Journey Across the Life Span Human Development and Health Promotion, 4th Edition By Elaine-Test Bank

 

 

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Sample Test

Chapter 3: The Family

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Margaret Giddings, the senior member of her family, wants to know how she can best protect her family from illness. The nurse could instruct her to:

a.

Have periodic health screenings

b.

Decrease exercise

c.

Fortify diet with saturated fats

d.

Ignore periodic stress

 

 

____    2.   Angie has a 2-year-old child and questions how she can instill good discipline. You would tell her to:

a.

Disregard temper tantrums

b.

Provide unsupervised play periods

c.

Calmly say “No” to change behavior

d.

Offer several choices

 

 

____    3.   A functional family is one that:

a.

Isolates disruptive members

b.

Frowns upon low achievers

c.

Fosters growth and development

d.

Compares and contrasts accomplishments of its members

 

 

____    4.   Four-year-old Henry’s parents were separated for several months and now are divorced. He may likely experience feelings of:

a.

Relief

b.

Contentment

c.

Jealousy

d.

Abandonment

 

 

____    5.   A middle-aged couple was admitted to the hospital after a motor vehicle accident. Two days later, the spouse expired. While observing a staff member offering grief support, which action is correct?

a.

She states that “death happens to everyone at some time.”

b.

She states that “maybe your husband was driving too fast.”

c.

She tells the patient to “act strong.”

d.

She says little but stays with the patient.

 

 

____    6.   Mary, age 30, just experienced the untimely death of her father. You might expect her to immediately exhibit feelings of:

a.

Anger

b.

Shock

c.

Ambivalence

d.

Euphoria

 

 

____    7.   Two common bonds that hold a family together are:

a.

Persuasion and fortitude

b.

Attachment and commitment

c.

Aggression and firmness

d.

Love and hate

 

 

____    8.   Which of the following is a stage of family development?

a.

Denial

b.

Withdrawal

c.

Negativism

d.

Reproduction

 

 

____    9.   Four-year-old Sam is the second child of Jim and Pat Gates. How may Sam’s birth order affect his development?

a.

Sam will believe he has unlimited power over his other siblings.

b.

Sam will feel a need to compete with his other siblings.

c.

Sam will more easily mimic the behavior of adults around him.

d.

Sam will believe he must have the attention of both parents and all siblings.

 

 

____  10.   In a laissez-faire–type family pattern, 9-year-old Jane would:

a.

Be used to her parents making all the decisions

b.

Be able to participate in decision making

c.

Have complete freedom in making all decisions

d.

Have all decisions reviewed and modified

 

 

____  11.   A function basic to all families is the need to:

a.

Direct its members

b.

Punish its members

c.

Judge its members

d.

Protect its members

 

 

____  12.   An example of a break in family structure is:

a.

Divorce

b.

Remarriage

c.

Illness

d.

Unemployment

 

 

____  13.   Reproduction provides the family with a means of:

a.

Readiness

b.

Division

c.

Structure

d.

Survival

 

 

____  14.   Melvin Carey, a 22-year-old nurse, is employed in the intensive care unit. In interacting with patients’ families, he must be which of the following?

a.

Sympathetic

b.

Aggressive

c.

Unyielding

d.

Nonjudgmental

 

 

____  15.   Millicent, age 30, is being discharged from the hospital after treatment for depression. The nurse has encouraged the family to spend time together, because this will lead to:

a.

Awareness

b.

Cohesiveness

c.

Disengagement

d.

Fulfillment

 

 

____  16.   Jeremy, age 4, lives with his mother, father, and 6-month-old sister. This living arrangement describes the:

a.

Blended family

b.

Nuclear family

c.

Reconstituted family

d.

Cohabitative family

 

 

____  17.   One of the major advantages of the extended family is:

a.

There is always close attachment between all members.

b.

All financial concerns are eliminated.

c.

Roles and resources are shared.

d.

All members generally enjoy better health.

 

 

____  18.   To resolve a family conflict, the members must be able to:

a.

Have open communication

b.

Confront each member

c.

Avoid further interaction

d.

Isolate each member

 

 

____  19.   The “empty nest” is best described as the:

a.

Time parents begin to age

b.

Entrance of the firstborn in the family

c.

Time grown children leave home

d.

Time the first child begins school

 

 

____  20.   A dysfunctional family is one that is:

a.

Unable to meet the family’s needs

b.

Able to foster the growth and development of its members

c.

Unable to enhance the intelligence of its members

d.

Able to improve its members’ ability to socialize

 

 

____  21.   The family is the primary socializing agent for the child. For the family to be successful, it should help in:

a.

The identification of gender roles

b.

The regulation of behavior according to society’s standards

c.

The identification of learning

d.

The development of ethics

 

 

____  22.   Divorce is a known stressor for the family unit. Which of the following responses by the nurse would best support the individual’s decision to divorce?

a.

“You should try and stay in the marriage at least until your children are older.”

b.

“I would have left him long ago.”

c.

“Explain to the children that they are not to blame for the marriage failing.”

d.

“I have a good divorce lawyer to recommend to you.”

 

 

True/False

Indicate whether the statement is true or false.

 

____  23.   Definitions of the basic family unit have remained constant over the span of years.

 

____  24.   The authoritative family style offers its members choices and encourages participation and individual responsibility.

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____  25.   The nurse recognizes that a functional family has which of the following characteristics? (Select all that apply.)

a.

Emotional needs are met

b.

Support from others

c.

Freedom to grow and explore

d.

Isolated and fearful

e.

Blamed for failures or actions

 

 

Matching

 

Match the example with the appropriate stage listed below

a.

Childbearing stage

c.

Grown Child stage

b.

Older Family stage

d.

Couple stage

 

 

____  26.   Two adults bringing home their newborn infant son

 

____  27.   Family consisting of adults enjoying their retirement and recreation along with their new roles in their family

 

____  28.   The family unit has changed resulting in an empty nest.

 

____  29.   These adults have chosen to start out on their own and focus on developing their careers.

 

 

Ch03

Answer Section

 

MULTIPLE CHOICE

 

1.    ANS:  A

Early detection through periodic health screenings helps to treat or reduce the severity of illnesses.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

2.    ANS:  D

Two-year-olds can handle simple choices better than a directive because that gives them a sense of control.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity

 

3.    ANS:  C

A major goal of the family is to help the members reach their full potential.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

4.    ANS:  D

Four-year-olds tend to worry that they could be left alone or abandoned by their parents after a divorce or separation.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

5.    ANS:  D

Using silence can tell the patient that you are focusing on him or her and what he or she is saying.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity

 

6.    ANS:  B

Shock and disbelief are the initial responses after an untimely death.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

7.    ANS:  B

Families experience high and low periods and are kept together by feelings of attachment and a sense of commitment.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

8.    ANS:  D

The stages of the family include couple, childbearing (reproduction), grown child, and older family.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

9.    ANS:  B

Children with siblings have to learn to share and try to compete for their parents’ attention.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

10.  ANS:  C

Laissez-faire types of families allow their members complete freedom in decisions.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

11.  ANS:  D

Protection is the most basic need of all families. Once this is accomplished, other needs can be addressed.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

12.  ANS:  A

Anything such as death, divorce, or separation can cause instability to the family structure.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

13.  ANS:  D

Families survive and pass on their genes by reproducing.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance

 

14.  ANS:  D

Families and patients must be treated with a nonjudgmental approach.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Implementation | Client Needs: Psychosocial Integrity

 

15.  ANS:  B

Families can be a great source of support for patients.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

16.  ANS:  B

The nuclear family consists of a mother, father, and their children.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

17.  ANS:  C

Extended families permit a better distribution of family roles.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

18.  ANS:  A

Open communication fosters a sharing of information and the chance for conflict resolution.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Planning | Client Needs: Psychosocial Integrity

 

19.  ANS:  C

The period in which grown children leave their home is referred to as the empty nest period.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

20.  ANS:  A

All families experience stresses. A dysfunctional family is unable to assist its members in meeting their needs.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance

 

21.  ANS:  B

Socialization teaches individuals how to interact with their environment.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Psychosocial Integrity

 

22.  ANS:  C

The nurse should refrain from giving advice to individuals. Information that can assist a person with his or her decision can support and direct without influencing the individual.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Evaluation | Client Needs: Health Promotion and Maintenance

 

TRUE/FALSE

 

23.  ANS:  T

The old definition of the family unit has been updated to reflect societal changes in living arrangements.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment  | Client Needs: Health Promotion and Maintenance

 

24.  ANS:  T

The authoritative family style works on the philosophy of mutual respect and individual responsibility.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment  | Client Needs: Health Promotion and Maintenance

 

MULTIPLE RESPONSE

 

25.  ANS:  A, B, C

Functional families are able to support, encourage growth and exploration, and help members meet their emotional needs.

 

PTS:   1

KEY:  Integrated Processes: Nursing Process: Assessment | Client Needs: Health Promotion and Maintenance

 

MATCHING

 

26.  ANS:  A                    PTS:   1

KEY:  Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity

 

27.  ANS:  B                    PTS:   1

KEY:  Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity

 

28.  ANS:  C                    PTS:   1

KEY:  Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity

 

29.  ANS:  D                    PTS:   1

KEY:  Integrated Processes: Nursing Process: Evaluation | Client Needs: Psychosocial Integrity

 

Chapter 4: Communication

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Communication is the:

a.

Last step in the nursing process

b.

Most vital link between diagnosis and disease

c.

Exchange of information and ideas

d.

Basis for all thinking processes

 

 

____    2.   Part of the communication process is:

a.

Emotions

b.

Mental

c.

Physical

d.

Feedback

 

 

____    3.   The person who interprets the message is called the:

a.

Sender

b.

Receiver

c.

Method

d.

Process

 

 

____    4.   A form of verbal communication is:

a.

Body language

b.

Gestures

c.

Appearance

d.

Words

 

 

____    5.   A professional appearance by the health-care worker can communicate:

a.

Incompetence

b.

Uncaring

c.

Pride

d.

Acceptance

 

 

____    6.   Which of the following behaviors by your patient indicates a willingness to communicate?

a.

Downcast eyes

b.

Face toward you

c.

Legs tightly crossed

d.

Slumping posture

 

 

____    7.   Which of the following describes nonverbal behavior?

a.

Gestures

b.

Spoken word

c.

Tone of voice

d.

Aggressive style

 

 

____    8.   Periods of silence during the communication process allow the health-care worker to:

a.

Redirect the patient

b.

Observe nonverbal behavior

c.

Relieve the patient’s anxiety

d.

Minimize rejection

 

 

____    9.   The communication style that serves to empower the individual is:

a.

Assertive

b.

Unassertive

c.

Aggressive

d.

Passive

 

 

____  10.   Therapeutic communication:

a.

Serves the needs of both participants

b.

Involves equal sharing of thoughts and feelings

c.

Is light and superficial in nature

d.

Promotes trust and a good rapport

 

 

____  11.   Active listening requires an active mind and:

a.

Closed posture

b.

Leaning forward toward the patient

c.

Staring intently at the patient

d.

Sitting alongside the patient

 

 

____  12.   Being yourself and being open and truthful describe:

a.

Warmth

b.

Listening

c.

Genuineness

d.

Positive regard

 

 

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