,1. The most appropriate initial nursing intervention when the nurse notes dysfunc
b n b n b n b n b n b n b n b n b n bn
tional interactions and lack of family support for a patient would be to
b n b n b n b n b n b n b n b n b n b n b n b n
a. enforce hospital visiting policies. b n b n b n
b. monitor the dysfunctional interactions. b n b n b n
c. notify the primary care provider. b n b n b n b n
d. role model appropriate support. b n b n b n
ANS: D b n
Nurses can, at times, role model more appropriate interactions or provide sugg
b n b n b n b n b n b n b n b n b n b n b n
estions for improving communication and interactions among family members. I
b n b n b n b n b n b n b n b n bn
f the nurse determines that the number of visitors has a negative impact on t
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
he patient, hospital policy may be to limit visitors, but that would not be th
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
e initial action. Monitoring the dysfunctional interactions would not be an ade
b n b n b n b n b n b n b n b n b n b n b n
quate response. The primary care provider should certainly be notified, but
b n b n b n b n b n b n b n b n b n b n b
nthat would not be the initial response.
b n bn b n b n b n b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
2. The nurse caring for a patient would identify a need for additional interventi
b n b n b n b n b n b n b n b n b n b n b n b n
ons related to family dynamics when
b n b n b n b n b n
a. extended family offers to help. b n b n b n b n
b. family members express cNoncern. b n b n b n
c. the ill member demands attention.
b n b n b n b n
d. memories are shared. ANS: C b n b n bn b n
It is not uncommon for the ill family member to become demanding and indic
b n b n b n b n b n b n b n b n b n b n b n b n b n
ate that they deserve special treatment and care, and the supportive family ma
b n b n b n b n b n b n b n b n b n b n b n b n
y need assistance in understanding the dynamics of the illness in order to con
b n b n b n b n b n b n b n b n b n b n b n b n b n
tinue to be supportive. Offers from extended family to help can be indicative
b n b n b n b n b n b n b n b n b n b n b n b n b
nof positive dynamics. Concern expressed by family members can be indicative
b n bn b n b n b n b n b n b n b n b n b
nof positive dynamics. Sharing of family memories can be indicative of positiv
b n bn b n b n b n b n b n b n b n b n b n
e dynamics.
b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
3. Two women have an established long-
bn bn bn bn bn
term relationship and are attending parenting classes in anticipation of finalizing ad
bn bn bn bn bn bn b n b n b n b n b n
option of a baby. The nurse identifies them as which type of family? a. Cohab
b n b n b n b n b n b n b n b n b n b n b n b n bn bn
iting
b. Nuclear
c. Same-sex
d. Single parent ANS: b n b n
C
This family would be considered a same-
b n b n b n b n b n b n
sex family. Cohabiting refers to a couple who live together with no legal bond
b n b n b n b n b n b n bn b n b n b n b n b n b n
. Nuclear refers to the traditional male and female core family with one or
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
more children. Single parent refers to a family with one adult and one or mor
b n b n b n b n b n b n b n bn b n b n b n b n b n b n
e children.
b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
,4. The nurse identifies the family with a child graduating from college as havi
b n b n b n b n b n b n b n b n b n b n b n b n
ng which effect on the family life cycle? a. Minimal impact
b n b n b n b n b n b n b n bn bn b n
b. Considered to be a negative impact on the family unit b n b n b n b n b n b n b n b n b n
c. Leads to role confusion b n b n b n
d. Expectation of role change ANS: D b n b n b n bn b n
The family life cycle developmental theory focuses on the growth and developm
b n b n b n b n b n b n b n b n b n b n b n
ent of changes in role relationships during transitional periods. A child g
b n b n b n b n b n b n b n b n b n b n b n
raduating from college is an example of a transition which requires a role
bn b n b n b n b n b n b n b n b n b n b n b n
b change. As this
n b n b n
is a transition, one would expect to see a change so minimal impact would n
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
ot be expected. Graduation does not imply that it will be a negative c
b n b n b n b n b n b n b n b n b n b n b n b n b n
hange on the family life cycle or lead to role confusion.
b n b n bn b n b n b n b n b n b n b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
5. When reviewing the purposes of a family assessment, the nurse educator wo
b n b n b n b n b n b n b n b n b n b n b n
uld identify a need for further teaching if the student responded that family a
bn b n b n b n b n b n b n b n b n b n b n b n bn
ssessment is used to gain an understanding of which aspect of the f
b n b n b n b n b n b n b n b n b n b n b n b n
amily?
a. Development N
b. Function
c. Political views b n
d. Structure ANS: C bn b n
An understanding of the political views of family members is not a primar
b n b n b n b n b n b n b n b n b n b n b n b n
y purpose of a family assessment. A family assessment provides the nurse wit
bn b n b n b n b n b n b n b n b n b n b n b n
h information and an understanding of family dynamics. This is important to n
bn b n b n b n b n b n b n b n b n b n b n b n
urses for the provision of quality health care. A family assessment provides an
bn b n b n b n b n b n b n b n b n b n b n b n b
understanding of family development, function, and structure.
n b n b n b n b n b n b n
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance b n b n b n b n b n b n b n
6. A nurse is planning to assess the structure of a family. Which question sho
b n b n b n b n b n b n b n b n b n b n b n b n b n
uld the nurse ask? b n b n b n
a. “Who lives with you in this home?” b n b n b n b n b n b n
b. “Who does the grocery shopping?” b n b n b n b n
c. “Who provides support in your family?” b n b n b n b n b n
d. “How old are the members of your family?” ANS: Ab n b n b n b n b n b n b n b n b n
The structure of the family includes who is in the family and what the
b n b n b n b n b n b n b n b n b n b n b n b n b n
ir relationship is. “Who does the shopping?” would provide information about f
bn b n b n b n b n b n b n b n b n b n b n
amily functioning. “Who provides support?” would provide information about fa
bn b n b n b n b n b n b n b n b n
mily functioning. “How old are the members?” would provide information abou
bn b n b n b n b n b n b n b n b n b n
t family development.
b n bn
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
7. Which factors which would alert the nurse to negative/dysfunctional fami
b n b n b n b n b n b n b n b n b n
ly dynamics? a. Aging of family members
bn bn bn b n b n b n
b. Chronic illness of a family member b n b n b n b n b n
c. Disability of a family member b n b n b n b n
d. Intimate partner violence b n b n
, ANS: D b n
Intimate partner violence is an exemplar of negative/dysfunctional family d
b n b n b n b n b n b n b n b n bn
ynamics. Aging of family members is an exemplar of changes to family dyna
b n b n b n b n b n b n b n b n b n b n b n b n
mics. Chronic illness of a family member is an exemplar of changes
b n b n b n b n b n b n b n b n b n b n b n b n
to family dynamics.
bn b n
Disability of a family member is an exemplar of changes to family dyna
b n b n b n b n b n b n b n b n b n b n b n b n
mics. OBJ: NCLEX Client Needs Category: Psychosocial Integrity
b n b n b n b n b n b n
N
b n b n b n b n b n b n b n b n b n bn
tional interactions and lack of family support for a patient would be to
b n b n b n b n b n b n b n b n b n b n b n b n
a. enforce hospital visiting policies. b n b n b n
b. monitor the dysfunctional interactions. b n b n b n
c. notify the primary care provider. b n b n b n b n
d. role model appropriate support. b n b n b n
ANS: D b n
Nurses can, at times, role model more appropriate interactions or provide sugg
b n b n b n b n b n b n b n b n b n b n b n
estions for improving communication and interactions among family members. I
b n b n b n b n b n b n b n b n bn
f the nurse determines that the number of visitors has a negative impact on t
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
he patient, hospital policy may be to limit visitors, but that would not be th
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
e initial action. Monitoring the dysfunctional interactions would not be an ade
b n b n b n b n b n b n b n b n b n b n b n
quate response. The primary care provider should certainly be notified, but
b n b n b n b n b n b n b n b n b n b n b
nthat would not be the initial response.
b n bn b n b n b n b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
2. The nurse caring for a patient would identify a need for additional interventi
b n b n b n b n b n b n b n b n b n b n b n b n
ons related to family dynamics when
b n b n b n b n b n
a. extended family offers to help. b n b n b n b n
b. family members express cNoncern. b n b n b n
c. the ill member demands attention.
b n b n b n b n
d. memories are shared. ANS: C b n b n bn b n
It is not uncommon for the ill family member to become demanding and indic
b n b n b n b n b n b n b n b n b n b n b n b n b n
ate that they deserve special treatment and care, and the supportive family ma
b n b n b n b n b n b n b n b n b n b n b n b n
y need assistance in understanding the dynamics of the illness in order to con
b n b n b n b n b n b n b n b n b n b n b n b n b n
tinue to be supportive. Offers from extended family to help can be indicative
b n b n b n b n b n b n b n b n b n b n b n b n b
nof positive dynamics. Concern expressed by family members can be indicative
b n bn b n b n b n b n b n b n b n b n b
nof positive dynamics. Sharing of family memories can be indicative of positiv
b n bn b n b n b n b n b n b n b n b n b n
e dynamics.
b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
3. Two women have an established long-
bn bn bn bn bn
term relationship and are attending parenting classes in anticipation of finalizing ad
bn bn bn bn bn bn b n b n b n b n b n
option of a baby. The nurse identifies them as which type of family? a. Cohab
b n b n b n b n b n b n b n b n b n b n b n b n bn bn
iting
b. Nuclear
c. Same-sex
d. Single parent ANS: b n b n
C
This family would be considered a same-
b n b n b n b n b n b n
sex family. Cohabiting refers to a couple who live together with no legal bond
b n b n b n b n b n b n bn b n b n b n b n b n b n
. Nuclear refers to the traditional male and female core family with one or
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
more children. Single parent refers to a family with one adult and one or mor
b n b n b n b n b n b n b n bn b n b n b n b n b n b n
e children.
b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
,4. The nurse identifies the family with a child graduating from college as havi
b n b n b n b n b n b n b n b n b n b n b n b n
ng which effect on the family life cycle? a. Minimal impact
b n b n b n b n b n b n b n bn bn b n
b. Considered to be a negative impact on the family unit b n b n b n b n b n b n b n b n b n
c. Leads to role confusion b n b n b n
d. Expectation of role change ANS: D b n b n b n bn b n
The family life cycle developmental theory focuses on the growth and developm
b n b n b n b n b n b n b n b n b n b n b n
ent of changes in role relationships during transitional periods. A child g
b n b n b n b n b n b n b n b n b n b n b n
raduating from college is an example of a transition which requires a role
bn b n b n b n b n b n b n b n b n b n b n b n
b change. As this
n b n b n
is a transition, one would expect to see a change so minimal impact would n
b n b n b n b n b n b n b n b n b n b n b n b n b n b n
ot be expected. Graduation does not imply that it will be a negative c
b n b n b n b n b n b n b n b n b n b n b n b n b n
hange on the family life cycle or lead to role confusion.
b n b n bn b n b n b n b n b n b n b n
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
5. When reviewing the purposes of a family assessment, the nurse educator wo
b n b n b n b n b n b n b n b n b n b n b n
uld identify a need for further teaching if the student responded that family a
bn b n b n b n b n b n b n b n b n b n b n b n bn
ssessment is used to gain an understanding of which aspect of the f
b n b n b n b n b n b n b n b n b n b n b n b n
amily?
a. Development N
b. Function
c. Political views b n
d. Structure ANS: C bn b n
An understanding of the political views of family members is not a primar
b n b n b n b n b n b n b n b n b n b n b n b n
y purpose of a family assessment. A family assessment provides the nurse wit
bn b n b n b n b n b n b n b n b n b n b n b n
h information and an understanding of family dynamics. This is important to n
bn b n b n b n b n b n b n b n b n b n b n b n
urses for the provision of quality health care. A family assessment provides an
bn b n b n b n b n b n b n b n b n b n b n b n b
understanding of family development, function, and structure.
n b n b n b n b n b n b n
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance b n b n b n b n b n b n b n
6. A nurse is planning to assess the structure of a family. Which question sho
b n b n b n b n b n b n b n b n b n b n b n b n b n
uld the nurse ask? b n b n b n
a. “Who lives with you in this home?” b n b n b n b n b n b n
b. “Who does the grocery shopping?” b n b n b n b n
c. “Who provides support in your family?” b n b n b n b n b n
d. “How old are the members of your family?” ANS: Ab n b n b n b n b n b n b n b n b n
The structure of the family includes who is in the family and what the
b n b n b n b n b n b n b n b n b n b n b n b n b n
ir relationship is. “Who does the shopping?” would provide information about f
bn b n b n b n b n b n b n b n b n b n b n
amily functioning. “Who provides support?” would provide information about fa
bn b n b n b n b n b n b n b n b n
mily functioning. “How old are the members?” would provide information abou
bn b n b n b n b n b n b n b n b n b n
t family development.
b n bn
OBJ: NCLEX Client Needs Category: Psychosocial Integrity b n b n b n b n b n
7. Which factors which would alert the nurse to negative/dysfunctional fami
b n b n b n b n b n b n b n b n b n
ly dynamics? a. Aging of family members
bn bn bn b n b n b n
b. Chronic illness of a family member b n b n b n b n b n
c. Disability of a family member b n b n b n b n
d. Intimate partner violence b n b n
, ANS: D b n
Intimate partner violence is an exemplar of negative/dysfunctional family d
b n b n b n b n b n b n b n b n bn
ynamics. Aging of family members is an exemplar of changes to family dyna
b n b n b n b n b n b n b n b n b n b n b n b n
mics. Chronic illness of a family member is an exemplar of changes
b n b n b n b n b n b n b n b n b n b n b n b n
to family dynamics.
bn b n
Disability of a family member is an exemplar of changes to family dyna
b n b n b n b n b n b n b n b n b n b n b n b n
mics. OBJ: NCLEX Client Needs Category: Psychosocial Integrity
b n b n b n b n b n b n
N
