1.
,2. The2 v most2 v appropriate2 v initial2 v nursing2 v intervention2 v when2 v the2 v nurse2 v notes2vd
ysfunctional2 v interactions2 v and2 v lack2 v of2 v family2 v support2 v for2 v a2 v patient2 v w
ould2 v be2 v to
a. enforce2 v hospital2 v visiting2 v policies.
b. monitor2 v the2 v dysfunctional2 v interactions.
c. notify2 v the2 v primary2 v care2 v provider.
d. role2 v model2 v appropriate2 v support.
ANS:2 v D
Nurses2 v can,2 v at2 v times,2 v role2 v model2 v more2 v appropriate2 v interactions2 v or2 v provide
2 v suggestions2 v for2 v improving2 v communication2 v and2 v interactions2 v among2 v family2
v members.2vIf2 v the2 v nurse2 v determines2 v that2 v the2 v number2 v of2 v visitors2 v has2 v a2 v neg
ative2 v impact2 v on2 v the2 v patient,2 v hospital2 v policy2 v may2 v be2 v to2 v limit2 v visitors,2 v b
ut2 v that2 v would2 v not2 v be2 v the2 v initial2 v action.2 v Monitoring2 v the2 v dysfunctional2 v int
eractions2 v would2 v not2 v be2 v an2 v adequate2 v response.2 v The2 v primary2 v care2 v provider
2 v should2 v certainly2 v be2 v notified,2 v but2 v that2 v would2vnot2 v be2 v the2 v initial2 v respo
nse.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
3. The2 v nurse2 v caring2 v for2 v a2 v patient2 v would2 v identify2 v a2 v need2 v for2 v additional2 v int
erventions2 v related2 v to2 v family2 v dynamics2 v when
a. extended2 v family2 v offers2 v to2 v help.
b. family2 v members2 v express2 v cNoncern.
c. the2 v ill2 v member2 v demands2 v attention.
d. memories2 v are2 v shared.2vANS:2 v C
It2 v is2 v not2 v uncommon2 v for2 v the2 v ill2 v family2 v member2 v to2 v become2 v demanding2 v an
d2 v indicate2 v that2 v they2 v deserve2 v special2 v treatment2 v and2 v care,2 v and2 v the2 v supporti
ve2 v family2 v may2 v need2 v assistance2 v in2 v understanding2 v the2 v dynamics2 v of2 v the2 v illn
ess2 v in2 v order2 v to2 v continue2 v to2 v be2 v supportive.2 v Offers2 v from2 v extended2 v family2
v to2 v help2 v can2 v be2 v indicative2 v of2 v positive2vdynamics.2 v Concern2 v expressed2 v by2 v fa
mily2 v members2 v can2 v be2 v indicative2 v of2 v positive2vdynamics.2 v Sharing2 v of2 v family2
v memories2 v can2 v be2 v indicative2 v of2 v positive2 v dynamics.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
4. Two2vwomen2vhave2van2vestablished2vlong-
term2vrelationship2vand2vare2vattending2vparenting2vclasses2 v in2 v anticipation2 v of2 v finalizi
ng2 v adoption2 v of2 v a2 v baby.2 v The2 v nurse2 v identifies2 v them2 v as2 v which2 v type2 v of2 v fa
mily?2va.2vCohabiting
b. Nuclear
c. Same-sex
d. Single2 v parent2 v ANS:
C
This2 v family2 v would2 v be2 v considered2 v a2 v same-
sex2 v family.2 v Cohabiting2 v refers2 v to2 v a2 v couple2vwho2 v live2 v together2 v with2 v no2 v lega
l2 v bond.2 v Nuclear2 v refers2 v to2 v the2 v traditional2 v male2 v and2 v female2 v core2 v family2 v
with2 v one2 v or2 v more2 v children.2 v Single2 v parent2 v refers2 v to2 v a2 v family2vwith2 v one2 v a
dult2 v and2 v one2 v or2 v more2 v children.
,OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
, 5. The2 v nurse2 v identifies2 v the2 v family2 v with2 v a2 v child2 v graduating2 v from2 v college2 v a
s2 v having2 v which2 v effect2 v on2 v the2 v family2 v life2 v cycle?2va.2vMinimal2 v impact
b. Considered2 v to2 v be2 v a2 v negative2 v impact2 v on2 v the2 v family2 v unit
c. Leads2 v to2 v role2 v confusion
d. Expectation2 v of2 v role2 v change2vANS:2 v D
The2 v family2 v life2 v cycle2 v developmental2 v theory2 v focuses2 v on2 v the2 v growth2 v and2 v dev
elopment2 v of2 v changes2 v in2 v role2 v relationships2 v during2 v transitional2 v periods.2 v
A2 v child2 v graduating2vfrom2 v college2 v is2 v an2 v example2 v of2 v a2 v transition2 v which
2 v requires2 v a2 v role2 v change.2 v As2 v this
is2 v a2 v transition,2 v one2 v would2 v expect2 v to2 v see2 v a2 v change2 v so2 v minimal2 v impact2 v
would2 v not2 v be2 v expected.2 v Graduation2 v does2 v not2 v imply2 v that2 v it2 v will2 v be2
v a2 v negative2 v change2 v on2 v the2vfamily2 v life2 v cycle2 v or2 v lead2 v to2 v role2 v confusion.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
6. When2 v reviewing2 v the2 v purposes2 v of2 v a2 v family2 v assessment,2 v the2 v nurse2 v educato
r2 v would2videntify2 v a2 v need2 v for2 v further2 v teaching2 v if2 v the2 v student2 v responded2 v
that2 v family2vassessment2 v is2 v used2 v to2 v gain2 v an2 v understanding2 v of2 v which2
v aspect2 v of2 v the2 v family?
a. Development N
b. Function
c. Political2 v views
d. Structure2vANS:2 v C
An2 v understanding2 v of2 v the2 v political2 v views2 v of2 v family2 v members2 v is2 v not2 v a2
v primary2vpurpose2 v of2 v a2 v family2 v assessment.2 v A2 v family2 v assessment2 v provides2 v t
he2 v nurse2 v with2vinformation2 v and2 v an2 v understanding2 v of2 v family2 v dynamics.2 v This
2 v is2 v important2 v to2 v nurses2vfor2 v the2 v provision2 v of2 v quality2 v health2 v care.2 v A2 v fami
ly2 v assessment2 v provides2 v an2vunderstanding2 v of2 v family2 v development,2 v function,2 v
and2 v structure.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Health2 v Promotion2 v and2 v Maintenance
7. A2 v nurse2 v is2 v planning2 v to2 v assess2 v the2 v structure2 v of2 v a2 v family.2 v Which2 v questi
on2 v should2 v the2 v nurse2 v ask?
a. “Who2 v lives2 v with2 v you2 v in2 v this2 v home?”
b. “Who2 v does2 v the2 v grocery2 v shopping?”
c. “Who2 v provides2 v support2 v in2 v your2 v family?”
d. “How2 v old2 v are2 v the2 v members2 v of2 v your2 v family?”2 v ANS:2 v A
The2 v structure2 v of2 v the2 v family2 v includes2 v who2 v is2 v in2 v the2 v family2 v and2 v wh
at2 v their2vrelationship2 v is.2 v “Who2 v does2 v the2 v shopping?”2 v would2 v provide2 v informa
tion2 v about2 v family2vfunctioning.2 v “Who2 v provides2 v support?”2 v would2 v provide2 v inf
ormation2 v about2 v family2vfunctioning.2 v “How2 v old2 v are2 v the2 v members?”2 v would2 v p
rovide2 v information2 v about2 v family2vdevelopment.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
8. Which2 v factors2 v which2 v would2 v alert2 v the2 v nurse2 v to2 v negative/dysfunctional2
v family2vdynamics? 2va.2vAging2 v of2 v family2 v members
b. Chronic2 v illness2 v of2 v a2 v family2 v member
c. Disability2 v of2 v a2 v family2 v member
d. Intimate2 v partner2 v violence
,2. The2 v most2 v appropriate2 v initial2 v nursing2 v intervention2 v when2 v the2 v nurse2 v notes2vd
ysfunctional2 v interactions2 v and2 v lack2 v of2 v family2 v support2 v for2 v a2 v patient2 v w
ould2 v be2 v to
a. enforce2 v hospital2 v visiting2 v policies.
b. monitor2 v the2 v dysfunctional2 v interactions.
c. notify2 v the2 v primary2 v care2 v provider.
d. role2 v model2 v appropriate2 v support.
ANS:2 v D
Nurses2 v can,2 v at2 v times,2 v role2 v model2 v more2 v appropriate2 v interactions2 v or2 v provide
2 v suggestions2 v for2 v improving2 v communication2 v and2 v interactions2 v among2 v family2
v members.2vIf2 v the2 v nurse2 v determines2 v that2 v the2 v number2 v of2 v visitors2 v has2 v a2 v neg
ative2 v impact2 v on2 v the2 v patient,2 v hospital2 v policy2 v may2 v be2 v to2 v limit2 v visitors,2 v b
ut2 v that2 v would2 v not2 v be2 v the2 v initial2 v action.2 v Monitoring2 v the2 v dysfunctional2 v int
eractions2 v would2 v not2 v be2 v an2 v adequate2 v response.2 v The2 v primary2 v care2 v provider
2 v should2 v certainly2 v be2 v notified,2 v but2 v that2 v would2vnot2 v be2 v the2 v initial2 v respo
nse.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
3. The2 v nurse2 v caring2 v for2 v a2 v patient2 v would2 v identify2 v a2 v need2 v for2 v additional2 v int
erventions2 v related2 v to2 v family2 v dynamics2 v when
a. extended2 v family2 v offers2 v to2 v help.
b. family2 v members2 v express2 v cNoncern.
c. the2 v ill2 v member2 v demands2 v attention.
d. memories2 v are2 v shared.2vANS:2 v C
It2 v is2 v not2 v uncommon2 v for2 v the2 v ill2 v family2 v member2 v to2 v become2 v demanding2 v an
d2 v indicate2 v that2 v they2 v deserve2 v special2 v treatment2 v and2 v care,2 v and2 v the2 v supporti
ve2 v family2 v may2 v need2 v assistance2 v in2 v understanding2 v the2 v dynamics2 v of2 v the2 v illn
ess2 v in2 v order2 v to2 v continue2 v to2 v be2 v supportive.2 v Offers2 v from2 v extended2 v family2
v to2 v help2 v can2 v be2 v indicative2 v of2 v positive2vdynamics.2 v Concern2 v expressed2 v by2 v fa
mily2 v members2 v can2 v be2 v indicative2 v of2 v positive2vdynamics.2 v Sharing2 v of2 v family2
v memories2 v can2 v be2 v indicative2 v of2 v positive2 v dynamics.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
4. Two2vwomen2vhave2van2vestablished2vlong-
term2vrelationship2vand2vare2vattending2vparenting2vclasses2 v in2 v anticipation2 v of2 v finalizi
ng2 v adoption2 v of2 v a2 v baby.2 v The2 v nurse2 v identifies2 v them2 v as2 v which2 v type2 v of2 v fa
mily?2va.2vCohabiting
b. Nuclear
c. Same-sex
d. Single2 v parent2 v ANS:
C
This2 v family2 v would2 v be2 v considered2 v a2 v same-
sex2 v family.2 v Cohabiting2 v refers2 v to2 v a2 v couple2vwho2 v live2 v together2 v with2 v no2 v lega
l2 v bond.2 v Nuclear2 v refers2 v to2 v the2 v traditional2 v male2 v and2 v female2 v core2 v family2 v
with2 v one2 v or2 v more2 v children.2 v Single2 v parent2 v refers2 v to2 v a2 v family2vwith2 v one2 v a
dult2 v and2 v one2 v or2 v more2 v children.
,OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
, 5. The2 v nurse2 v identifies2 v the2 v family2 v with2 v a2 v child2 v graduating2 v from2 v college2 v a
s2 v having2 v which2 v effect2 v on2 v the2 v family2 v life2 v cycle?2va.2vMinimal2 v impact
b. Considered2 v to2 v be2 v a2 v negative2 v impact2 v on2 v the2 v family2 v unit
c. Leads2 v to2 v role2 v confusion
d. Expectation2 v of2 v role2 v change2vANS:2 v D
The2 v family2 v life2 v cycle2 v developmental2 v theory2 v focuses2 v on2 v the2 v growth2 v and2 v dev
elopment2 v of2 v changes2 v in2 v role2 v relationships2 v during2 v transitional2 v periods.2 v
A2 v child2 v graduating2vfrom2 v college2 v is2 v an2 v example2 v of2 v a2 v transition2 v which
2 v requires2 v a2 v role2 v change.2 v As2 v this
is2 v a2 v transition,2 v one2 v would2 v expect2 v to2 v see2 v a2 v change2 v so2 v minimal2 v impact2 v
would2 v not2 v be2 v expected.2 v Graduation2 v does2 v not2 v imply2 v that2 v it2 v will2 v be2
v a2 v negative2 v change2 v on2 v the2vfamily2 v life2 v cycle2 v or2 v lead2 v to2 v role2 v confusion.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
6. When2 v reviewing2 v the2 v purposes2 v of2 v a2 v family2 v assessment,2 v the2 v nurse2 v educato
r2 v would2videntify2 v a2 v need2 v for2 v further2 v teaching2 v if2 v the2 v student2 v responded2 v
that2 v family2vassessment2 v is2 v used2 v to2 v gain2 v an2 v understanding2 v of2 v which2
v aspect2 v of2 v the2 v family?
a. Development N
b. Function
c. Political2 v views
d. Structure2vANS:2 v C
An2 v understanding2 v of2 v the2 v political2 v views2 v of2 v family2 v members2 v is2 v not2 v a2
v primary2vpurpose2 v of2 v a2 v family2 v assessment.2 v A2 v family2 v assessment2 v provides2 v t
he2 v nurse2 v with2vinformation2 v and2 v an2 v understanding2 v of2 v family2 v dynamics.2 v This
2 v is2 v important2 v to2 v nurses2vfor2 v the2 v provision2 v of2 v quality2 v health2 v care.2 v A2 v fami
ly2 v assessment2 v provides2 v an2vunderstanding2 v of2 v family2 v development,2 v function,2 v
and2 v structure.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Health2 v Promotion2 v and2 v Maintenance
7. A2 v nurse2 v is2 v planning2 v to2 v assess2 v the2 v structure2 v of2 v a2 v family.2 v Which2 v questi
on2 v should2 v the2 v nurse2 v ask?
a. “Who2 v lives2 v with2 v you2 v in2 v this2 v home?”
b. “Who2 v does2 v the2 v grocery2 v shopping?”
c. “Who2 v provides2 v support2 v in2 v your2 v family?”
d. “How2 v old2 v are2 v the2 v members2 v of2 v your2 v family?”2 v ANS:2 v A
The2 v structure2 v of2 v the2 v family2 v includes2 v who2 v is2 v in2 v the2 v family2 v and2 v wh
at2 v their2vrelationship2 v is.2 v “Who2 v does2 v the2 v shopping?”2 v would2 v provide2 v informa
tion2 v about2 v family2vfunctioning.2 v “Who2 v provides2 v support?”2 v would2 v provide2 v inf
ormation2 v about2 v family2vfunctioning.2 v “How2 v old2 v are2 v the2 v members?”2 v would2 v p
rovide2 v information2 v about2 v family2vdevelopment.
OBJ: NCLEX2 v Client2 v Needs2 v Category:2 v Psychosocial2 v Integrity
8. Which2 v factors2 v which2 v would2 v alert2 v the2 v nurse2 v to2 v negative/dysfunctional2
v family2vdynamics? 2va.2vAging2 v of2 v family2 v members
b. Chronic2 v illness2 v of2 v a2 v family2 v member
c. Disability2 v of2 v a2 v family2 v member
d. Intimate2 v partner2 v violence
