,1. The most appropriate initial nursing intervention when the registered nurse notes
d ysfunctional interactions and lack of family support for a service user
w ould be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Registered nurse s can, at times, role model more
appropriate interactions or provide suggestions for improving
communication and interactions among family
members. If the registered nurse determines that the number of
visitors has a neg ative impact on the service
user, hospital policy may be to limit visitors, b ut that would not
be the initial action. Monitoring the dysfunctional int eractions would
not be an adequate response. The primary care provider
should certainly be notified, but that would not be the initial respo
nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The registered nurse caring for a service user would identify a
need for additional int erventions related to family dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding an
d indicate that they deserve special treatment and care, and the supporti
ve family may need assistance in understanding the dynamics of the illn
ess in order to continue to be supportive. Offers from extended family
to help can be indicative of positive dynamics. Concern expressed by fa
mily members can be indicative of positive dynamics. Sharing of family
memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-
term relationship and are attending parenting classes in anticipation of finalizi
ng adoption of a baby. The registered nurse identifies them as which type
of fa mily? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-
sex family. Cohabiting refers to a couple who live together with no lega
l bond. Nuclear refers to the traditional male and female core family
,with one or more children. Single parent refers to a family with one a
dult and one or more children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
d ysfunctional interactions and lack of family support for a service user
w ould be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Registered nurse s can, at times, role model more
appropriate interactions or provide suggestions for improving
communication and interactions among family
members. If the registered nurse determines that the number of
visitors has a neg ative impact on the service
user, hospital policy may be to limit visitors, b ut that would not
be the initial action. Monitoring the dysfunctional int eractions would
not be an adequate response. The primary care provider
should certainly be notified, but that would not be the initial respo
nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The registered nurse caring for a service user would identify a
need for additional int erventions related to family dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding an
d indicate that they deserve special treatment and care, and the supporti
ve family may need assistance in understanding the dynamics of the illn
ess in order to continue to be supportive. Offers from extended family
to help can be indicative of positive dynamics. Concern expressed by fa
mily members can be indicative of positive dynamics. Sharing of family
memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-
term relationship and are attending parenting classes in anticipation of finalizi
ng adoption of a baby. The registered nurse identifies them as which type
of fa mily? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-
sex family. Cohabiting refers to a couple who live together with no lega
l bond. Nuclear refers to the traditional male and female core family
,with one or more children. Single parent refers to a family with one a
dult and one or more children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
