1.
,2. The3 b most3 b appropriate3 b initial3 b nursing3 b intervention3 b when3 b the3 b nurse3 b notes3bd
ysfunctional3 b interactions3 b and3 b lack3 b of3 b family3 b support3 b for3 b a3 b patient3 b w
ould3 b be3 b to
a. enforce3 b hospital3 b visiting3 b policies.
b. monitor3 b the3 b dysfunctional3 b interactions.
c. notify3 b the3 b primary3 b care3 b provider.
d. role3 b model3 b appropriate3 b support.
ANS:3 b D
Nurses3 b can,3 b at3 b times,3 b role3 b model3 b more3 b appropriate3 b interactions3 b or3 b provide
3 b suggestions3 b for3 b improving3 b communication3 b and3 b interactions3 b among3 b family3
b members.3bIf3 b the3 b nurse3 b determines3 b that3 b the3 b number3 b of3 b visitors3 b has3 b a3 b neg
ative3 b impact3 b on3 b the3 b patient,3 b hospital3 b policy3 b may3 b be3 b to3 b limit3 b visitors,3 b b
ut3 b that3 b would3 b not3 b be3 b the3 b initial3 b action.3 b Monitoring3 b the3 b dysfunctional3 b int
eractions3 b would3 b not3 b be3 b an3 b adequate3 b response.3 b The3 b primary3 b care3 b provider
3 b should3 b certainly3 b be3 b notified,3 b but3 b that3 b would3bnot3 b be3 b the3 b initial3 b respo
nse.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
3. The3 b nurse3 b caring3 b for3 b a3 b patient3 b would3 b identify3 b a3 b need3 b for3 b additional3 b int
erventions3 b related3 b to3 b family3 b dynamics3 b when
a. extended3 b family3 b offers3 b to3 b help.
b. family3 b members3 b express3 b cNoncern.
c. the3 b ill3 b member3 b demands3 b attention.
d. memories3 b are3 b shared.3bANS:3 b C
It3 b is3 b not3 b uncommon3 b for3 b the3 b ill3 b family3 b member3 b to3 b become3 b demanding3 b an
d3 b indicate3 b that3 b they3 b deserve3 b special3 b treatment3 b and3 b care,3 b and3 b the3 b supporti
ve3 b family3 b may3 b need3 b assistance3 b in3 b understanding3 b the3 b dynamics3 b of3 b the3 b illn
ess3 b in3 b order3 b to3 b continue3 b to3 b be3 b supportive.3 b Offers3 b from3 b extended3 b family3
b to3 b help3 b can3 b be3 b indicative3 b of3 b positive3bdynamics.3 b Concern3 b expressed3 b by3 b fa
mily3 b members3 b can3 b be3 b indicative3 b of3 b positive3bdynamics.3 b Sharing3 b of3 b family3
b memories3 b can3 b be3 b indicative3 b of3 b positive3 b dynamics.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
4. Two3bwomen3bhave3ban3bestablished3blong-
term3brelationship3band3bare3battending3bparenting3bclasses3 b in3 b anticipation3 b of3 b finalizi
ng3 b adoption3 b of3 b a3 b baby.3 b The3 b nurse3 b identifies3 b them3 b as3 b which3 b type3 b of3 b fa
mily?3ba.3bCohabiting
b. Nuclear
c. Same-sex
d. Single3 b parent3 b ANS:
C
This3 b family3 b would3 b be3 b considered3 b a3 b same-
sex3 b family.3 b Cohabiting3 b refers3 b to3 b a3 b couple3bwho3 b live3 b together3 b with3 b no3 b lega
l3 b bond.3 b Nuclear3 b refers3 b to3 b the3 b traditional3 b male3 b and3 b female3 b core3 b family3 b
with3 b one3 b or3 b more3 b children.3 b Single3 b parent3 b refers3 b to3 b a3 b family3bwith3 b one3 b a
dult3 b and3 b one3 b or3 b more3 b children.
,OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
, 5. The3 b nurse3 b identifies3 b the3 b family3 b with3 b a3 b child3 b graduating3 b from3 b college3 b a
s3 b having3 b which3 b effect3 b on3 b the3 b family3 b life3 b cycle?3ba.3bMinimal3 b impact
b. Considered3 b to3 b be3 b a3 b negative3 b impact3 b on3 b the3 b family3 b unit
c. Leads3 b to3 b role3 b confusion
d. Expectation3 b of3 b role3 b change3bANS:3 b D
The3 b family3 b life3 b cycle3 b developmental3 b theory3 b focuses3 b on3 b the3 b growth3 b and3 b dev
elopment3 b of3 b changes3 b in3 b role3 b relationships3 b during3 b transitional3 b periods.3 b
A3 b child3 b graduating3bfrom3 b college3 b is3 b an3 b example3 b of3 b a3 b transition3 b which
3 b requires3 b a3 b role3 b change.3 b As3 b this
is3 b a3 b transition,3 b one3 b would3 b expect3 b to3 b see3 b a3 b change3 b so3 b minimal3 b impact3 b
would3 b not3 b be3 b expected.3 b Graduation3 b does3 b not3 b imply3 b that3 b it3 b will3 b be3
b a3 b negative3 b change3 b on3 b the3bfamily3 b life3 b cycle3 b or3 b lead3 b to3 b role3 b confusion.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
6. When3 b reviewing3 b the3 b purposes3 b of3 b a3 b family3 b assessment,3 b the3 b nurse3 b educato
r3 b would3bidentify3 b a3 b need3 b for3 b further3 b teaching3 b if3 b the3 b student3 b responded3 b
that3 b family3bassessment3 b is3 b used3 b to3 b gain3 b an3 b understanding3 b of3 b which3
b aspect3 b of3 b the3 b family?
a. Development N
b. Function
c. Political3 b views
d. Structure3bANS:3 b C
An3 b understanding3 b of3 b the3 b political3 b views3 b of3 b family3 b members3 b is3 b not3 b a3
b primary3bpurpose3 b of3 b a3 b family3 b assessment.3 b A3 b family3 b assessment3 b provides3 b t
he3 b nurse3 b with3binformation3 b and3 b an3 b understanding3 b of3 b family3 b dynamics.3 b This
3 b is3 b important3 b to3 b nurses3bfor3 b the3 b provision3 b of3 b quality3 b health3 b care.3 b A3 b fami
ly3 b assessment3 b provides3 b an3bunderstanding3 b of3 b family3 b development,3 b function,3 b
and3 b structure.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Health3 b Promotion3 b and3 b Maintenance
7. A3 b nurse3 b is3 b planning3 b to3 b assess3 b the3 b structure3 b of3 b a3 b family.3 b Which3 b questi
on3 b should3 b the3 b nurse3 b ask?
a. “Who3 b lives3 b with3 b you3 b in3 b this3 b home?”
b. “Who3 b does3 b the3 b grocery3 b shopping?”
c. “Who3 b provides3 b support3 b in3 b your3 b family?”
d. “How3 b old3 b are3 b the3 b members3 b of3 b your3 b family?”3 b ANS:3 b A
The3 b structure3 b of3 b the3 b family3 b includes3 b who3 b is3 b in3 b the3 b family3 b and3 b wh
at3 b their3brelationship3 b is.3 b “Who3 b does3 b the3 b shopping?”3 b would3 b provide3 b informa
tion3 b about3 b family3bfunctioning.3 b “Who3 b provides3 b support?”3 b would3 b provide3 b inf
ormation3 b about3 b family3bfunctioning.3 b “How3 b old3 b are3 b the3 b members?”3 b would3 b p
rovide3 b information3 b about3 b family3bdevelopment.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
8. Which3 b factors3 b which3 b would3 b alert3 b the3 b nurse3 b to3 b negative/dysfunctional3
b family3bdynamics? 3ba.3bAging3 b of3 b family3 b members
b. Chronic3 b illness3 b of3 b a3 b family3 b member
c. Disability3 b of3 b a3 b family3 b member
d. Intimate3 b partner3 b violence
,2. The3 b most3 b appropriate3 b initial3 b nursing3 b intervention3 b when3 b the3 b nurse3 b notes3bd
ysfunctional3 b interactions3 b and3 b lack3 b of3 b family3 b support3 b for3 b a3 b patient3 b w
ould3 b be3 b to
a. enforce3 b hospital3 b visiting3 b policies.
b. monitor3 b the3 b dysfunctional3 b interactions.
c. notify3 b the3 b primary3 b care3 b provider.
d. role3 b model3 b appropriate3 b support.
ANS:3 b D
Nurses3 b can,3 b at3 b times,3 b role3 b model3 b more3 b appropriate3 b interactions3 b or3 b provide
3 b suggestions3 b for3 b improving3 b communication3 b and3 b interactions3 b among3 b family3
b members.3bIf3 b the3 b nurse3 b determines3 b that3 b the3 b number3 b of3 b visitors3 b has3 b a3 b neg
ative3 b impact3 b on3 b the3 b patient,3 b hospital3 b policy3 b may3 b be3 b to3 b limit3 b visitors,3 b b
ut3 b that3 b would3 b not3 b be3 b the3 b initial3 b action.3 b Monitoring3 b the3 b dysfunctional3 b int
eractions3 b would3 b not3 b be3 b an3 b adequate3 b response.3 b The3 b primary3 b care3 b provider
3 b should3 b certainly3 b be3 b notified,3 b but3 b that3 b would3bnot3 b be3 b the3 b initial3 b respo
nse.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
3. The3 b nurse3 b caring3 b for3 b a3 b patient3 b would3 b identify3 b a3 b need3 b for3 b additional3 b int
erventions3 b related3 b to3 b family3 b dynamics3 b when
a. extended3 b family3 b offers3 b to3 b help.
b. family3 b members3 b express3 b cNoncern.
c. the3 b ill3 b member3 b demands3 b attention.
d. memories3 b are3 b shared.3bANS:3 b C
It3 b is3 b not3 b uncommon3 b for3 b the3 b ill3 b family3 b member3 b to3 b become3 b demanding3 b an
d3 b indicate3 b that3 b they3 b deserve3 b special3 b treatment3 b and3 b care,3 b and3 b the3 b supporti
ve3 b family3 b may3 b need3 b assistance3 b in3 b understanding3 b the3 b dynamics3 b of3 b the3 b illn
ess3 b in3 b order3 b to3 b continue3 b to3 b be3 b supportive.3 b Offers3 b from3 b extended3 b family3
b to3 b help3 b can3 b be3 b indicative3 b of3 b positive3bdynamics.3 b Concern3 b expressed3 b by3 b fa
mily3 b members3 b can3 b be3 b indicative3 b of3 b positive3bdynamics.3 b Sharing3 b of3 b family3
b memories3 b can3 b be3 b indicative3 b of3 b positive3 b dynamics.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
4. Two3bwomen3bhave3ban3bestablished3blong-
term3brelationship3band3bare3battending3bparenting3bclasses3 b in3 b anticipation3 b of3 b finalizi
ng3 b adoption3 b of3 b a3 b baby.3 b The3 b nurse3 b identifies3 b them3 b as3 b which3 b type3 b of3 b fa
mily?3ba.3bCohabiting
b. Nuclear
c. Same-sex
d. Single3 b parent3 b ANS:
C
This3 b family3 b would3 b be3 b considered3 b a3 b same-
sex3 b family.3 b Cohabiting3 b refers3 b to3 b a3 b couple3bwho3 b live3 b together3 b with3 b no3 b lega
l3 b bond.3 b Nuclear3 b refers3 b to3 b the3 b traditional3 b male3 b and3 b female3 b core3 b family3 b
with3 b one3 b or3 b more3 b children.3 b Single3 b parent3 b refers3 b to3 b a3 b family3bwith3 b one3 b a
dult3 b and3 b one3 b or3 b more3 b children.
,OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
, 5. The3 b nurse3 b identifies3 b the3 b family3 b with3 b a3 b child3 b graduating3 b from3 b college3 b a
s3 b having3 b which3 b effect3 b on3 b the3 b family3 b life3 b cycle?3ba.3bMinimal3 b impact
b. Considered3 b to3 b be3 b a3 b negative3 b impact3 b on3 b the3 b family3 b unit
c. Leads3 b to3 b role3 b confusion
d. Expectation3 b of3 b role3 b change3bANS:3 b D
The3 b family3 b life3 b cycle3 b developmental3 b theory3 b focuses3 b on3 b the3 b growth3 b and3 b dev
elopment3 b of3 b changes3 b in3 b role3 b relationships3 b during3 b transitional3 b periods.3 b
A3 b child3 b graduating3bfrom3 b college3 b is3 b an3 b example3 b of3 b a3 b transition3 b which
3 b requires3 b a3 b role3 b change.3 b As3 b this
is3 b a3 b transition,3 b one3 b would3 b expect3 b to3 b see3 b a3 b change3 b so3 b minimal3 b impact3 b
would3 b not3 b be3 b expected.3 b Graduation3 b does3 b not3 b imply3 b that3 b it3 b will3 b be3
b a3 b negative3 b change3 b on3 b the3bfamily3 b life3 b cycle3 b or3 b lead3 b to3 b role3 b confusion.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
6. When3 b reviewing3 b the3 b purposes3 b of3 b a3 b family3 b assessment,3 b the3 b nurse3 b educato
r3 b would3bidentify3 b a3 b need3 b for3 b further3 b teaching3 b if3 b the3 b student3 b responded3 b
that3 b family3bassessment3 b is3 b used3 b to3 b gain3 b an3 b understanding3 b of3 b which3
b aspect3 b of3 b the3 b family?
a. Development N
b. Function
c. Political3 b views
d. Structure3bANS:3 b C
An3 b understanding3 b of3 b the3 b political3 b views3 b of3 b family3 b members3 b is3 b not3 b a3
b primary3bpurpose3 b of3 b a3 b family3 b assessment.3 b A3 b family3 b assessment3 b provides3 b t
he3 b nurse3 b with3binformation3 b and3 b an3 b understanding3 b of3 b family3 b dynamics.3 b This
3 b is3 b important3 b to3 b nurses3bfor3 b the3 b provision3 b of3 b quality3 b health3 b care.3 b A3 b fami
ly3 b assessment3 b provides3 b an3bunderstanding3 b of3 b family3 b development,3 b function,3 b
and3 b structure.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Health3 b Promotion3 b and3 b Maintenance
7. A3 b nurse3 b is3 b planning3 b to3 b assess3 b the3 b structure3 b of3 b a3 b family.3 b Which3 b questi
on3 b should3 b the3 b nurse3 b ask?
a. “Who3 b lives3 b with3 b you3 b in3 b this3 b home?”
b. “Who3 b does3 b the3 b grocery3 b shopping?”
c. “Who3 b provides3 b support3 b in3 b your3 b family?”
d. “How3 b old3 b are3 b the3 b members3 b of3 b your3 b family?”3 b ANS:3 b A
The3 b structure3 b of3 b the3 b family3 b includes3 b who3 b is3 b in3 b the3 b family3 b and3 b wh
at3 b their3brelationship3 b is.3 b “Who3 b does3 b the3 b shopping?”3 b would3 b provide3 b informa
tion3 b about3 b family3bfunctioning.3 b “Who3 b provides3 b support?”3 b would3 b provide3 b inf
ormation3 b about3 b family3bfunctioning.3 b “How3 b old3 b are3 b the3 b members?”3 b would3 b p
rovide3 b information3 b about3 b family3bdevelopment.
OBJ: NCLEX3 b Client3 b Needs3 b Category:3 b Psychosocial3 b Integrity
8. Which3 b factors3 b which3 b would3 b alert3 b the3 b nurse3 b to3 b negative/dysfunctional3
b family3bdynamics? 3ba.3bAging3 b of3 b family3 b members
b. Chronic3 b illness3 b of3 b a3 b family3 b member
c. Disability3 b of3 b a3 b family3 b member
d. Intimate3 b partner3 b violence
