen feet) possibly related to excessive sodium intake. Further nursing assessment indicates inadequate food storage and preparation techniques in the home. Which would be the most appropriate nursing diagnosis?
1.  Readiness for Enhanced Family Coping
2.  Disabled Family Coping
3.  Impaired Parenting
4.  Caregiver Role Strain
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7TYK. Prior to finalizing a family-oriented nursing care plan and imple­menting interventions, it is essential for the nurse to perform which of the following?
1.  Meet with all family members simultaneously.
2.  Confirm that the family health insurance covers all family members.
3.  Establish a trusting relationship with the family as a group.
4.  Complete a thorough history and physical examination of each family member
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8TYK. Nurses often utilize systems theory to assess family units. Which example illustrates a family unit that does NOT meet the criteria of a well-functioning system?
1. The family members allow input from outside the family unit.
2. The family members are interdependent.
3.  Each member’s personal boundaries are well defined.
4. The primary activities of each member focus on personal purposes.
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