,1.The vmost vappropriate vinitial vnursing vintervention vwhen vthe vnurse vnotes
v𝒹ysfunctional vinteractions van𝒹 vlack vof vfamily vsupport vfor va vpatient vwoul𝒹 vbe
vto a.enforce vhospital vvisiting vpolicies.
b.monitor vthe v𝒹ysfunctional vinteractions.
c.notify vthe vprimary vcare vprovi𝒹er.
𝒹.role vmo𝒹el vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmo𝒹el vmore vappropriate vinteractions vor vprovi𝒹e
vsuggestions vfor vimproving vcommunication van𝒹 vinteractions vamong vfamily
vmembers. vIf vthe vnurse v𝒹etermines vthat vthe vnumber vof vvisitors vhas va vnegative
vimpact von vthe vpatient, vhospital vpolicy vmay vbe vto vlimit vvisitors, vbut vthat vwoul𝒹
vnot vbe vthe vinitial vaction. vMonitoring vthe v𝒹ysfunctional vinteractions vwoul𝒹 vnot vbe
van va𝒹equate vresponse. vThe vprimary vcare vprovi𝒹er vshoul𝒹 vcertainly vbe vnotifie𝒹,
vbut vthat vwoul𝒹 vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
2.The vnurse vcaring vfor va vpatient vwoul𝒹 vi𝒹entify va vnee𝒹 vfor va𝒹𝒹itional
vinterventions vrelate𝒹 vto vfamily v𝒹ynamics vwhen
a.exten𝒹e𝒹 vfamily voffers vto vhelp.
b.family vmembers vexpress vcNoncern.
c.the vill vmember v𝒹eman𝒹s vattention.
𝒹.memories vare vshare𝒹. ANS: v C
It vis vnot vuncommon vfor vthe vill vfamily vmember vto vbecome v𝒹eman𝒹ing van𝒹
vin𝒹icate vthat vthey v𝒹eserve vspecial vtreatment van𝒹 vcare, van𝒹 vthe vsupportive
vfamily vmay vnee𝒹 vassistance vin vun𝒹erstan𝒹ing vthe v𝒹ynamics vof vthe villness vin
vor𝒹er vto vcontinue vto vbe vsupportive. vOffers vfrom vexten𝒹e𝒹 vfamily vto vhelp vcan
vbe vin𝒹icative vof vpositive v𝒹ynamics. vConcern vexpresse𝒹 vby vfamily vmembers vcan
vbe vin𝒹icative vof vpositive v𝒹ynamics. vSharing vof vfamily vmemories vcan vbe
vin𝒹icative vof vpositive v𝒹ynamics.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
3.Two vwomen vhave van vestablishe𝒹 vlong-term vrelationship van𝒹 vare vatten𝒹ing
vparenting vclasses vin vanticipation vof vfinalizing va𝒹option vof va vbaby. vThe vnurse
vi𝒹entifies vthem vas vwhich vtype vof vfamily? a.Cohabiting
b.Nuclear
c.Same-sex
𝒹.Single vparent vANS:
vC
This vfamily vwoul𝒹 vbe vconsi𝒹ere𝒹 va vsame-sex vfamily. vCohabiting vrefers vto va
vcouple vwho vlive vtogether vwith vno vlegal vbon𝒹. vNuclear vrefers vto vthe vtra𝒹itional
vmale van𝒹 vfemale vcore vfamily vwith vone vor vmore vchil𝒹ren. vSingle vparent vrefers vto
va vfamily vwith vone va𝒹ult van𝒹 vone vor vmore vchil𝒹ren.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
,4.The vnurse vi𝒹entifies vthe vfamily vwith va vchil𝒹 vgra𝒹uating vfrom vcollege vas
vhaving vwhich veffect von vthe vfamily vlife vcycle? a.Minimal vimpact
b.Consi𝒹ere𝒹 vto vbe va vnegative vimpact von vthe vfamily vunit
c.Lea𝒹s vto vrole vconfusion
𝒹.Expectation vof vrole vchange ANS: v D
The vfamily vlife vcycle v𝒹evelopmental vtheory vfocuses von vthe vgrowth van𝒹
v𝒹evelopment vof vchanges vin vrole vrelationships v𝒹uring vtransitional vperio𝒹s. vA vchil𝒹
vgra𝒹uating vfromvcollege vis van vexample vof va vtransition vwhich vrequires va vrole
vchange. vAs vthis vis va vtransition, vone vwoul𝒹 vexpect vto vsee va vchange vso vminimal
vimpact vwoul𝒹 vnot vbe vexpecte𝒹. vGra𝒹uation v𝒹oes vnot vimply vthat vit vwill vbe va
vnegative vchange von vthe vfamily vlife vcycle vor vlea𝒹 vto vrole vconfusion.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
5.When vreviewing vthe vpurposes vof va vfamily vassessment, vthe vnurse ve𝒹ucator vwoul𝒹
vi𝒹entify va vnee𝒹 vfor vfurther vteaching vif vthe vstu𝒹ent vrespon𝒹e𝒹 vthat vfamily
vassessment vis vuse𝒹 vto vgain van vun𝒹erstan𝒹ing vof vwhich vaspect vof vthe vfamily?
a.Development N
b.Function
c.Political vviews
𝒹.Structure ANS: v C
An vun𝒹erstan𝒹ing vof vthe vpolitical vviews vof vfamily vmembers vis vnot va vprimary
vpurpose vof va vfamily vassessment. vA vfamily vassessment vprovi𝒹es vthe vnurse vwith
vinformation van𝒹 van vun𝒹erstan𝒹ing vof vfamily v𝒹ynamics. vThis vis vimportant vto
vnurses vfor vthe vprovision vof vquality vhealth vcare. vA vfamily vassessment vprovi𝒹es van
vun𝒹erstan𝒹ing vofvfamily v𝒹evelopment, vfunction, van𝒹 vstructure.
OBJ: NCLEX vClient vNee𝒹s vCategory: vHealth vPromotion van𝒹 vMaintenance
6.A vnurse vis vplanning vto vassess vthe vstructure vof va vfamily. vWhich vquestion vshoul𝒹
vthe vnurse vask?
a.“Who vlives vwith vyou vin vthis vhome?”
b.“Who v𝒹oes vthe vgrocery vshopping?”
c.“Who vprovi𝒹es vsupport vin vyour vfamily?”
𝒹.“How vol𝒹 vare vthe vmembers vof vyour vfamily?” vANS: v A
The vstructure vof vthe vfamily vinclu𝒹es vwho vis vin vthe vfamily van𝒹 vwhat vtheir
vrelationship vis. v“Who v𝒹oes vthe vshopping?” vwoul𝒹 vprovi𝒹e vinformation vabout
vfamily vfunctioning. v“Who vprovi𝒹es vsupport?” vwoul𝒹 vprovi𝒹e vinformation vabout
vfamily vfunctioning. v“How vol𝒹 vare vthe vmembers?” vwoul𝒹 vprovi𝒹e vinformation
vabout vfamily v𝒹evelopment.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
7.Which vfactors vwhich vwoul𝒹 valert vthe vnurse vto vnegative/𝒹ysfunctional vfamily
v𝒹ynamics? a.Aging vof vfamily vmembers
b.Chronic villness vof va vfamily vmember
c.Disability vof va vfamily vmember
𝒹.Intimate vpartner vviolence
, ANS: v D
Intimate vpartner vviolence vis van vexemplar vof vnegative/𝒹ysfunctional vfamily
v𝒹ynamics.vAging vof vfamily vmembers vis van vexemplar vof vchanges vto vfamily
v𝒹ynamics. vChronic villness vof va vfamily vmember vis van vexemplar vof vchanges vto
vfamily v𝒹ynamics.
vDisability vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily v𝒹ynamics.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
N
v𝒹ysfunctional vinteractions van𝒹 vlack vof vfamily vsupport vfor va vpatient vwoul𝒹 vbe
vto a.enforce vhospital vvisiting vpolicies.
b.monitor vthe v𝒹ysfunctional vinteractions.
c.notify vthe vprimary vcare vprovi𝒹er.
𝒹.role vmo𝒹el vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmo𝒹el vmore vappropriate vinteractions vor vprovi𝒹e
vsuggestions vfor vimproving vcommunication van𝒹 vinteractions vamong vfamily
vmembers. vIf vthe vnurse v𝒹etermines vthat vthe vnumber vof vvisitors vhas va vnegative
vimpact von vthe vpatient, vhospital vpolicy vmay vbe vto vlimit vvisitors, vbut vthat vwoul𝒹
vnot vbe vthe vinitial vaction. vMonitoring vthe v𝒹ysfunctional vinteractions vwoul𝒹 vnot vbe
van va𝒹equate vresponse. vThe vprimary vcare vprovi𝒹er vshoul𝒹 vcertainly vbe vnotifie𝒹,
vbut vthat vwoul𝒹 vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
2.The vnurse vcaring vfor va vpatient vwoul𝒹 vi𝒹entify va vnee𝒹 vfor va𝒹𝒹itional
vinterventions vrelate𝒹 vto vfamily v𝒹ynamics vwhen
a.exten𝒹e𝒹 vfamily voffers vto vhelp.
b.family vmembers vexpress vcNoncern.
c.the vill vmember v𝒹eman𝒹s vattention.
𝒹.memories vare vshare𝒹. ANS: v C
It vis vnot vuncommon vfor vthe vill vfamily vmember vto vbecome v𝒹eman𝒹ing van𝒹
vin𝒹icate vthat vthey v𝒹eserve vspecial vtreatment van𝒹 vcare, van𝒹 vthe vsupportive
vfamily vmay vnee𝒹 vassistance vin vun𝒹erstan𝒹ing vthe v𝒹ynamics vof vthe villness vin
vor𝒹er vto vcontinue vto vbe vsupportive. vOffers vfrom vexten𝒹e𝒹 vfamily vto vhelp vcan
vbe vin𝒹icative vof vpositive v𝒹ynamics. vConcern vexpresse𝒹 vby vfamily vmembers vcan
vbe vin𝒹icative vof vpositive v𝒹ynamics. vSharing vof vfamily vmemories vcan vbe
vin𝒹icative vof vpositive v𝒹ynamics.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
3.Two vwomen vhave van vestablishe𝒹 vlong-term vrelationship van𝒹 vare vatten𝒹ing
vparenting vclasses vin vanticipation vof vfinalizing va𝒹option vof va vbaby. vThe vnurse
vi𝒹entifies vthem vas vwhich vtype vof vfamily? a.Cohabiting
b.Nuclear
c.Same-sex
𝒹.Single vparent vANS:
vC
This vfamily vwoul𝒹 vbe vconsi𝒹ere𝒹 va vsame-sex vfamily. vCohabiting vrefers vto va
vcouple vwho vlive vtogether vwith vno vlegal vbon𝒹. vNuclear vrefers vto vthe vtra𝒹itional
vmale van𝒹 vfemale vcore vfamily vwith vone vor vmore vchil𝒹ren. vSingle vparent vrefers vto
va vfamily vwith vone va𝒹ult van𝒹 vone vor vmore vchil𝒹ren.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
,4.The vnurse vi𝒹entifies vthe vfamily vwith va vchil𝒹 vgra𝒹uating vfrom vcollege vas
vhaving vwhich veffect von vthe vfamily vlife vcycle? a.Minimal vimpact
b.Consi𝒹ere𝒹 vto vbe va vnegative vimpact von vthe vfamily vunit
c.Lea𝒹s vto vrole vconfusion
𝒹.Expectation vof vrole vchange ANS: v D
The vfamily vlife vcycle v𝒹evelopmental vtheory vfocuses von vthe vgrowth van𝒹
v𝒹evelopment vof vchanges vin vrole vrelationships v𝒹uring vtransitional vperio𝒹s. vA vchil𝒹
vgra𝒹uating vfromvcollege vis van vexample vof va vtransition vwhich vrequires va vrole
vchange. vAs vthis vis va vtransition, vone vwoul𝒹 vexpect vto vsee va vchange vso vminimal
vimpact vwoul𝒹 vnot vbe vexpecte𝒹. vGra𝒹uation v𝒹oes vnot vimply vthat vit vwill vbe va
vnegative vchange von vthe vfamily vlife vcycle vor vlea𝒹 vto vrole vconfusion.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
5.When vreviewing vthe vpurposes vof va vfamily vassessment, vthe vnurse ve𝒹ucator vwoul𝒹
vi𝒹entify va vnee𝒹 vfor vfurther vteaching vif vthe vstu𝒹ent vrespon𝒹e𝒹 vthat vfamily
vassessment vis vuse𝒹 vto vgain van vun𝒹erstan𝒹ing vof vwhich vaspect vof vthe vfamily?
a.Development N
b.Function
c.Political vviews
𝒹.Structure ANS: v C
An vun𝒹erstan𝒹ing vof vthe vpolitical vviews vof vfamily vmembers vis vnot va vprimary
vpurpose vof va vfamily vassessment. vA vfamily vassessment vprovi𝒹es vthe vnurse vwith
vinformation van𝒹 van vun𝒹erstan𝒹ing vof vfamily v𝒹ynamics. vThis vis vimportant vto
vnurses vfor vthe vprovision vof vquality vhealth vcare. vA vfamily vassessment vprovi𝒹es van
vun𝒹erstan𝒹ing vofvfamily v𝒹evelopment, vfunction, van𝒹 vstructure.
OBJ: NCLEX vClient vNee𝒹s vCategory: vHealth vPromotion van𝒹 vMaintenance
6.A vnurse vis vplanning vto vassess vthe vstructure vof va vfamily. vWhich vquestion vshoul𝒹
vthe vnurse vask?
a.“Who vlives vwith vyou vin vthis vhome?”
b.“Who v𝒹oes vthe vgrocery vshopping?”
c.“Who vprovi𝒹es vsupport vin vyour vfamily?”
𝒹.“How vol𝒹 vare vthe vmembers vof vyour vfamily?” vANS: v A
The vstructure vof vthe vfamily vinclu𝒹es vwho vis vin vthe vfamily van𝒹 vwhat vtheir
vrelationship vis. v“Who v𝒹oes vthe vshopping?” vwoul𝒹 vprovi𝒹e vinformation vabout
vfamily vfunctioning. v“Who vprovi𝒹es vsupport?” vwoul𝒹 vprovi𝒹e vinformation vabout
vfamily vfunctioning. v“How vol𝒹 vare vthe vmembers?” vwoul𝒹 vprovi𝒹e vinformation
vabout vfamily v𝒹evelopment.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
7.Which vfactors vwhich vwoul𝒹 valert vthe vnurse vto vnegative/𝒹ysfunctional vfamily
v𝒹ynamics? a.Aging vof vfamily vmembers
b.Chronic villness vof va vfamily vmember
c.Disability vof va vfamily vmember
𝒹.Intimate vpartner vviolence
, ANS: v D
Intimate vpartner vviolence vis van vexemplar vof vnegative/𝒹ysfunctional vfamily
v𝒹ynamics.vAging vof vfamily vmembers vis van vexemplar vof vchanges vto vfamily
v𝒹ynamics. vChronic villness vof va vfamily vmember vis van vexemplar vof vchanges vto
vfamily v𝒹ynamics.
vDisability vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily v𝒹ynamics.
OBJ: NCLEX vClient vNee𝒹s vCategory: vPsychosocial vIntegrity
N
