TEST BANK FOR Concepts for Nursing Practice 3rd Edition by Jean Foret Giddens ISBN:978-0323581936 ALL CHAPTERS COVERED YOUR ULTIMATE GUIDE 100% VERIFIED A+ GRAD ASSURED!!!!!! NEW LATEST UPDATE!!!!!!

,1. The most appropriate initial nursing intervention when the nurse notes d
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ysfunctional interactions and lack of family support for a patient w
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ould be to V H V H


a. enforce hospital visiting policies.
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b. monitor the dysfunctional interactions.
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c. notify the primary care provider.
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d. role model appropriate support.
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ANS: D V H


Nurses can, at times, role model more appropriate interactions or provide
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H suggestions for improving communication and interactions among family
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members. If the nurse determines that the number of visitors has a nega
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tive impact on the patient, hospital policy may be to limit visitors, but
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V Hthat would not be the initial action. Monitoring the dysfunctional inter
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actions would not be an adequate response. The primary care provider
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should certainly be notified, but that would not be the initial response.
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OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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2. The nurse caring for a patient would identify a need for additional inte
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rventions related to family dynamics when
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a. extended family offers to help. V H V H V H V H


b. family members express cNoncern.
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c. the ill member demands attention.
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d. memories are shared. ANS: C V H V H VH V H




It is not uncommon for the ill family member to become demanding an
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d indicate that they deserve special treatment and care, and the supporti
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ve family may need assistance in understanding the dynamics of the illn
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ess in order to continue to be supportive. Offers from extended family
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to help can be indicative of positive dynamics. Concern expressed by fa
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mily members can be indicative of positive dynamics. Sharing of family
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memories can be indicative of positive dynamics.
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OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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3. Two women have an established long-
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term relationship and are attending parenting classes in anticipation of finalizin
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g adoption of a baby. The nurse identifies them as which type of fami
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ly? a. Cohabiting
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b. Nuclear
c. Same-sex
d. Single parent ANS: V H V H




C
This family would be considered a same-
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sex family. Cohabiting refers to a couple who live together with no legal
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V Hbond. Nuclear refers to the traditional male and female core family w
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ith one or more children. Single parent refers to a family with one adu
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lt and one or more children.
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OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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,4. The nurse identifies the family with a child graduating from college a
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s having which effect on the family life cycle? a. Minimal impact
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b. Considered to be a negative impact on the family unit
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c. Leads to role confusion V H V H V H


d. Expectation of role change ANS: D V H V H V H VH V H




The family life cycle developmental theory focuses on the growth and dev
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elopment of changes in role relationships during transitional periods.
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A child graduating from college is an example of a transition which
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V Hrequires a role change. As this V H V H V H V H V H


is a transition, one would expect to see a change so minimal impact
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would not be expected. Graduation does not imply that it will be
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H a negative change on the family life cycle or lead to role confusion.
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OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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5. When reviewing the purposes of a family assessment, the nurse educato
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r would identify a need for further teaching if the student responded t
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hat family assessment is used to gain an understanding of which
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aspect of the family?V H V H V H


a. Development N
b. Function
c. Political views V H


d. Structure ANS: C VH V H




An understanding of the political views of family members is not a
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primary purpose of a family assessment. A family assessment provides the
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nurse with information and an understanding of family dynamics. This i
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s important to nurses for the provision of quality health care. A family
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Hassessment provides an understanding of family development, function, and
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structure.
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OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
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6. A nurse is planning to assess the structure of a family. Which questi
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on should the nurse ask?
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a. “Who lives with you in this home?”
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b. “Who does the grocery shopping?”
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c. “Who provides support in your family?”
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d. “How old are the members of your family?” ANS: A
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The structure of the family includes who is in the family and wh
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at their relationship is. “Who does the shopping?” would provide informa
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tion about family functioning. “Who provides support?” would provide info
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rmation about family functioning. “How old are the members?” would pro
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vide information about family development.
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OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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7. Which factors which would alert the nurse to negative/dysfunctional
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H family dynamics? a. Aging of family members
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b. Chronic illness of a family member V H V H V H V H V H


c. Disability of a family member V H V H V H V H


d. Intimate partner violence V H V H

, ANS: D V H


Intimate partner violence is an exemplar of negative/dysfunctional fam
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ily dynamics. Aging of family members is an exemplar of changes to fa
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mily dynamics. Chronic illness of a family member is an exemplar
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V of changes to family dynamics.
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Disability of a family member is an exemplar of changes to family
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V H dynamics. OBJ: NCLEX Client Needs Category: Psychosocial Integrity
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