NURSING 7260 NURSING CONCEPTS IN ADVANCED FAMILY NURSING EXAM Q & A 2024, Exams of Nursing

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NURSING 7260

Nursing Concepts in

Advanced Family

Nursing

Q & A w/ Rationales

Question 1: Which of the following best describes the concept of family nursing assessment in advanced family nursing? A. Focusing solely on the individual patient's health needs B. Assessing the health needs of family members as a unit C. Conducting assessments only in clinical settings D. Involving only the immediate family members in the assessment process Answer: B. Assessing the health needs of family members as a unit Rationale: Advanced family nursing emphasizes the assessment of the entire family unit's health needs, considering the interconnectedness of family members and the impact of the family dynamics on individual health. Question 2: When implementing advanced family nursing interventions, what is the primary goal of considering the family as the unit of care? A. To exclude individualized care for family members B. To address the family's health needs in isolation from individual needs C. To promote the health and well-being of the family as a whole D. To prioritize the needs of the healthcare provider

A. It is irrelevant to consider cultural factors in family care B. It may lead to misunderstandings and should be avoided C. It is crucial for understanding and respecting the diverse needs of families D. It only applies to individualized patient care, not family care Answer: C. It is crucial for understanding and respecting the diverse needs of families Rationale: Cultural competence is essential in advanced family nursing to understand and respect the diverse cultural needs and practices within families, promoting effective and respectful care delivery. Question 5: What is the primary focus of the genogram in advanced family nursing assessment? A. Identifying individual health concerns B. Understanding family relationships and patterns C. Assessing only biological factors D. Excluding the impact of family history on health Answer: B. Understanding family relationships and patterns Rationale: The genogram is used in advanced family nursing to understand family relationships, dynamics, and patterns, providing valuable insights into the family's

health context. Question 6: Which of the following best defines the concept of family resilience in the context of advanced family nursing? A. Ignoring the family's capacity to overcome challenges B. Acknowledging the family's ability to adapt and thrive in the face of adversity C. Focusing solely on individual resilience D. Disregarding the impact of environmental factors on family well-being Answer: B. Acknowledging the family's ability to adapt and thrive in the face of adversity Rationale: Family resilience in advanced family nursing acknowledges the family's capacity to adapt, recover, and thrive in the face of adversity, recognizing their strengths and coping mechanisms. Question 7: When assessing family functioning in advanced family nursing, what aspect is crucial to consider? A. Only the individual's functioning within the family B. The family's ability to isolate individual needs C. The impact of family dynamics on overall functioning D. Disregarding the influence of family interactions

A. It is irrelevant to consider family empowerment in care delivery B. It may lead to conflicts within the family C. It is essential for promoting active participation and improved health outcomes D. It only applies to individualized patient care, not family care Answer: C. It is essential for promoting active participation and improved health outcomes Rationale: Family empowerment in advanced family nursing is crucial for promoting active participation, collaboration, and improved health outcomes, recognizing the family's role in their own care. Question 10: When implementing advanced family nursing interventions, what is the significance of considering the developmental stage of family members? A. It has no impact on care delivery B. It helps in understanding the family's financial status C. It provides insights into the family's capacity for self- care D. It is crucial for tailoring interventions to meet the family's unique needs Answer: D. It is crucial for tailoring interventions to meet the family's unique needs

Rationale: Considering the developmental stage of family members in advanced family nursing is crucial for tailoring interventions to meet the family's unique needs, recognizing their capacities and challenges at different life stages. Question 11: What is the primary focus of the family nursing diagnosis in advanced family nursing? A. Identifying only individual health concerns B. Assessing the family's capacity for self-care C. Recognizing the impact of family dynamics on health D. Formulating a comprehensive understanding of the family's health needs Answer: D. Formulating a comprehensive understanding of the family's health needs Rationale: The family nursing diagnosis in advanced family nursing aims to formulate a comprehensive understanding of the family's health needs, considering their dynamics, relationships, and contextual factors. Question 12: What is the significance of interdisciplinary collaboration in advanced family nursing care? A. It may lead to conflicts within the healthcare team

Question 14: What is the primary role of the advanced family nurse in facilitating family support? A. To exclude family involvement in the support process B. To focus solely on individualized patient support C. To provide emotional and practical support to the family unit D. To prioritize the needs of the healthcare provider in support delivery Answer: C. To provide emotional and practical support to the family unit Rationale: The primary role of the advanced family nurse in facilitating family support is to provide emotional and practical support to the family unit, recognizing their holistic needs. Question 15: In advanced family nursing, what is the significance of advocating for family-centered policies and resources? A. It has no impact on care delivery B. It is crucial for addressing the systemic needs of families C. It may lead to conflicts with healthcare institutions D. It only applies to individualized patient care, not family care

Answer: B. It is crucial for addressing the systemic needs of families Rationale: Advocating for family-centered policies and resources in advanced family nursing is crucial for addressing the systemic needs of families, promoting equitable access to support and resources for family well- being. B:

1. A nurse practitioner is conducting a comprehensive health assessment for a 45-year-old woman who has a family history of breast cancer. Which of the following statements is true regarding the breast examination? a) The nurse should palpate the breasts in a circular motion, starting from the nipple and moving outward. b) The nurse should inspect the breasts for symmetry, shape, size, color, and texture while the woman is sitting upright. c) The nurse should ask the woman to raise her arms above her head and then lower them to her sides while observing for any changes in the breasts. d) The nurse should perform all of the above actions as part of the breast examination. Rationale: A comprehensive breast examination includes inspection, palpation, and observation of the breasts in different positions. This helps to detect any abnormalities

take? a) The nurse should refer the woman to an endocrinologist for further evaluation and treatment. b) The nurse should advise the woman to increase her physical activity and reduce her carbohydrate intake. c) The nurse should initiate insulin therapy and educate the woman on how to administer, store, and monitor insulin. d) The nurse should prescribe a new oral hypoglycemic agent and monitor its effectiveness and side effects. Rationale: Insulin therapy is indicated when oral hypoglycemic agents fail to achieve adequate glycemic control in type 2 diabetes mellitus. Insulin therapy requires careful education and monitoring to prevent complications such as hypoglycemia.

4. A nurse practitioner is caring for a 35-year-old woman who is pregnant with her first child. The woman is at 32 weeks of gestation and has a history of hypertension. During a routine prenatal visit, the nurse notes that the woman's blood pressure is 160/100 mmHg, her urine protein is 3+, and her edema is 2+. Which of the following diagnoses is most likely for this woman? a) Gestational diabetes b) Preeclampsia c) Placenta previa d) Preterm labor Rationale: Preeclampsia is a pregnancy-related complication characterized by hypertension, proteinuria, and edema. It can lead to serious maternal and fetal

outcomes if not treated promptly.

5. A nurse practitioner is conducting a mental health assessment for a 25-year-old man who has been experiencing mood swings, insomnia, irritability, and impulsivity. The man admits that he has been using cocaine regularly for the past six months. Which of the following tools is most appropriate for the nurse to use to screen for substance use disorders? a) CAGE questionnaire b) PHQ-9 questionnaire c) AUDIT-C questionnaire d) GAD-7 questionnaire Rationale: AUDIT-C is a brief screening tool that assesses alcohol use disorders. It can also be adapted to screen for other substance use disorders by replacing alcohol with the substance of interest.
6. A nurse practitioner is providing palliative care for a 70- year-old woman who has terminal cancer. The woman expresses her wish to die at home surrounded by her family. Which of the following statements is true regarding advance directives? a) Advance directives are legal documents that specify the type and extent of medical care that a person wants or does not want in case of incapacity. b) Advance directives include living wills, durable power of attorney for health care, and do-not-resuscitate orders. c) Advance directives can be revoked or modified by the person at any time, as long as they are competent and able

a) HRT can reduce the risk of osteoporosis, cardiovascular disease, and dementia in postmenopausal women. b) HRT can increase the risk of breast cancer, ovarian cancer, and thromboembolic events in postmenopausal women. c) HRT can improve the quality of life, mood, and sexual function in postmenopausal women. d) All of the above statements are true regarding the benefits and risks of HRT. Rationale: HRT is a complex and controversial topic that requires individualized assessment and counseling for each patient. HRT can have both positive and negative effects on various aspects of health and well-being in postmenopausal women.

9. A nurse practitioner is performing a neurological examination for a 60-year-old man who has a history of stroke. The man has left-sided hemiparesis and aphasia. Which of the following tests is most appropriate for assessing the man's cognitive function? a) Mini-Mental State Examination (MMSE) b) Montreal Cognitive Assessment (MoCA) c) Mini-Cog d) Clock Drawing Test (CDT) Rationale: Mini-Cog is a brief screening tool that consists of a three-item recall test and a clock drawing test. It is designed to detect cognitive impairment, especially in patients with stroke or vascular dementia.
10. A nurse practitioner is prescribing an antibiotic for a

30 - year-old woman who has a urinary tract infection (UTI). The woman reports that she is allergic to penicillin. Which of the following antibiotics is most suitable for this patient? a) Amoxicillin b) Cephalexin c) Nitrofurantoin d) Doxycycline Rationale: Nitrofurantoin is an antibiotic that is effective against most common pathogens that cause UTIs. It has a low risk of cross-reactivity with penicillin allergy.

11. A nurse practitioner is reviewing the laboratory results of a 45-year-old man who has been diagnosed with hyperlipidemia. The man has been taking statins for the past three months. Which of the following results indicates that the treatment is effective? a) Total cholesterol: 180 mg/dL b) Low-density lipoprotein (LDL): 100 mg/dL c) High-density lipoprotein (HDL): 60 mg/dL d) All of the above results indicate that the treatment is effective. Rationale: Statins are drugs that lower cholesterol levels by inhibiting an enzyme involved in cholesterol synthesis. The goal of treatment is to reduce total cholesterol to less than 200 mg/dL, LDL to less than 100 mg/dL, and increase HDL to more than 40 mg/dL.
12. A nurse practitioner is counseling a 25-year-old woman who wants to start using oral contraceptives. The woman has no contraindications to hormonal contraception. Which

Advanced Family Nursing? A) Medication administration B) Health assessment C) Wound care D) Clinical documentation Answer: B) Health assessment Rationale: Advanced Family Nurses play a crucial role in conducting comprehensive health assessments of individuals and families. This skill is essential in identifying health needs, developing care plans, and evaluating outcomes.

3. What is the primary goal of Advanced Family Nursing? A) Preventing illness B) Curing diseases C) Promoting health D) Managing symptoms Answer: C) Promoting health Rationale: The primary goal of Advanced Family Nursing is to promote health by empowering individuals and families to make informed decisions and adopt healthy behaviors. It focuses on preventive measures, early intervention, and health promotion strategies.
4. Which theory is commonly used as a framework for Advanced Family Nursing practice? A) Biomedical theory B) Chaos theory

C) Systems theory D) Humanistic theory Answer: C) Systems theory Rationale: Systems theory is frequently used in Advanced Family Nursing as it helps professionals understand the interactions and dynamics within a family system. This theory assists in identifying patterns and relationships among family members and their impact on health outcomes.

5. The scope of practice for Advanced Family Nursing includes: A) Prescribing medications B) Performing surgery C) Administering anesthesia D) Conducting psychotherapy Answer: A) Prescribing medications Rationale: Advanced Family Nurses have the authority to prescribe medications within their scope of practice. This competency empowers them to provide timely and effective treatment to patients with appropriate medication management.
6. A nurse who is practicing Advanced Family Nursing may be involved in which of the following activities? A) Developing community health programs B) Conducting diagnostic imaging procedures C) Performing laboratory tests