Review Practice Exercise 2

Individual & Family Health And Community Based Practice > Fundamentals

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Practice Exercise 2

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Total Questions : 5

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Question 1:

A school nurse is teaching a class on domestic violence to high school students. Which of the following student statements indicates a need for further teaching?

A. ‘‘Abusers are often excessively jealous and possessive.’’ B. ‘‘If you are educated and have money, abuse does not happen.’’ C. ‘‘The abuser will often apologize and promise to stop.’’ D. ‘‘Violence often begins in a dating relationship.’’

Answer and Explanation

Choice A:

“Abusers are often excessively jealous and possessive.” Jealousy and possessiveness are red flags in abusive relationships. Abusers may attempt to isolate victims from friends or family and control their actions.

Choice B:

“If you are educated and have money, abuse does not happen.” Domestic violence can happen to anyone regardless of education, income, or social status. Believing it only happens in disadvantaged communities prevents people from recognizing abuse in more affluent populations.Rationale for incorrect answers:

Choice C:

The abuser will often apologize and promise to stop.” Abusers frequently use apologies and promises during the honeymoon phase of the abuse cycle. These promises often manipulate the victim into staying, which is a classic part of the cycle of violence.

Choice D:

“Violence often begins in a dating relationship.” Teen dating violence is common, and early warning signs can be seen during adolescence. Education about healthy vs. unhealthy relationship behaviors is essential during this period.

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Question 2:

Which of the following is a trait of a functional (healthy) family?

A. Ambiguous communication B. Enmeshment C. Hierarchy of rules D. Timely feedback

Answer and Explanation

Choice A:

Ambiguous communication involves unclear, contradictory, or indirect messages. It can lead to confusion, mistrust, and emotional distress among family members. Healthy families practice clear, direct communication.

Choice B:

Enmeshment refers to blurred boundaries between family members, often resulting in overinvolvement in each other’s lives. In functional families, members maintain individual identity and independence while still being emotionally connected.

Choice C:

Hierarchy of rules: While structure is important, rigid hierarchies and strict, inflexible rules are more characteristic of dysfunctional family systems. Healthy families often use flexible roles and collaborative decision-making, promoting mutual respect and adaptability.

Choice D:

Timely feedback is a hallmark of a healthy family. It reflects open, honest, and effective communication where family members respond to each other's emotional and practical needs appropriately and without delay. Rationale for incorrect answers:

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Question 3:

Where do individuals learn their health beliefs and values?

A. In the family B. In school C. From school nurses D. From peers

Answer and Explanation

Choice A:

In the family: The family is the primary socializing agent where individuals first learn health-related beliefs, values, behaviors, and practices. Children observe and imitate how family members handle illness, nutrition, hygiene, and health-seeking behaviors. Rationale for incorrect answers:

Choice B:

In school: Schools provide structured health education, but they generally reinforce, rather than originate, an individual's health beliefs. While important, schools are typically secondary sources after the family.

Choice C:

From school nurses: School nurses play an important supportive and educational role, particularly in addressing acute issues and promoting health in school settings. However, they are not the primary source of health belief development.

Choice D:

From peers: Peers may influence health behaviors, especially in adolescence (e.g., substance use, diet trends), but they usually affect short-term behaviors more than deeply rooted values and beliefs, which are primarily learned from the family.

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Question 4:

Two priority actions of the community nurse that address family violence are:

A. Assessment B. Diagnosing C. Education D. Interdisciplinary communication E. Planning F. Political advocacy

Answer and Explanation

Choice A:

Assessment: Community nurses must first assess for signs of abuse-physical, emotional, or behavioral indicators-through screening and observation.

Choice B:

Diagnosing: While diagnosing (nursing diagnosis) is part of the nursing process, it is not a priority action specific to addressing family violence. The immediate concern is recognizing the abuse and ensuring safety through proper assessment and referral.

Choice C:

Education: Education is important in the long-term prevention of family violence but is not the top priority when responding to suspected or active abuse. Safety and coordination of care come first.

Choice D:

Interdisciplinary communication: Addressing family violence requires collaboration with social workers, law enforcement, mental health professionals, and legal systems. Effective communication ensures a coordinated response for protection and support of the victim.Rationale for incorrect answers:

Choice E:

Planning: Planning is part of the overall nursing process, but in the context of immediate family violence response, it comes after assessment and initial collaboration. It is not a priority action on its own.

Choice F:

Political advocacy: Advocacy for policy change is vital to broader systems change, but not a priority during the actual response to an individual or family experiencing violence. It is a secondary or long-term public health strategy.

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Question 5:

Which of the following is an example of tertiary prevention activities for the nurse to perform with abused children?

A. Assessing for signs of child abuse B. Identifying at-risk households C. Performing family therapy for abusive parents D. Teaching parenting classes on developmental milestones

Answer and Explanation

Choice A:

Assessing for signs of child abuse: This is a secondary prevention activity. It involves early detection to prevent escalation or further harm.

Choice B:

Identifying at-risk households: This is an example of primary prevention, where the nurse aims to prevent abuse before it occurs by targeting risk factors (e.g., poverty, substance use, family stress).

Choice C:

Performing family therapy for abusive parents: This is a tertiary prevention activity. It addresses rehabilitation and behavioral change in already affected families to prevent recurrence and support recovery.Rationale for incorrect answers:

Choice D:

Teaching parenting classes on developmental milestones: This falls under primary prevention, aiming to prevent abuse through education and support before abuse happens.

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Practice Exercise 2

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