,1. Thexmostxappropriatexinitialxnursingxinterventionxwhenxthexnursexnotesxdysfunct
ionalx interactionsx andx lackx ofx familyx supportx forx ax patientx wouldx bex to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notifyx x the primary care provider.
d. role model appropriate support.
ANS: D
Nursesx can,x atx times,x rolex modelx morex appropriatex interactionsx orx providex
suggestionsx forx improvingx communicationx andx interactionsx amongx familyx
members.xIfx thex nursex determinesx thatx thex numberx ofx visitorsx hasx axnegat
ivex impactx onx the patient,x hospitalx policyx mayx bex tox limit
visitors,x butx thatx wouldx notx bex thex initial
action.x Monitoringx thexdysfunctionalx interactionsx
wouldx notx bex anx adequate xresponse.x Thexprimaryx carex provider
should certainlyx bex notified, but that
wouldxnotx bex thex initialx response.
OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
2. Thex nursex caringx forx ax patientx wouldx identifyx ax needx forx additionalxin
terventionsx relatedx tox familyx dynamicsx when
a. extended familyx x offers to help.
b. familyx x members express cNoncern.
c. the ill member demands attention.
d. memories are shared.xANS: C
Itx isx notx uncommonx forx thex illx familyx memberx tox becomex demandingx andx i
ndicatex thatx theyx deservex specialx treatmentx andx care,x andx thexsupportiv
ex familyx mayx needx assistancex inx understandingx thex dynamicsx ofxthex illnes
sx inx orderx tox continuex tox bex supportive.x Offersx fromx extendedxfamilyx tox
helpx canx bex indicativex ofx positivexdynamics.x Concernx expressedx byx familyx
membersx canx bex indicativex ofx positivexdynamics.x Sharingx ofxfamilyx memori
es canx bex indicativex ofx positive dynamics.
OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
3. Twoxwomenxhavexanxestablishedxlong-
termxrelationshipxandxarexattendingxparentingxclassesx inx anticipationx x ofx finalizin
gx adoptionx ofx ax baby.x Thex nursexidentifiesx themx x asx whichx typex ofx family?x
a.xCohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
Thisx familyx wouldx bex consideredx ax same-
sexx family.x Cohabitingx refersx tox axcouplexwhox livex togetherx withx nox legalx
bond.x Nuclearx refersx tox thextraditionalx malex andx female core
familyx withx onex orx more children.
Singlex parentx refersx tox ax familyxwithx onex adultx andx onex orx morexchildren
,.
, OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
ionalx interactionsx andx lackx ofx familyx supportx forx ax patientx wouldx bex to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notifyx x the primary care provider.
d. role model appropriate support.
ANS: D
Nursesx can,x atx times,x rolex modelx morex appropriatex interactionsx orx providex
suggestionsx forx improvingx communicationx andx interactionsx amongx familyx
members.xIfx thex nursex determinesx thatx thex numberx ofx visitorsx hasx axnegat
ivex impactx onx the patient,x hospitalx policyx mayx bex tox limit
visitors,x butx thatx wouldx notx bex thex initial
action.x Monitoringx thexdysfunctionalx interactionsx
wouldx notx bex anx adequate xresponse.x Thexprimaryx carex provider
should certainlyx bex notified, but that
wouldxnotx bex thex initialx response.
OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
2. Thex nursex caringx forx ax patientx wouldx identifyx ax needx forx additionalxin
terventionsx relatedx tox familyx dynamicsx when
a. extended familyx x offers to help.
b. familyx x members express cNoncern.
c. the ill member demands attention.
d. memories are shared.xANS: C
Itx isx notx uncommonx forx thex illx familyx memberx tox becomex demandingx andx i
ndicatex thatx theyx deservex specialx treatmentx andx care,x andx thexsupportiv
ex familyx mayx needx assistancex inx understandingx thex dynamicsx ofxthex illnes
sx inx orderx tox continuex tox bex supportive.x Offersx fromx extendedxfamilyx tox
helpx canx bex indicativex ofx positivexdynamics.x Concernx expressedx byx familyx
membersx canx bex indicativex ofx positivexdynamics.x Sharingx ofxfamilyx memori
es canx bex indicativex ofx positive dynamics.
OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
3. Twoxwomenxhavexanxestablishedxlong-
termxrelationshipxandxarexattendingxparentingxclassesx inx anticipationx x ofx finalizin
gx adoptionx ofx ax baby.x Thex nursexidentifiesx themx x asx whichx typex ofx family?x
a.xCohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
Thisx familyx wouldx bex consideredx ax same-
sexx family.x Cohabitingx refersx tox axcouplexwhox livex togetherx withx nox legalx
bond.x Nuclearx refersx tox thextraditionalx malex andx female core
familyx withx onex orx more children.
Singlex parentx refersx tox ax familyxwithx onex adultx andx onex orx morexchildren
,.
, OBJ: NCLEXx x Client Needs Category: Psychosocial Integrity
