,1. Them mostm appropriatem initialm nursingm interventionm whenm them nursem notesmdysfuncti
onalm interactionsm and m lackm of m familym support m form am patient m would m bem to
a. enforcem hospitalm visitingm policies.
b. monitorm them dysfunctionalm interactions.
c. notifym them primarym carem provider.
d. rolem modelm appropriatem support.
ANS:m D
Nursesm can,m at m times,m rolem modelm morem appropriatem interactionsm orm providem suggest
ionsm form improvingm communicationm and m interactionsm amongm familym members.mIf m the
m nursem determinesm that m them numberm of m visitorsm hasm am negativem impact m onm them patie
nt,m hospitalm policym maym bem tom limit m visitors,m but m that m would m not m bem them initialm act
ion.m Monitoringm them dysfunctionalm interactionsm would m not m bem anm adequatem response
.m Them primarym carem providerm should m certainlym bem notified,m but m that m would mnot m be
m them initialm response.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
2. Them nursem caringm form am patient m would m identifym am need m form additionalm interventions
m related m tom familym dynamicsm when
a. extended m familym offersm tom help.
b. familym membersm expressm cNoncern.
c. them illm memberm demandsm attention.
d. memoriesm arem shared.mANS:m C
It m ism not m uncommonm form them illm familym memberm tom becomem demandingm and m indicate
m that m theym deservem specialm treatment m and m care,m and m them supportivem familym maym nee
d m assistancem inm understandingm them dynamicsm of m them illnessm inm orderm tom continuem to
m bem supportive.m Offersm fromm extended m familym tom helpm canm bem indicativem of m positiv
emdynamics.m Concernm expressed m bym familym membersm canm bem indicativem of m positivem
dynamics.m Sharingm of m familym memoriesm canm bem indicativem of m positivem dynamics.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
3. Twomwomenmhaveman mestablished mlong-
termmrelationshipmand maremattendingmparentingmclassesm inm anticipationm of m finalizingm ado
ptionm of m am baby.m Them nursem identifiesm themm asm whichm typem of m family?ma.mCohabitin
g
b. Nuclear
c. Same-sex
d. Singlem parent m ANS:
C
Thism familym would m bem considered m am same-
sexm family.m Cohabitingm refersm tom am couplemwhom livem togetherm withm nom legalm bond.m
Nuclearm refersm tom them traditionalm malem and m femalem corem familym withm onem orm morem
children.m Singlem parentm refersm tom am familymwithm onem adult m and m onem orm morem childre
n.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
,4. Them nursem identifiesm them familym withm am child m graduatingm fromm collegem asm having
m whichm effect m onm them familym lifem cycle?ma.mMinimalm impact
b. Considered m tom bem am negativem impact m onm them familym unit
c. Leadsm tom rolem confusion
d. Expectationm of m rolem changemANS:m D
Them familym lifem cyclem developmentalm theorym focusesm onm them growthm and m development
m of m changesm inm rolem relationshipsm duringm transitionalm periods.m A m child m graduating
mfromm collegem ism anm examplem of m am transitionm whichm requiresm am rolem change.m Asm
this
ism am transition,m onem would m expect m tom seem am changem som minimalm impact m would m not m
bem expected.m Graduationm doesm not m implym that m it m willm bem am negativem changem on
m themfamilym lifem cyclem orm lead m tom rolem confusion.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
5. Whenm reviewingm them purposesm of m am familym assessment,m them nursem educatorm would
midentifym am need m form furtherm teachingm if m them studentm respondedm that m familymassess
ment m ism used m tom gainm anm understandingm of m whichm aspect m of m them family?
a. Development N
b. Function
c. Politicalm views
d. StructuremANS:m C
Anm understandingm of m them politicalm viewsm of m familym membersm ism not m am primarympu
rposem of m am familym assessment.m Am familym assessment m providesm them nursem withminfor
mationm and m anm understandingm of m familym dynamics.m Thism ism important m tom nursesmfor
m them provisionm of m qualitym healthm care.m A m familym assessment m providesm anmunderstan
dingm of m familym development,m function,m and m structure.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
6. Am nursem ism planningm tom assessm them structurem of m am family.m Whichm questionm should
m them nursem ask?
a. “Whom livesm withm youm inm thism home?”
b. “Whom doesm them grocerym shopping?”
c. “Whom providesm support m inm yourm family?”
d. “How m old m arem them membersm of m yourm family?”m ANS:m A
Them structurem of m them familym includesm whom ism inm them familym and m what m theirmrelat
ionshipm is.m “Whom doesm them shopping?”m would m providem informationm about m familymfu
nctioning.m “Whom providesm support?”m would m providem informationm about m familymfunct
ioning.m “How m old m arem them members?”m would m providem informationm about m familymdev
elopment.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
7. Whichm factorsm whichm would m alert m them nursem tom negative/dysfunctionalm family
mdynamics?ma.mAgingm of m familym members
b. Chronicm illnessm of m am familym member
c. Disabilitym of m am familym member
d. Intimatem partnerm violence
, ANS:m D
Intimatem partnerm violencem is m anm exemplarm of m negative/dysfunctionalm family mdyna
mics.m Agingm of m familym membersm ism anm exemplarm of m changesm tom familym dynamics. m
Chronicm illness m of m am familym member m is m anm exemplar m of m changesm tomfamilym dyn
amics.
Disabilitym of m am familym memberm ism anm exemplarm of m changesm tom familym dynami
cs.m OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
N
onalm interactionsm and m lackm of m familym support m form am patient m would m bem to
a. enforcem hospitalm visitingm policies.
b. monitorm them dysfunctionalm interactions.
c. notifym them primarym carem provider.
d. rolem modelm appropriatem support.
ANS:m D
Nursesm can,m at m times,m rolem modelm morem appropriatem interactionsm orm providem suggest
ionsm form improvingm communicationm and m interactionsm amongm familym members.mIf m the
m nursem determinesm that m them numberm of m visitorsm hasm am negativem impact m onm them patie
nt,m hospitalm policym maym bem tom limit m visitors,m but m that m would m not m bem them initialm act
ion.m Monitoringm them dysfunctionalm interactionsm would m not m bem anm adequatem response
.m Them primarym carem providerm should m certainlym bem notified,m but m that m would mnot m be
m them initialm response.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
2. Them nursem caringm form am patient m would m identifym am need m form additionalm interventions
m related m tom familym dynamicsm when
a. extended m familym offersm tom help.
b. familym membersm expressm cNoncern.
c. them illm memberm demandsm attention.
d. memoriesm arem shared.mANS:m C
It m ism not m uncommonm form them illm familym memberm tom becomem demandingm and m indicate
m that m theym deservem specialm treatment m and m care,m and m them supportivem familym maym nee
d m assistancem inm understandingm them dynamicsm of m them illnessm inm orderm tom continuem to
m bem supportive.m Offersm fromm extended m familym tom helpm canm bem indicativem of m positiv
emdynamics.m Concernm expressed m bym familym membersm canm bem indicativem of m positivem
dynamics.m Sharingm of m familym memoriesm canm bem indicativem of m positivem dynamics.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
3. Twomwomenmhaveman mestablished mlong-
termmrelationshipmand maremattendingmparentingmclassesm inm anticipationm of m finalizingm ado
ptionm of m am baby.m Them nursem identifiesm themm asm whichm typem of m family?ma.mCohabitin
g
b. Nuclear
c. Same-sex
d. Singlem parent m ANS:
C
Thism familym would m bem considered m am same-
sexm family.m Cohabitingm refersm tom am couplemwhom livem togetherm withm nom legalm bond.m
Nuclearm refersm tom them traditionalm malem and m femalem corem familym withm onem orm morem
children.m Singlem parentm refersm tom am familymwithm onem adult m and m onem orm morem childre
n.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
,4. Them nursem identifiesm them familym withm am child m graduatingm fromm collegem asm having
m whichm effect m onm them familym lifem cycle?ma.mMinimalm impact
b. Considered m tom bem am negativem impact m onm them familym unit
c. Leadsm tom rolem confusion
d. Expectationm of m rolem changemANS:m D
Them familym lifem cyclem developmentalm theorym focusesm onm them growthm and m development
m of m changesm inm rolem relationshipsm duringm transitionalm periods.m A m child m graduating
mfromm collegem ism anm examplem of m am transitionm whichm requiresm am rolem change.m Asm
this
ism am transition,m onem would m expect m tom seem am changem som minimalm impact m would m not m
bem expected.m Graduationm doesm not m implym that m it m willm bem am negativem changem on
m themfamilym lifem cyclem orm lead m tom rolem confusion.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
5. Whenm reviewingm them purposesm of m am familym assessment,m them nursem educatorm would
midentifym am need m form furtherm teachingm if m them studentm respondedm that m familymassess
ment m ism used m tom gainm anm understandingm of m whichm aspect m of m them family?
a. Development N
b. Function
c. Politicalm views
d. StructuremANS:m C
Anm understandingm of m them politicalm viewsm of m familym membersm ism not m am primarympu
rposem of m am familym assessment.m Am familym assessment m providesm them nursem withminfor
mationm and m anm understandingm of m familym dynamics.m Thism ism important m tom nursesmfor
m them provisionm of m qualitym healthm care.m A m familym assessment m providesm anmunderstan
dingm of m familym development,m function,m and m structure.
OBJ: NCLEX m Client m Needsm Category:m Healthm Promotionm and m Maintenance
6. Am nursem ism planningm tom assessm them structurem of m am family.m Whichm questionm should
m them nursem ask?
a. “Whom livesm withm youm inm thism home?”
b. “Whom doesm them grocerym shopping?”
c. “Whom providesm support m inm yourm family?”
d. “How m old m arem them membersm of m yourm family?”m ANS:m A
Them structurem of m them familym includesm whom ism inm them familym and m what m theirmrelat
ionshipm is.m “Whom doesm them shopping?”m would m providem informationm about m familymfu
nctioning.m “Whom providesm support?”m would m providem informationm about m familymfunct
ioning.m “How m old m arem them members?”m would m providem informationm about m familymdev
elopment.
OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
7. Whichm factorsm whichm would m alert m them nursem tom negative/dysfunctionalm family
mdynamics?ma.mAgingm of m familym members
b. Chronicm illnessm of m am familym member
c. Disabilitym of m am familym member
d. Intimatem partnerm violence
, ANS:m D
Intimatem partnerm violencem is m anm exemplarm of m negative/dysfunctionalm family mdyna
mics.m Agingm of m familym membersm ism anm exemplarm of m changesm tom familym dynamics. m
Chronicm illness m of m am familym member m is m anm exemplar m of m changesm tomfamilym dyn
amics.
Disabilitym of m am familym memberm ism anm exemplarm of m changesm tom familym dynami
cs.m OBJ: NCLEX m Client m Needsm Category:m Psychosocialm Integrity
N
