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, 1. The most appropriate initial nursing intervention when the nurse notes
dysfunctional interactions and lack of family support for a patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions or provide
suggestions for improving communication and interactions among family members.
If the nurse determines that the number of visitors has a negative impact on the
patient, hospital policy may be to limit visitors, but that would not be the initial
action. Monitoring the dysfunctional interactions would not be an adequate
response. The primary care provider should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional interventions
related to family dynamics when
a. extended family offers to help.
b. family members express concern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding and indicate
that they deserve special treatment and care, and the supportive family may need
assistance in understanding the dynamics of the illness in order to continue to be
supportive. Offers from extended family to help can be indicative of positive
dynamics. Concern expressed by family members can be indicative of positive
dynamics. Sharing of family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending parenting classes
in anticipation of finalizing adoption of a baby. The nurse identifies them as which
type of family? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple
who live together with no legal bond. Nuclear refers to the traditional male and
female core family with one or more children. Single parent refers to a family
with one adult and one or more children.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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, 1. The most appropriate initial nursing intervention when the nurse notes
dysfunctional interactions and lack of family support for a patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions or provide
suggestions for improving communication and interactions among family members.
If the nurse determines that the number of visitors has a negative impact on the
patient, hospital policy may be to limit visitors, but that would not be the initial
action. Monitoring the dysfunctional interactions would not be an adequate
response. The primary care provider should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional interventions
related to family dynamics when
a. extended family offers to help.
b. family members express concern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding and indicate
that they deserve special treatment and care, and the supportive family may need
assistance in understanding the dynamics of the illness in order to continue to be
supportive. Offers from extended family to help can be indicative of positive
dynamics. Concern expressed by family members can be indicative of positive
dynamics. Sharing of family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending parenting classes
in anticipation of finalizing adoption of a baby. The nurse identifies them as which
type of family? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple
who live together with no legal bond. Nuclear refers to the traditional male and
female core family with one or more children. Single parent refers to a family
with one adult and one or more children.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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