,1. TheA mostA appropriateA initialA nursingA interventionA whenA theA nurseA notesAdAysfuncti
onalA A interactionsA A andA A lackA A ofA A familyA A supportA A forA A aA A patientA A wAouldA b
eA to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
NursesA can, atA times,A roleA modelA more appropriateA interactions
orA provideAsuggestions for improvingA A communication
andA A interactions amongA A family
members.A IfA the nurseA determines thatA theA numberA of visitors
hasA aA negAativeA impact on the patient,
hospitalA A policyA mayA beA toA A limitA A visitors,A A bAutA that
wouldA notA beA theA initial Aaction.A Monitoring
theA dysfunctionalA intAeractions wouldA A not beA A an
adequate response.A A TheA A primaryA A careA A provider
should certainlyA beA notified, but that wouldA not be
theA initialA respoAnse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. TheA nurse caringA for aA patient wouldA identifyA aA need
A
forA additionalA intAerventions relatedA to familyA dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.A ANS: C
ItA isA not uncommon for theA ill
familyA memberA toA becomeA demandingA anA dA indicateA that
theyA deserveA special treatment and care,A and
theA supportiAveA familyA mayA need
assistanceA inA understandingA theA dynamics ofA the illnAessA inA orderA to
continueA toA be supportive.
OffersA fromA extendedA familyA toA help canA beA indicativeA of
positiveA dynamics. Concern expressedA byA faAmilyA members can
beA indicativeA ofA positiveA dynamics. SharingA of familyAmemories
canA beA indicativeA of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. TwoA womenA haveA anA establishedA long-
termA relationshipA andA areA attendingA parentingA classesA inA anticipationA A ofA finaliziA
ngA adoptionA ofA aA baby.A TheA nurseA identifiesA themA A asA whichA typeA ofA faA
mily?A a.A Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
,ThisA A familyA A wouldA A beA A considered aA A same-
sexA family. CohabitingA refersA to a coupleA who
liveA togetherA withA noA legaA lA bond.A NuclearA refersA toA theA traditiona
l maleA and female core familyAwithA oneA or more
children.A SingleA parentA refers toA a
familyA withA oneA aAdultA and oneA orA moreA children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
onalA A interactionsA A andA A lackA A ofA A familyA A supportA A forA A aA A patientA A wAouldA b
eA to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
NursesA can, atA times,A roleA modelA more appropriateA interactions
orA provideAsuggestions for improvingA A communication
andA A interactions amongA A family
members.A IfA the nurseA determines thatA theA numberA of visitors
hasA aA negAativeA impact on the patient,
hospitalA A policyA mayA beA toA A limitA A visitors,A A bAutA that
wouldA notA beA theA initial Aaction.A Monitoring
theA dysfunctionalA intAeractions wouldA A not beA A an
adequate response.A A TheA A primaryA A careA A provider
should certainlyA beA notified, but that wouldA not be
theA initialA respoAnse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. TheA nurse caringA for aA patient wouldA identifyA aA need
A
forA additionalA intAerventions relatedA to familyA dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.A ANS: C
ItA isA not uncommon for theA ill
familyA memberA toA becomeA demandingA anA dA indicateA that
theyA deserveA special treatment and care,A and
theA supportiAveA familyA mayA need
assistanceA inA understandingA theA dynamics ofA the illnAessA inA orderA to
continueA toA be supportive.
OffersA fromA extendedA familyA toA help canA beA indicativeA of
positiveA dynamics. Concern expressedA byA faAmilyA members can
beA indicativeA ofA positiveA dynamics. SharingA of familyAmemories
canA beA indicativeA of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. TwoA womenA haveA anA establishedA long-
termA relationshipA andA areA attendingA parentingA classesA inA anticipationA A ofA finaliziA
ngA adoptionA ofA aA baby.A TheA nurseA identifiesA themA A asA whichA typeA ofA faA
mily?A a.A Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
,ThisA A familyA A wouldA A beA A considered aA A same-
sexA family. CohabitingA refersA to a coupleA who
liveA togetherA withA noA legaA lA bond.A NuclearA refersA toA theA traditiona
l maleA and female core familyAwithA oneA or more
children.A SingleA parentA refers toA a
familyA withA oneA aAdultA and oneA orA moreA children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
