,1. Thev n mostv n appropriatev n initialv n nursingv n interventionv n whenv n thev n nursev n notesvnd
ysfunctionalv n interactionsv n andv n lackv n ofv n familyv n supportv n forv n av n patientv n w
ouldv n bev n to
a. enforcev n hospitalv n visitingv n policies.
b. monitorv n thev n dysfunctionalv n interactions.
c. notifyv n thev n primaryv n carev n provider.
d. rolev n modelv n appropriatev n support.
ANS:v n D
Nursesv n can,v n atv n times,v n rolev n modelv n morev n appropriatev n interactionsv n orv n provide
v n suggestionsv n forv n improvingv n communicationv n andv n interactions v n amongv n familyv
n members.vnIfv n thev n nursev n determinesv n thatv n thev n numberv n ofv n visitorsv n hasv n av n neg
ativev n impactv n onv n thev n patient,v n hospitalv n policyv n mayv n bev n tov n limitv n visitors,v n b
utv n thatv n wouldv n notv n bev n thev n initialv n action.v n Monitoringv n thev n dysfunctionalv n int
eractionsv n wouldv n notv n bev n anv n adequatev n response.v n Thev n primaryv n carev n provider
v n shouldv n certainlyv n bev n notified,v n butv n thatv n wouldvnnotv n bev n thev n initialv n respo
nse.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
2. Thev n nursev n caringv n forv n av n patientv n wouldv n identifyv n av n needv n forv n additionalv n int
erventionsv n relatedv n tov n familyv n dynamicsv n when
a. extendedv n familyv n offersv n tov n help.
b. familyv n membersv n expressv n cNoncern.
c. thev n illv n memberv n demandsv n attention.
d. memoriesv n arev n shared.vnANS:v n C
Itv n isv n notv n uncommonv n forv n thev n illv n familyv n memberv n tov n becomev n demandingv n an
dv n indicatev n thatv n theyv n deservev n specialv n treatmentv n andv n care,v n andv n thev n supporti
vev n familyv n mayv n needv n assistancev n inv n understandingv n thev n dynamicsv n ofv n thev n illn
essv n inv n orderv n tov n continuev n tov n bev n supportive.v n Offersv n fromv n extendedv n familyv
n tov n helpv n canv n bev n indicativev n ofv n positivevndynamics.v n Concernv n expressedv n byv n fa
milyv n membersv n canv n bev n indicativev n ofv n positivevndynamics.v n Sharingv n ofv n familyv
n memoriesv n canv n bev n indicativev n ofv n positivev n dynamics.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
3. Twovnwomenvnhavevnanvnestablishedvnlong-
termvnrelationshipvnandvnarevnattendingvnparentingvnclassesv n inv n anticipationv n ofv n finalizi
ngv n adoptionv n ofv n av n baby.v n Thev n nursev n identifiesv n themv n asv n whichv n typev n ofv n fa
mily?vna.vnCohabiting
b. Nuclear
c. Same-sex
d. Singlev n parentv n ANS:
C
Thisv n familyv n wouldv n bev n consideredv n av n same-
sexv n family.v n Cohabitingv n refersv n tov n av n couplevnwhov n livev n togetherv n withv n nov n lega
lv n bond.v n Nuclearv n refersv n tov n thev n traditionalv n malev n andv n femalev n corev n familyv n
withv n onev n orv n morev n children.v n Singlev n parentv n refersv n tov n av n familyvnwithv n onev n a
dultv n andv n onev n orv n morev n children.
,OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
, 4. Thev n nursev n identifiesv n thev n familyv n withv n av n childv n graduatingv n fromv n collegev n a
sv n havingv n whichv n effectv n onv n thev n familyv n lifev n cycle?vna.vnMinimalv n impact
b. Consideredv n tov n bev n av n negativev n impactv n onv n thev n familyv n unit
c. Leadsv n tov n rolev n confusion
d. Expectationv n ofv n rolev n changevnANS:v n D
Thev n familyv n lifev n cyclev n developmentalv n theoryv n focusesv n onv n thev n growthv n andv n dev
elopmentv n ofv n changesv n inv n rolev n relationshipsv n duringv n transitionalv n periods.v n
Av n childv n graduatingvnfromv n collegev n isv n anv n examplev n ofv n av n transitionv n which
v n requiresv n av n rolev n change.v n Asv n this
isv n av n transition,v n onev n wouldv n expectv n tov n seev n av n changev n sov n minimalv n impactv n
wouldv n notv n bev n expected.v n Graduationv n doesv n notv n implyv n thatv n itv n willv n bev
n av n negativev n changev n onv n thevnfamilyv n lifev n cyclev n orv n leadv n tov n rolev n confusion.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
5. Whenv n reviewingv n thev n purposesv n ofv n av n familyv n assessment,v n thev n nursev n educato
rv n wouldvnidentifyv n av n needv n forv n furtherv n teachingv n ifv n thev n studentv n respondedv n
thatv n familyvnassessmentv n isv n usedv n tov n gainv n anv n understandingv n ofv n whichv
n aspectv n ofv n thev n family?
a. Development N
b. Function
c. Politicalv n views
d. StructurevnANS:v n C
Anv n understandingv n ofv n thev n politicalv n viewsv n ofv n familyv n membersv n isv n notv n av
n primaryvnpurposev n ofv n av n familyv n assessment.v n Av n familyv n assessmentv n providesv n t
hev n nursev n withvninformationv n andv n anv n understandingv n ofv n familyv n dynamics.v n This
v n isv n important v n tov n nursesvnforv n thev n provisionv n ofv n qualityv n healthv n care.v n Av n fami
lyv n assessmentv n providesv n anvnunderstandingv n ofv n familyv n development,v n function,v n
andv n structure.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Healthv n Promotionv n andv n Maintenance
6. Av n nursev n isv n planningv n tov n assessv n thev n structurev n ofv n av n family.v n Whichv n questi
onv n shouldv n thev n nursev n ask?
a. “Whov n livesv n withv n youv n inv n thisv n home?”
b. “Whov n doesv n thev n groceryv n shopping?”
c. “Whov n providesv n supportv n inv n yourv n family?”
d. “Howv n oldv n arev n thev n membersv n ofv n yourv n family?”v n ANS:v n A
Thev n structurev n ofv n thev n familyv n includesv n whov n isv n inv n thev n familyv n andv n wh
atv n theirvnrelationshipv n is.v n “Whov n doesv n thev n shopping?”v n wouldv n providev n informa
tionv n aboutv n familyvnfunctioning.v n “Whov n providesv n support?”v n wouldv n providev n inf
ormationv n aboutv n familyvnfunctioning.v n “Howv n oldv n arev n thev n members?”v n wouldv n p
rovidev n informationv n aboutv n familyvndevelopment.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
7. Whichv n factorsv n whichv n wouldv n alertv n thev n nursev n tov n negative/dysfunctionalv
n familyvndynamics? vna.vnAgingv n ofv n familyv n members
b. Chronicv n illnessv n ofv n av n familyv n member
c. Disabilityv n ofv n av n familyv n member
d. Intimatev n partnerv n violence
ysfunctionalv n interactionsv n andv n lackv n ofv n familyv n supportv n forv n av n patientv n w
ouldv n bev n to
a. enforcev n hospitalv n visitingv n policies.
b. monitorv n thev n dysfunctionalv n interactions.
c. notifyv n thev n primaryv n carev n provider.
d. rolev n modelv n appropriatev n support.
ANS:v n D
Nursesv n can,v n atv n times,v n rolev n modelv n morev n appropriatev n interactionsv n orv n provide
v n suggestionsv n forv n improvingv n communicationv n andv n interactions v n amongv n familyv
n members.vnIfv n thev n nursev n determinesv n thatv n thev n numberv n ofv n visitorsv n hasv n av n neg
ativev n impactv n onv n thev n patient,v n hospitalv n policyv n mayv n bev n tov n limitv n visitors,v n b
utv n thatv n wouldv n notv n bev n thev n initialv n action.v n Monitoringv n thev n dysfunctionalv n int
eractionsv n wouldv n notv n bev n anv n adequatev n response.v n Thev n primaryv n carev n provider
v n shouldv n certainlyv n bev n notified,v n butv n thatv n wouldvnnotv n bev n thev n initialv n respo
nse.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
2. Thev n nursev n caringv n forv n av n patientv n wouldv n identifyv n av n needv n forv n additionalv n int
erventionsv n relatedv n tov n familyv n dynamicsv n when
a. extendedv n familyv n offersv n tov n help.
b. familyv n membersv n expressv n cNoncern.
c. thev n illv n memberv n demandsv n attention.
d. memoriesv n arev n shared.vnANS:v n C
Itv n isv n notv n uncommonv n forv n thev n illv n familyv n memberv n tov n becomev n demandingv n an
dv n indicatev n thatv n theyv n deservev n specialv n treatmentv n andv n care,v n andv n thev n supporti
vev n familyv n mayv n needv n assistancev n inv n understandingv n thev n dynamicsv n ofv n thev n illn
essv n inv n orderv n tov n continuev n tov n bev n supportive.v n Offersv n fromv n extendedv n familyv
n tov n helpv n canv n bev n indicativev n ofv n positivevndynamics.v n Concernv n expressedv n byv n fa
milyv n membersv n canv n bev n indicativev n ofv n positivevndynamics.v n Sharingv n ofv n familyv
n memoriesv n canv n bev n indicativev n ofv n positivev n dynamics.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
3. Twovnwomenvnhavevnanvnestablishedvnlong-
termvnrelationshipvnandvnarevnattendingvnparentingvnclassesv n inv n anticipationv n ofv n finalizi
ngv n adoptionv n ofv n av n baby.v n Thev n nursev n identifiesv n themv n asv n whichv n typev n ofv n fa
mily?vna.vnCohabiting
b. Nuclear
c. Same-sex
d. Singlev n parentv n ANS:
C
Thisv n familyv n wouldv n bev n consideredv n av n same-
sexv n family.v n Cohabitingv n refersv n tov n av n couplevnwhov n livev n togetherv n withv n nov n lega
lv n bond.v n Nuclearv n refersv n tov n thev n traditionalv n malev n andv n femalev n corev n familyv n
withv n onev n orv n morev n children.v n Singlev n parentv n refersv n tov n av n familyvnwithv n onev n a
dultv n andv n onev n orv n morev n children.
,OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
, 4. Thev n nursev n identifiesv n thev n familyv n withv n av n childv n graduatingv n fromv n collegev n a
sv n havingv n whichv n effectv n onv n thev n familyv n lifev n cycle?vna.vnMinimalv n impact
b. Consideredv n tov n bev n av n negativev n impactv n onv n thev n familyv n unit
c. Leadsv n tov n rolev n confusion
d. Expectationv n ofv n rolev n changevnANS:v n D
Thev n familyv n lifev n cyclev n developmentalv n theoryv n focusesv n onv n thev n growthv n andv n dev
elopmentv n ofv n changesv n inv n rolev n relationshipsv n duringv n transitionalv n periods.v n
Av n childv n graduatingvnfromv n collegev n isv n anv n examplev n ofv n av n transitionv n which
v n requiresv n av n rolev n change.v n Asv n this
isv n av n transition,v n onev n wouldv n expectv n tov n seev n av n changev n sov n minimalv n impactv n
wouldv n notv n bev n expected.v n Graduationv n doesv n notv n implyv n thatv n itv n willv n bev
n av n negativev n changev n onv n thevnfamilyv n lifev n cyclev n orv n leadv n tov n rolev n confusion.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
5. Whenv n reviewingv n thev n purposesv n ofv n av n familyv n assessment,v n thev n nursev n educato
rv n wouldvnidentifyv n av n needv n forv n furtherv n teachingv n ifv n thev n studentv n respondedv n
thatv n familyvnassessmentv n isv n usedv n tov n gainv n anv n understandingv n ofv n whichv
n aspectv n ofv n thev n family?
a. Development N
b. Function
c. Politicalv n views
d. StructurevnANS:v n C
Anv n understandingv n ofv n thev n politicalv n viewsv n ofv n familyv n membersv n isv n notv n av
n primaryvnpurposev n ofv n av n familyv n assessment.v n Av n familyv n assessmentv n providesv n t
hev n nursev n withvninformationv n andv n anv n understandingv n ofv n familyv n dynamics.v n This
v n isv n important v n tov n nursesvnforv n thev n provisionv n ofv n qualityv n healthv n care.v n Av n fami
lyv n assessmentv n providesv n anvnunderstandingv n ofv n familyv n development,v n function,v n
andv n structure.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Healthv n Promotionv n andv n Maintenance
6. Av n nursev n isv n planningv n tov n assessv n thev n structurev n ofv n av n family.v n Whichv n questi
onv n shouldv n thev n nursev n ask?
a. “Whov n livesv n withv n youv n inv n thisv n home?”
b. “Whov n doesv n thev n groceryv n shopping?”
c. “Whov n providesv n supportv n inv n yourv n family?”
d. “Howv n oldv n arev n thev n membersv n ofv n yourv n family?”v n ANS:v n A
Thev n structurev n ofv n thev n familyv n includesv n whov n isv n inv n thev n familyv n andv n wh
atv n theirvnrelationshipv n is.v n “Whov n doesv n thev n shopping?”v n wouldv n providev n informa
tionv n aboutv n familyvnfunctioning.v n “Whov n providesv n support?”v n wouldv n providev n inf
ormationv n aboutv n familyvnfunctioning.v n “Howv n oldv n arev n thev n members?”v n wouldv n p
rovidev n informationv n aboutv n familyvndevelopment.
OBJ: NCLEXv n Clientv n Needsv n Category:v n Psychosocialv n Integrity
7. Whichv n factorsv n whichv n wouldv n alertv n thev n nursev n tov n negative/dysfunctionalv
n familyvndynamics? vna.vnAgingv n ofv n familyv n members
b. Chronicv n illnessv n ofv n av n familyv n member
c. Disabilityv n ofv n av n familyv n member
d. Intimatev n partnerv n violence
