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