,1. The0 5 most0 5 appropriate0 5 initial0 5 nursing0 5 intervention0 5 when0 5 the0 5 nurse0 5 not
es05d05ysfunctional0 5 0 5 interactions0 5 0 5 and0 5 0 5 lack0 5 0 5 of0 5 0 5 family0 5 0 5 support
0 5 0 5 for0 5 0 5 a0 5 0 5 patient0 5 0 5 w05ould0 5 be0 5 to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses0 5 can, at0 5 times,0 5 role0 5 model0 5 more appropriate0 5 interactions
or0 5 provide05suggestions for improving0 5 0 5 communication
and0 5 0 5 interactions among0 5 0 5 family
members.0 5 If0 5 the nurse0 5 determines
that0 5 the0 5 number0 5 of visitors
has0 5 a0 5 neg05ative0 5 impact on the patient,
hospital0 5 0 5 policy0 5 may0 5 be0 5 to0 5 0 5 limit0 5 0 5 visitors,0 5 0 5 b05ut0 5 th
at would0 5 not0 5 be0 5 the0 5 initial 05action.0 5 Monitoring
the0 5 dysfunctional0 5 int05eractions would0 5 0 5 not
be0 5 0 5 an adequate response.0 5 0 5 The0 5 0 5 primary0 5 0 5 care0 5 0 5 provider
should certainly0 5 be0 5 notified, but that would0 5 not be
the0 5 initial0 5 respo05nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The0 nurse 05caring0 5 for
5 a0 5 patient
would0 5 identify0 5 a0 5 need for0 5 additional0 5 int05erventions
related0 5 to family0 5 dynamics when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.0 5 ANS: C
It0 5 is0 5 not uncommon forthe0 5 ill
family0 5 member0 5 to0 5 become0 5 demanding0 5 an0 5 d0 5 indicate0
5 that they0 5 deserve0 5 special treatment and care,0 5 and
the0 5 supporti05ve0 5 family0 5 may0 5 need
assistance0 5 in0 5 understanding0 5 the0 5 dynamics of0 5 the
illn05ess0 5 in0 5 order0 5 to continue0 5 to0 5 be supportive.
Offers0 5 from0 5 extended0 5 family0 5 to0 5 help
can0 5 be0 5 indicative0 5 of positive0 5 dynamics. Concern
expressed0 5 by0 5 fa05mily0 5 members can
be0 5 indicative0 5 of0 5 positive0 5 dynamics. Sharing0 5 of
family05memories can0 5 be0 5 indicative0 5 of positive
dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two0 5 women0 5 have0 5 an0 5 established0 5 long-
term0 5 relationship0 5 and0 5 are0 5 attending0 5 parenting0 5 classes0 5 in0 5 anticipation0
5 0 5 of0 5 finalizi0 5 ng0 5 adoption0 5 of0 5 a0 5 baby.0 5 The0 5 nurse0 5 identifies
0 5 them0 5 0 5 as0 5 which0 5 type0 5 of0 5 fa05mily?0 5 a.0 5 Cohabiting
b. Nuclear
,c. Same-sex
d. Single parent ANS:
C
This0 5 0 5 family0 5 0 5 would0 5 0 5 be0 5 0 5 considered a0 5 0 5 same-
sex0 5 family. Cohabiting0 5 refers0 5 to a couple0 5 who
live0 5 together0 5 with0 5 no0 5 lega0 5 l0 5 bond.0 5 Nuclear0 5 refers0 5
to0 5 the0 5 traditional male0 5 and female core family05with0 5 one0 5 or
more children.0 5 Single0 5 parent0 5 refers to0 5 a
family0 5 with0 5 one0 5 a05dult0 5 and one0 5 or0 5 more0 5 children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
es05d05ysfunctional0 5 0 5 interactions0 5 0 5 and0 5 0 5 lack0 5 0 5 of0 5 0 5 family0 5 0 5 support
0 5 0 5 for0 5 0 5 a0 5 0 5 patient0 5 0 5 w05ould0 5 be0 5 to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses0 5 can, at0 5 times,0 5 role0 5 model0 5 more appropriate0 5 interactions
or0 5 provide05suggestions for improving0 5 0 5 communication
and0 5 0 5 interactions among0 5 0 5 family
members.0 5 If0 5 the nurse0 5 determines
that0 5 the0 5 number0 5 of visitors
has0 5 a0 5 neg05ative0 5 impact on the patient,
hospital0 5 0 5 policy0 5 may0 5 be0 5 to0 5 0 5 limit0 5 0 5 visitors,0 5 0 5 b05ut0 5 th
at would0 5 not0 5 be0 5 the0 5 initial 05action.0 5 Monitoring
the0 5 dysfunctional0 5 int05eractions would0 5 0 5 not
be0 5 0 5 an adequate response.0 5 0 5 The0 5 0 5 primary0 5 0 5 care0 5 0 5 provider
should certainly0 5 be0 5 notified, but that would0 5 not be
the0 5 initial0 5 respo05nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The0 nurse 05caring0 5 for
5 a0 5 patient
would0 5 identify0 5 a0 5 need for0 5 additional0 5 int05erventions
related0 5 to family0 5 dynamics when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.0 5 ANS: C
It0 5 is0 5 not uncommon forthe0 5 ill
family0 5 member0 5 to0 5 become0 5 demanding0 5 an0 5 d0 5 indicate0
5 that they0 5 deserve0 5 special treatment and care,0 5 and
the0 5 supporti05ve0 5 family0 5 may0 5 need
assistance0 5 in0 5 understanding0 5 the0 5 dynamics of0 5 the
illn05ess0 5 in0 5 order0 5 to continue0 5 to0 5 be supportive.
Offers0 5 from0 5 extended0 5 family0 5 to0 5 help
can0 5 be0 5 indicative0 5 of positive0 5 dynamics. Concern
expressed0 5 by0 5 fa05mily0 5 members can
be0 5 indicative0 5 of0 5 positive0 5 dynamics. Sharing0 5 of
family05memories can0 5 be0 5 indicative0 5 of positive
dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two0 5 women0 5 have0 5 an0 5 established0 5 long-
term0 5 relationship0 5 and0 5 are0 5 attending0 5 parenting0 5 classes0 5 in0 5 anticipation0
5 0 5 of0 5 finalizi0 5 ng0 5 adoption0 5 of0 5 a0 5 baby.0 5 The0 5 nurse0 5 identifies
0 5 them0 5 0 5 as0 5 which0 5 type0 5 of0 5 fa05mily?0 5 a.0 5 Cohabiting
b. Nuclear
,c. Same-sex
d. Single parent ANS:
C
This0 5 0 5 family0 5 0 5 would0 5 0 5 be0 5 0 5 considered a0 5 0 5 same-
sex0 5 family. Cohabiting0 5 refers0 5 to a couple0 5 who
live0 5 together0 5 with0 5 no0 5 lega0 5 l0 5 bond.0 5 Nuclear0 5 refers0 5
to0 5 the0 5 traditional male0 5 and female core family05with0 5 one0 5 or
more children.0 5 Single0 5 parent0 5 refers to0 5 a
family0 5 with0 5 one0 5 a05dult0 5 and one0 5 or0 5 more0 5 children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
