Concepts for Nursing Practice 4th Edition Jean Giddens Test Bank

,1. TheC mostC appropriateC initialC nursingC interventionC whenC theC nurseC notesCdCysfuncti
onalC C interactionsC C andC C lackC C ofC C familyC C supportC C forC C aC C patientC C wCouldC be
C to

a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
NursesC can, atC times,C roleC modelC more appropriateC interactions
orC provideCsuggestions for improvingC C communication
andC C interactions amongC C family
members.C IfC the nurseC determines thatC theC numberC of visitors
hasC aC negCativeC impact on the patient,
hospitalC C policyC mayC beC toC C limitC C visitors,C C bCutC that
wouldC notC beC theC initial Caction.C Monitoring

theC dysfunctionalC intCeractions wouldC C not beC C an
adequate response.C C TheC C primaryC C careC C provider
should certainlyC beC notified, but that wouldC not be
theC initialC respoCnse.

OBJ: NCLEX Client Needs Category: Psychosocial Integrity

2. TheC nurse caringC for aC patient wouldC identifyC aC need
C

forC additionalC intCerventions relatedC to familyC dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.C ANS: C
ItC isC not uncommon for theC ill
familyC memberC toC becomeC demandingC anC dC indicateC that
theyC deserveC special treatment and care,C and
theC supportiCveC familyC mayC need
assistanceC inC understandingC theC dynamics ofC the illnCessC inC orderC to
continueC toC be supportive.
OffersC fromC extendedC familyC toC help canC beC indicativeC of
positiveC dynamics. Concern expressedC byC faCmilyC members can
beC indicativeC ofC positiveC dynamics. SharingC of familyCmemories
canC beC indicativeC of positive dynamics.

OBJ: NCLEX Client Needs Category: Psychosocial Integrity

3. TwoC womenC haveC anC establishedC long-
termC relationshipC andC areC attendingC parentingC classesC inC anticipationC C ofC finaliziC
ngC adoptionC ofC aC baby.C TheC nurseC identifiesC themC C asC whichC typeC ofC faC
mily?C a.C Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C

,ThisC C familyC C wouldC C beC C considered aC C same-
sexC family. CohabitingC refersC to a coupleC who
liveC togetherC withC noC legaC lC bond.C NuclearC refersC toC theC traditiona
l maleC and female core familyCwithC oneC or more
children.C SingleC parentC refers toC a
familyC withC oneC aCdultC and oneC orC moreC children.

, OBJ: NCLEX Client Needs Category: Psychosocial Integrity