,1. The | most | appropriate | initial | nursing | intervention | when | the | nurse | notes
|dysfunctional | interactions | and | lack | of | family | support | for | a | patient | would
| 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
Nurses | can, | at | times, | role | model | more | appropriate | interactions | or | provide
| suggestions | for | improving | communication | and | interactions | among | family
| members. |If | the | nurse | determines | that | the | number | of | visitors | has | a | negative
| impact | on | the | patient, | hospital | policy | may | be | to | limit | visitors, | but | that | would
| not | be | the | initial | action. | Monitoring | the | dysfunctional | interactions | would | not
| be | an | adequate | response. | The | primary | care | provider | should | certainly | be
| notified, | but | that | would |not | be | the | initial | response.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
2. The | nurse | caring | for | a | patient | would | identify | a | need | for | additional
| interventions | related | to | family | dynamics | when
a. extended | family | offers | to | help.
b. family | members | express | 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 | and
| indicate | that | they | deserve | special | treatment | and | care, | and | the | supportive | family
| may | need | assistance | in | understanding | the | dynamics | of | the | illness | in | order | to
| continue | to | be | supportive. | Offers | from | extended | family | to | help | can | be
| indicative | of | positive |dynamics. | Concern | expressed | by | family | 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 | finalizing | adoption | of | a | baby. | The | nurse | identifies | them | as
| which | type | of | family? |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 | legal | bond. | Nuclear | refers | to | the | traditional
| male | and | female | core | family | with | one | or | more | children. | Single | parent | refers
| to | a | family |with | one | adult | and | one | or | more | children.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
,4. The | nurse | identifies | the | family | with | a | child | graduating | from | college | as
| having | which | effect | on | the | family | life | cycle? |a. |Minimal | impact
b. Considered | to | be | a | negative | impact | on | the | family | unit
c. Leads | to | role | confusion
d. Expectation | of | role | change |ANS: | D
The | family | life | cycle | developmental | theory | focuses | on | the | growth | and
| development | of | changes | in | role | relationships | during | transitional | periods. | A
| child | graduating |from | college | is | an | example | of | a | transition | which | requires
| a | role | change. | As | this
is | a | transition, | one | would | expect | to | see | a | change | so | minimal | impact | would | not
| be | expected. | Graduation | does | not | imply | that | it | will | be | a | negative
| change | on | the |family | life | cycle | or | lead | to | role | confusion.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
5. When | reviewing | the | purposes | of | a | family | assessment, | the | nurse | educator
| would |identify | a | need | for | further | teaching | if | the | student | responded | that
| family |assessment | is | used | to | gain | an | understanding | of | which | aspect | of
| the | family?
a. Development N
b. Function
c. Political | views
d. Structure |ANS: | C
An | understanding | of | the | political | views | of | family | members | is | not | a | primary
|purpose | of | a | family | assessment. | A | family | assessment | provides | the | nurse | with
|information | and | an | understanding | of | family | dynamics. | This | is | important | to
| nurses |for | the | provision | of | quality | health | care. | A | family | assessment | provides | an
|understanding | of | family | development, | function, | and | structure.
OBJ: NCLEX | Client | Needs | Category: | Health | Promotion | and | Maintenance
6. A | nurse | is | planning | to | assess | the | structure | of | a | family. | Which | question
| should | the | nurse | ask?
a. “Who | lives | with | you | in | this | home?”
b. “Who | does | the | grocery | shopping?”
c. “Who | provides | support | in | your | family?”
d. “How | old | are | the | members | of | your | family?” | ANS: | A
The | structure | of | the | family | includes | who | is | in | the | family | and | what | their
|relationship | is. | “Who | does | the | shopping?” | would | provide | information | about
| family |functioning. | “Who | provides | support?” | would | provide | information | about
| family |functioning. | “How | old | are | the | members?” | would | provide | information
| about | family |development.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
7. Which | factors | which | would | alert | the | nurse | to | negative/dysfunctional
| family |dynamics? |a. |Aging | of | family | members
b. Chronic | illness | of | a | family | member
c. Disability | of | a | family | member
d. Intimate | partner | violence
, ANS: | D
Intimate | partner | violence | is | an | exemplar | of | negative/dysfunctional | family
|dynamics. | Aging | of | family | members | is | an | exemplar | of | changes | to | family
| dynamics. | Chronic | illness | of | a | family | member | is | an | exemplar | of
| changes | to |family | dynamics.
Disability | of | a | family | member | is | an | exemplar | of | changes | to | family
| dynamics. | OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
N
|dysfunctional | interactions | and | lack | of | family | support | for | a | patient | would
| 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
Nurses | can, | at | times, | role | model | more | appropriate | interactions | or | provide
| suggestions | for | improving | communication | and | interactions | among | family
| members. |If | the | nurse | determines | that | the | number | of | visitors | has | a | negative
| impact | on | the | patient, | hospital | policy | may | be | to | limit | visitors, | but | that | would
| not | be | the | initial | action. | Monitoring | the | dysfunctional | interactions | would | not
| be | an | adequate | response. | The | primary | care | provider | should | certainly | be
| notified, | but | that | would |not | be | the | initial | response.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
2. The | nurse | caring | for | a | patient | would | identify | a | need | for | additional
| interventions | related | to | family | dynamics | when
a. extended | family | offers | to | help.
b. family | members | express | 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 | and
| indicate | that | they | deserve | special | treatment | and | care, | and | the | supportive | family
| may | need | assistance | in | understanding | the | dynamics | of | the | illness | in | order | to
| continue | to | be | supportive. | Offers | from | extended | family | to | help | can | be
| indicative | of | positive |dynamics. | Concern | expressed | by | family | 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 | finalizing | adoption | of | a | baby. | The | nurse | identifies | them | as
| which | type | of | family? |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 | legal | bond. | Nuclear | refers | to | the | traditional
| male | and | female | core | family | with | one | or | more | children. | Single | parent | refers
| to | a | family |with | one | adult | and | one | or | more | children.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
,4. The | nurse | identifies | the | family | with | a | child | graduating | from | college | as
| having | which | effect | on | the | family | life | cycle? |a. |Minimal | impact
b. Considered | to | be | a | negative | impact | on | the | family | unit
c. Leads | to | role | confusion
d. Expectation | of | role | change |ANS: | D
The | family | life | cycle | developmental | theory | focuses | on | the | growth | and
| development | of | changes | in | role | relationships | during | transitional | periods. | A
| child | graduating |from | college | is | an | example | of | a | transition | which | requires
| a | role | change. | As | this
is | a | transition, | one | would | expect | to | see | a | change | so | minimal | impact | would | not
| be | expected. | Graduation | does | not | imply | that | it | will | be | a | negative
| change | on | the |family | life | cycle | or | lead | to | role | confusion.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
5. When | reviewing | the | purposes | of | a | family | assessment, | the | nurse | educator
| would |identify | a | need | for | further | teaching | if | the | student | responded | that
| family |assessment | is | used | to | gain | an | understanding | of | which | aspect | of
| the | family?
a. Development N
b. Function
c. Political | views
d. Structure |ANS: | C
An | understanding | of | the | political | views | of | family | members | is | not | a | primary
|purpose | of | a | family | assessment. | A | family | assessment | provides | the | nurse | with
|information | and | an | understanding | of | family | dynamics. | This | is | important | to
| nurses |for | the | provision | of | quality | health | care. | A | family | assessment | provides | an
|understanding | of | family | development, | function, | and | structure.
OBJ: NCLEX | Client | Needs | Category: | Health | Promotion | and | Maintenance
6. A | nurse | is | planning | to | assess | the | structure | of | a | family. | Which | question
| should | the | nurse | ask?
a. “Who | lives | with | you | in | this | home?”
b. “Who | does | the | grocery | shopping?”
c. “Who | provides | support | in | your | family?”
d. “How | old | are | the | members | of | your | family?” | ANS: | A
The | structure | of | the | family | includes | who | is | in | the | family | and | what | their
|relationship | is. | “Who | does | the | shopping?” | would | provide | information | about
| family |functioning. | “Who | provides | support?” | would | provide | information | about
| family |functioning. | “How | old | are | the | members?” | would | provide | information
| about | family |development.
OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
7. Which | factors | which | would | alert | the | nurse | to | negative/dysfunctional
| family |dynamics? |a. |Aging | of | family | members
b. Chronic | illness | of | a | family | member
c. Disability | of | a | family | member
d. Intimate | partner | violence
, ANS: | D
Intimate | partner | violence | is | an | exemplar | of | negative/dysfunctional | family
|dynamics. | Aging | of | family | members | is | an | exemplar | of | changes | to | family
| dynamics. | Chronic | illness | of | a | family | member | is | an | exemplar | of
| changes | to |family | dynamics.
Disability | of | a | family | member | is | an | exemplar | of | changes | to | family
| dynamics. | OBJ: NCLEX | Client | Needs | Category: | Psychosocial | Integrity
N
