,1. The most appropriate initial nursing intervention when the nurse notes dysfunctional
i l i l i l i l i l i l i l i l i l il
interactions and lack of family support for a patient would be to
i l i l i l i l i l i l i l i l i l i l i l i l
a. enforce i l hospital i l visiting i l policies.
b. monitor i l the i l dysfunctional i l interactions.
c. notify i l the i l primary i l care i l provider.
d. role i l model i l appropriate i l support.
ANS: D i l
Nurses can, at times, role model more appropriate interactions or provide suggestions for
i l i l i l i l i l i l i l i l i l i l i l i l
iimproving communication and interactions among family members. If the nurse determines that
l i l i l i l i l i l i l il i l i l i l i l
ithe number of visitors has a negative impact on the patient, hospital policy may be to
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ilimit visitors, but that would not be the initial action. Monitoring the dysfunctional
l i l i l i l i l i l i l i l i l i l i l i l i l
iinteractions would not be an adequate response. The primary care provider should
l i l i l i l i l i l i l i l i l i l i l i l
i certainly be notified, but that would not be the initial response.
l i l i l i l i l i l il i l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
2. The nurse caring for a patient would identify a need for additional interventions related to
i l i l i l i l i l i l i l i l i l i l i l i l i l i l
family dynamics when
i l i l i l
a. extended i l family i l offers i l to i l help.
b. family i l members i l express i l cNoncern.
c. the i l ill i l member i l demands i l attention.
d. memories i l are i l shared. ANS: il i l C
It is not uncommon for the ill family member to become demanding and indicate that they
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ideserve special treatment and care, and the supportive family may need assistance in
l i l i l i l i l i l i l i l i l i l i l i l i l
iunderstanding the dynamics of the illness in order to continue to be supportive. Offers from
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
iextended family to help can be indicative of positive dynamics. Concern expressed by family
l i l i l i l i l i l i l i l i l il i l i l i l i l
imembers can be indicative of positive dynamics. Sharing of family memories can be
l i l i l i l i l i l il i l i l i l i l i l i l
iindicative of positive dynamics.
l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
3. Two women have an established long-term relationship and are attending parenting classes in anticipation of
il il il il il il il il il il il i l i l i l
finalizing adoption of a baby. The nurse identifies them as which type of family? a. Cohabiting
i l i l i l i l i l i l i l i l i l i l i l i l i l i l il il
b. Nuclear
c. Same-sex
d. Single i l parent i l ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple who live
i l i l i l i l i l i l i l i l i l i l i l i l il i l
itogether with no legal bond. Nuclear refers to the traditional male and female core family
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
iwith one or more children. Single parent refers to a family with one adult and one or
l i l i l i l i l i l i l i l i l i l i l il i l i l i l i l i l
imore children.
l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
,4. The nurse identifies the family with a child graduating from college as having which
i l i l i l i l i l i l i l i l i l i l i l i l i l
effect on the family life cycle? a. Minimal impact
i l i l i l i l i l i l il il i l
b. Considered i l to i l be i l a i l negative i l impact i l on i l the i l family unit i l
c. Leads i l to i l role i l confusion
d. Expectation i l of i l role i l change ANS: il i l D
The family life cycle developmental theory focuses on the growth and development of changes
i l i l i l i l i l i l i l i l i l i l i l i l i l
i in role relationships during transitional periods. A child graduating from college is
l i l i l i l i l i l i l i l i l il i l i l
i an example of a transition which requires a role change. As this
l i l i l i l i l i l i l i l i l i l i l i l
is a transition, one would expect to see a change so minimal impact would not be
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
i expected. Graduation does not imply that it will be a negative change on the
l i l i l i l i l i l i l i l i l i l i l i l i l i l
family life cycle or lead to role confusion.
il i l i l i l i l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
5. When reviewing the purposes of a family assessment, the nurse educator would identify a
i l i l i l i l i l i l i l i l i l i l i l il i l
need for further teaching if the student responded that family assessment is used to
i l i l i l i l i l i l i l i l i l i l il i l i l i l
gain an understanding of which aspect of the family?
i l i l i l i l i l i l i l i l i l
a. Development N
b. Function
c. Political i l views
d. Structure ANS: il i l C
An understanding of the political views of family members is not a primary purpose of
i l i l i l i l i l i l i l i l i l i l i l i l il i l
ia family assessment. A family assessment provides the nurse with information and an
l i l i l i l i l i l i l i l i l i l il i l i l
iunderstanding of family dynamics. This is important to nurses for the provision of quality
l i l i l i l i l i l i l i l i l il i l i l i l i l
ihealth care. A family assessment provides an understanding of family development, function,
l i l i l i l i l i l i l il i l i l i l i l
iand structure.
l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Health i l Promotion i l and i l Maintenance
6. A nurse is planning to assess the structure of a family. Which question should the nurse
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ask?i l
a. “Who i l lives i l with i l you i l in i l this i l home?”
b. “Who i l does i l the i l grocery i l shopping?”
c. “Who i l provides i l support i l in i l your i l family?”
d. “How i l old i l are i l the i l members i l of i l your i l family?” i l ANS: i l A
The structure of the family includes who is in the family and what their
i l i l i l i l i l i l i l i l i l i l i l i l i l
relationship is. “Who does the shopping?” would provide information about family functioning.
il i l i l i l i l i l i l i l i l i l i l il
i“Who provides support?” would provide information about family functioning. “How old are
l i l i l i l i l i l i l i l il i l i l i l
ithe members?” would provide information about family development.
l i l i l i l i l i l i l il
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
7. Which factors which would alert the nurse to negative/dysfunctional family dynamics? a.
i l i l i l i l i l i l i l i l i l il il
Aging of family members
il i l i l i l
b. Chronic i l illness i l of i l a i l family i l member
c. Disability i l of i l a i l family i l member
d. Intimate i l partner i l violence
, ANS: D i l
Intimate partner violence is an
i exemplarl of negative/dysfunctional family dynamics. i l i l i l i l i l i l i l il
i Aging of family members is an exemplar of changes to family dynamics.
l i l i l Chronic illness i l i l i l i l i l i l i l i l i l i l i l
i of a family member is an exemplar of changes to family dynamics.
l i l i l i l i l i l i l i l i l i l il i l
Disability of a family member is an exemplar of changes to family dynamics. OBJ:
i l i l i l i l i l i l i l i l i l i l i l i l i l
NCLEX Client Needs Category: Psychosocial Integrity
i l i l i l i l i l
N
i l i l i l i l i l i l i l i l i l il
interactions and lack of family support for a patient would be to
i l i l i l i l i l i l i l i l i l i l i l i l
a. enforce i l hospital i l visiting i l policies.
b. monitor i l the i l dysfunctional i l interactions.
c. notify i l the i l primary i l care i l provider.
d. role i l model i l appropriate i l support.
ANS: D i l
Nurses can, at times, role model more appropriate interactions or provide suggestions for
i l i l i l i l i l i l i l i l i l i l i l i l
iimproving communication and interactions among family members. If the nurse determines that
l i l i l i l i l i l i l il i l i l i l i l
ithe number of visitors has a negative impact on the patient, hospital policy may be to
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ilimit visitors, but that would not be the initial action. Monitoring the dysfunctional
l i l i l i l i l i l i l i l i l i l i l i l i l
iinteractions would not be an adequate response. The primary care provider should
l i l i l i l i l i l i l i l i l i l i l i l
i certainly be notified, but that would not be the initial response.
l i l i l i l i l i l il i l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
2. The nurse caring for a patient would identify a need for additional interventions related to
i l i l i l i l i l i l i l i l i l i l i l i l i l i l
family dynamics when
i l i l i l
a. extended i l family i l offers i l to i l help.
b. family i l members i l express i l cNoncern.
c. the i l ill i l member i l demands i l attention.
d. memories i l are i l shared. ANS: il i l C
It is not uncommon for the ill family member to become demanding and indicate that they
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ideserve special treatment and care, and the supportive family may need assistance in
l i l i l i l i l i l i l i l i l i l i l i l i l
iunderstanding the dynamics of the illness in order to continue to be supportive. Offers from
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
iextended family to help can be indicative of positive dynamics. Concern expressed by family
l i l i l i l i l i l i l i l i l il i l i l i l i l
imembers can be indicative of positive dynamics. Sharing of family memories can be
l i l i l i l i l i l il i l i l i l i l i l i l
iindicative of positive dynamics.
l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
3. Two women have an established long-term relationship and are attending parenting classes in anticipation of
il il il il il il il il il il il i l i l i l
finalizing adoption of a baby. The nurse identifies them as which type of family? a. Cohabiting
i l i l i l i l i l i l i l i l i l i l i l i l i l i l il il
b. Nuclear
c. Same-sex
d. Single i l parent i l ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple who live
i l i l i l i l i l i l i l i l i l i l i l i l il i l
itogether with no legal bond. Nuclear refers to the traditional male and female core family
l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
iwith one or more children. Single parent refers to a family with one adult and one or
l i l i l i l i l i l i l i l i l i l i l il i l i l i l i l i l
imore children.
l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
,4. The nurse identifies the family with a child graduating from college as having which
i l i l i l i l i l i l i l i l i l i l i l i l i l
effect on the family life cycle? a. Minimal impact
i l i l i l i l i l i l il il i l
b. Considered i l to i l be i l a i l negative i l impact i l on i l the i l family unit i l
c. Leads i l to i l role i l confusion
d. Expectation i l of i l role i l change ANS: il i l D
The family life cycle developmental theory focuses on the growth and development of changes
i l i l i l i l i l i l i l i l i l i l i l i l i l
i in role relationships during transitional periods. A child graduating from college is
l i l i l i l i l i l i l i l i l il i l i l
i an example of a transition which requires a role change. As this
l i l i l i l i l i l i l i l i l i l i l i l
is a transition, one would expect to see a change so minimal impact would not be
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
i expected. Graduation does not imply that it will be a negative change on the
l i l i l i l i l i l i l i l i l i l i l i l i l i l
family life cycle or lead to role confusion.
il i l i l i l i l i l i l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
5. When reviewing the purposes of a family assessment, the nurse educator would identify a
i l i l i l i l i l i l i l i l i l i l i l il i l
need for further teaching if the student responded that family assessment is used to
i l i l i l i l i l i l i l i l i l i l il i l i l i l
gain an understanding of which aspect of the family?
i l i l i l i l i l i l i l i l i l
a. Development N
b. Function
c. Political i l views
d. Structure ANS: il i l C
An understanding of the political views of family members is not a primary purpose of
i l i l i l i l i l i l i l i l i l i l i l i l il i l
ia family assessment. A family assessment provides the nurse with information and an
l i l i l i l i l i l i l i l i l i l il i l i l
iunderstanding of family dynamics. This is important to nurses for the provision of quality
l i l i l i l i l i l i l i l i l il i l i l i l i l
ihealth care. A family assessment provides an understanding of family development, function,
l i l i l i l i l i l i l il i l i l i l i l
iand structure.
l i l
OBJ: NCLEX i l Client i l Needs i l Category: i l Health i l Promotion i l and i l Maintenance
6. A nurse is planning to assess the structure of a family. Which question should the nurse
i l i l i l i l i l i l i l i l i l i l i l i l i l i l i l
ask?i l
a. “Who i l lives i l with i l you i l in i l this i l home?”
b. “Who i l does i l the i l grocery i l shopping?”
c. “Who i l provides i l support i l in i l your i l family?”
d. “How i l old i l are i l the i l members i l of i l your i l family?” i l ANS: i l A
The structure of the family includes who is in the family and what their
i l i l i l i l i l i l i l i l i l i l i l i l i l
relationship is. “Who does the shopping?” would provide information about family functioning.
il i l i l i l i l i l i l i l i l i l i l il
i“Who provides support?” would provide information about family functioning. “How old are
l i l i l i l i l i l i l i l il i l i l i l
ithe members?” would provide information about family development.
l i l i l i l i l i l i l il
OBJ: NCLEX i l Client i l Needs i l Category: i l Psychosocial i l Integrity
7. Which factors which would alert the nurse to negative/dysfunctional family dynamics? a.
i l i l i l i l i l i l i l i l i l il il
Aging of family members
il i l i l i l
b. Chronic i l illness i l of i l a i l family i l member
c. Disability i l of i l a i l family i l member
d. Intimate i l partner i l violence
, ANS: D i l
Intimate partner violence is an
i exemplarl of negative/dysfunctional family dynamics. i l i l i l i l i l i l i l il
i Aging of family members is an exemplar of changes to family dynamics.
l i l i l Chronic illness i l i l i l i l i l i l i l i l i l i l i l
i of a family member is an exemplar of changes to family dynamics.
l i l i l i l i l i l i l i l i l i l il i l
Disability of a family member is an exemplar of changes to family dynamics. OBJ:
i l i l i l i l i l i l i l i l i l i l i l i l i l
NCLEX Client Needs Category: Psychosocial Integrity
i l i l i l i l i l
N
