Test Bank - Concepts for Nursing Practice, 4th Edition (Jean Foret Giddens, 2025) Chapters 1-57 | All Chapters LATEST

,1. The most appropriate initial nursing intervention when the nurse notes
o , o , o , o , o , o , o , o , o ,




dysfunctional interactions and lack of family support for a patient
o, o , o , o , o , o , o , o , o , o ,




owould be to , o , o ,




a. enforce hospital visiting policies. o , o , o ,




b. monitor the dysfunctional interactions. o , o , o ,




c. notify the primary care provider. o , o , o , o ,




d. role model appropriate support. o , o , o ,




ANS: D o ,




Nurses can, at times, role model more appropriate interactions or provide
o , o , o , o , o , o , o , o , o , o ,




osuggestions for improving communication and interactions among family
, o , o , o , o , o , o , o ,




members. If the nurse determines that the number of visitors has a negative
o , o, o , o , o , o , o , o , o , o , o , o , o ,




impact on the patient, hospital policy may be to limit visitors, but that
o , o , o , o , o , o , o , o , o , o , o , o , o ,




would not be the initial action. Monitoring the dysfunctional interactions
o , o , o , o , o , o , o , o , o , o ,




would not be an adequate response. The primary care provider should
o , o , o , o , o , o , o , o , o , o , o ,




ocertainly be notified, but that would not be the initial response.
, o , o , o , o , o , o, o , o , o , o ,




OBJ: NCLEX Client Needs Category: Psychosocial Integrity o , o , o , o , o ,




2. The nurse caring for a patient would identify a need for additional
o , o , o , o , o , o , o , o , o , o , o ,




ointerventions related to family dynamics when
, o , o , o , o , o ,




a. extended family offers to help. o , o , o , o ,




b. family members express cNoncern. o , o , o ,




c. the ill member demands attention. o , o , o , o ,




d. memories are shared. ANS: C o , o , o, o ,




It is not uncommon for the ill family member to become demanding and
o , o , o , o , o , o , o , o , o , o , o , o ,




oindicate that they deserve special treatment and care, and the supportive
, o , o , o , o , o , o , o , o , o , o ,




ofamily may need assistance in understanding the dynamics of the illness in
, o , o , o , o , o , o , o , o , o , o , o ,




oorder to continue to be supportive. Offers from extended family to help can
, o , o , o , o , o , o , o , o , o , o , o , o ,




obe indicative of positive dynamics. Concern expressed by family members can
, o , o , o , o, o , o , o , o , o , o ,




obe indicative of positive dynamics. Sharing of family memories can be
, o , o , o , o, o , o , o , o , o , o ,




oindicative of positive dynamics.
, o , o , o ,




OBJ: NCLEX Client Needs Category: Psychosocial Integrity o , o , o , o , o ,




3. Two women have an established long-term relationship and are attending parenting classes in
o, o, o, o, o, o, o, o, o, o, o, o ,




oanticipation of finalizing adoption of a baby. The nurse identifies them as
, o , o , o , o , o , o , o , o , o , o , o ,




owhich type of family? a. Cohabiting
, o , o , o , o, o,




b. Nuclear
c. Same-sex
d. Single parent ANS: o , o ,




C
This family would be considered a same-sex family. Cohabiting refers to a
o , o , o , o , o , o , o , o , o , o , o ,




couple who live together with no legal bond. Nuclear refers to the traditional
o , o, o , o , o , o , o , o , o , o , o , o , o ,




male and female core family with one or more children. Single parent
o , o , o , o , o , o , o , o , o , o , o , o ,




refers to a family with one adult and one or more children.
o , o , o , o , o, o , o , o , o , o , o , o ,




OBJ: NCLEX Client Needs Category: Psychosocial Integrity o , o , o , o , o ,

,4. The nurse identifies the family with a child graduating from college as
o , o , o , o , o , o , o , o , o , o , o ,




ohaving which effect on the family life cycle? a. Minimal impact
, o , o , o , o , o , o , o , o, o, o ,




b. Considered to be a negative impact on the family unit o , o , o , o , o , o , o , o , o ,




c. Leads to role confusion o , o , o ,




d. Expectation of role change ANS: D o , o , o , o, o ,




The family life cycle developmental theory focuses on the growth and
o , o , o , o , o , o , o , o , o , o ,




o development of changes in role relationships during transitional periods.
, o , o , o , o , o , o , o , o ,




o A child graduating from college is an example of a transition which
, o , o , o, o , o , o , o , o , o , o , o ,




o requires a role change. As this
, o , o , o , o , o ,




is a transition, one would expect to see a change so minimal impact would
o , o , o , o , o , o , o , o , o , o , o , o , o ,




o not be expected. Graduation does not imply that it will be a
, o , o , o , o , o , o , o , o , o , o , o ,




o negative change on the family life cycle or lead to role confusion.
, o , o , o , o, o , o , o , o , o , o , o ,




OBJ: NCLEX Client Needs Category: Psychosocial Integrity o , o , o , o , o ,




5. When reviewing the purposes of a family assessment, the nurse educator o , o , o , o , o , o , o , o , o , o ,




owould identify a need for further teaching if the student responded that
, o, o , o , o , o , o , o , o , o , o , o ,




ofamily assessment is used to gain an understanding of which aspect
, o, o , o , o , o , o , o , o , o , o ,




o of the family?, o , o ,




a. Development N
b. Function
c. Political views o ,




d. StructureANS: C o, o ,




An understanding of the political views of family members is not a
o , o , o , o , o , o , o , o , o , o , o ,




o primary purpose of a family assessment. A family assessment provides the
, o, o , o , o , o , o , o , o , o , o ,




onurse with information and an understanding of family dynamics. This is
, o , o, o , o , o , o , o , o , o , o ,




oimportant to nurses for the provision of quality health care. A family
, o , o , o, o , o , o , o , o , o , o , o ,




oassessment provides an understanding of family development, function, and
, o , o , o, o , o , o , o , o ,




ostructure.
,




OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance o , o , o , o , o , o , o ,




6. A nurse is planning to assess the structure of a family. Which question
o , o , o , o , o , o , o , o , o , o , o , o ,




oshould the nurse ask?
, o , o , o ,




a. “Who lives with you in this home?” o , o , o , o , o , o ,




b. “Who does the grocery shopping?” o , o , o , o ,




c. “Who provides support in your family?” o , o , o , o , o ,




d. “How old are the members of your family?” ANS: A o , o , o , o , o , o , o , o , o ,




The structure of the family includes who is in the family and what
o , o , o , o , o , o , o , o , o , o , o , o ,




o their relationship is. “Who does the shopping?” would provide information
, o, o , o , o , o , o , o , o , o ,




oabout family functioning. “Who provides support?” would provide information
, o , o, o , o , o , o , o , o ,




oabout family functioning. “How old are the members?” would provide
, o , o, o , o , o , o , o , o , o ,




oinformation about family development.
, o , o , o,




OBJ: NCLEX Client Needs Category: Psychosocial Integrity o , o , o , o , o ,




7. Which factors which would alert the nurse to negative/dysfunctional o , o , o , o , o , o , o , o ,




ofamily dynamics? a. Aging of family members
, o, o, o, o , o , o ,




b. Chronic illness of a family member o , o , o , o , o ,




c. Disability of a family member o , o , o , o ,




d. Intimate partner violence o , o ,

, ANS: D o ,




Intimate partner violence is an exemplaro of negative/dysfunctional
, o , o , o , o , o , o ,




family dynamics. Aging of family members is an exemplar of changes to
o , o, o , o , o , o , o , o , o , o , o , o ,




family dynamics. Chronic illness of a family member is an exemplar
o , o , o , o , o , o , o , o , o , o , o ,




of changes to family dynamics.
o , o , o , o, o ,




Disability of a family member is an exemplar of changes to family
o , o , o , o , o , o , o , o , o , o , o ,




o , dynamics. OBJ: NCLEX Client Needs Category: Psychosocial Integrity
o , o , o , o , o , o ,




N