,1. Theg f mostg f appropriateg f initialg f nursingg f interventiong f wheng f theg f nurseg f notesgfdgfysf
unctionalg f g f interactionsg f g f andg f g f lackg f g f ofg f g f familyg f g f supportg f g f forg f g f ag f g f patie
ntg f g f wgfouldg f beg f to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nursesg f can, atg f times,g f roleg f modelg f more appropriateg f interactions
org f providegfsuggestions for improvingg f g f communication
andg f g f interactions amongg f g f family
members.g f Ifg f the nurseg f determines thatg f theg f numberg f of visitors
hasg f ag f neggfativeg f impact on the patient,
hospitalg f g f policyg f mayg f beg f tog f g f limitg f g f visitors,g f g f bgfutg f that
wouldg f notg f beg f theg f initial gfaction.g f Monitoring
theg f dysfunctionalg f intgferactions wouldg f g f not beg f g f an
adequate response.g f g f Theg f g f primaryg f g f careg f g f provider
should certainlyg f beg f notified, but that wouldg f not be
theg f initialg f respogfnse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. Theg f nurse gfcaringg f for ag f patient wouldg f identifyg f ag f need
forg f additionalg f intgferventions relatedg f to familyg f dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.g f ANS: C
Itg f isg f not uncommon for theg f ill
familyg f memberg f tog f becomeg f demandingg f ang f dg f indicateg f that
theyg f deserveg f special treatment and care,g f and
theg f supportigfveg f familyg f mayg f need
assistanceg f ing f understandingg f theg f dynamics ofg f the
illngfessg f ing f orderg f to continueg f tog f be supportive.
Offersg f fromg f extendedg f familyg f tog f help cang f beg f indicativeg f of
positiveg f dynamics. Concern expressedg f byg f fagfmilyg f members
can beg f indicativeg f ofg f positiveg f dynamics. Sharingg f of
familygfmemories cang f beg f indicativeg f of positive
dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Twog f womeng f haveg f ang f establishedg f long-
termg f relationshipg f andg f areg f attendingg f parentingg f classesg f ing f anticipationg f g f ofg f f
inalizig f ngg f adoptiong f ofg f ag f baby.g f Theg f nurseg f identifiesg f themg f g f asg f w
hichg f typeg f ofg f fagfmily?g f a.g f Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
, C
Thisg f g f familyg f g f wouldg f g f beg f g f considered ag f g f same-
sexg f family. Cohabitingg f refersg f to a coupleg f who
liveg f togetherg f withg f nog f legag f lg f bond.g f Nuclearg f refersg f tog f theg
f traditional maleg f and female core familygfwithg f oneg f or
more children.g f Singleg f parentg f refers tog f a
familyg f withg f oneg f agfdultg f and oneg f org f moreg f children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
unctionalg f g f interactionsg f g f andg f g f lackg f g f ofg f g f familyg f g f supportg f g f forg f g f ag f g f patie
ntg f g f wgfouldg f beg f to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nursesg f can, atg f times,g f roleg f modelg f more appropriateg f interactions
org f providegfsuggestions for improvingg f g f communication
andg f g f interactions amongg f g f family
members.g f Ifg f the nurseg f determines thatg f theg f numberg f of visitors
hasg f ag f neggfativeg f impact on the patient,
hospitalg f g f policyg f mayg f beg f tog f g f limitg f g f visitors,g f g f bgfutg f that
wouldg f notg f beg f theg f initial gfaction.g f Monitoring
theg f dysfunctionalg f intgferactions wouldg f g f not beg f g f an
adequate response.g f g f Theg f g f primaryg f g f careg f g f provider
should certainlyg f beg f notified, but that wouldg f not be
theg f initialg f respogfnse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. Theg f nurse gfcaringg f for ag f patient wouldg f identifyg f ag f need
forg f additionalg f intgferventions relatedg f to familyg f dynamics
when
a. extended family offers to help.
b. family members cNoncern.
c. the ill member demands attention.
d. memories are shared.g f ANS: C
Itg f isg f not uncommon for theg f ill
familyg f memberg f tog f becomeg f demandingg f ang f dg f indicateg f that
theyg f deserveg f special treatment and care,g f and
theg f supportigfveg f familyg f mayg f need
assistanceg f ing f understandingg f theg f dynamics ofg f the
illngfessg f ing f orderg f to continueg f tog f be supportive.
Offersg f fromg f extendedg f familyg f tog f help cang f beg f indicativeg f of
positiveg f dynamics. Concern expressedg f byg f fagfmilyg f members
can beg f indicativeg f ofg f positiveg f dynamics. Sharingg f of
familygfmemories cang f beg f indicativeg f of positive
dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Twog f womeng f haveg f ang f establishedg f long-
termg f relationshipg f andg f areg f attendingg f parentingg f classesg f ing f anticipationg f g f ofg f f
inalizig f ngg f adoptiong f ofg f ag f baby.g f Theg f nurseg f identifiesg f themg f g f asg f w
hichg f typeg f ofg f fagfmily?g f a.g f Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
, C
Thisg f g f familyg f g f wouldg f g f beg f g f considered ag f g f same-
sexg f family. Cohabitingg f refersg f to a coupleg f who
liveg f togetherg f withg f nog f legag f lg f bond.g f Nuclearg f refersg f tog f theg
f traditional maleg f and female core familygfwithg f oneg f or
more children.g f Singleg f parentg f refers tog f a
familyg f withg f oneg f agfdultg f and oneg f org f moreg f children.
, OBJ: NCLEX Client Needs Category: Psychosocial Integrity
