,1.The vmost vappropriate vinitial vnursing vintervention vwhen vthe vnurse vnotes
vdysғunctional vinteractions vand vlack voғ vғamily vsupport vғor va vpatient vwould vbe vto
a.enғorce vhospital vvisiting vpolicies.
b.monitor vthe vdysғunctional vinteractions.
c.notiғy vthe vprimary vcare vprovider.
d.role vmodel vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmodel vmore vappropriate vinteractions vor vprovide
vsuggestions vғor vimproving vcommunication vand vinteractions vamong vғamily
vmembers. vIғ vthe vnurse vdetermines vthat vthe vnumber voғ 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 vdysғunctional vinteractions vwould vnot vbe
van vadequate vresponse. vThe vprimary vcare vprovider vshould vcertainly vbe vnotiғied, vbut
vthat vwould vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
2.The vnurse vcaring vғor va vpatient vwould videntiғy va vneed vғor vadditional vinterventions
vrelated vto vғamily vdynamics vwhen
a.extended vғamily voғғers vto vhelp.
b.ғamily vmembers vexpress vcNoncern.
c.the vill vmember vdemands vattention.
d.memories vare vshared. ANS: v C
It vis vnot vuncommon vғor vthe vill vғamily vmember vto vbecome vdemanding vand vindicate
vthat vthey vdeserve vspecial vtreatment vand vcare, vand vthe vsupportive vғamily vmay vneed
vassistance vin vunderstanding vthe vdynamics voғ vthe villness vin vorder vto vcontinue vto vbe
vsupportive. vOғғers vғrom vextended vғamily vto vhelp vcan vbe vindicative voғ vpositive
vdynamics. vConcern vexpressed vby vғamily vmembers vcan vbe vindicative voғ vpositive
vdynamics. vSharing voғ vғamily vmemories vcan vbe vindicative voғ 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 voғ vғinalizing vadoption voғ va vbaby. vThe vnurse videntiғies
vthem vas vwhich vtype voғ vғamily? a.Cohabiting
b.Nuclear
c.Same-sex
d.Single vparent vANS:
vC
This vғamily vwould vbe vconsidered va vsame-sex vғamily. vCohabiting vreғers vto va
vcouple vwho vlive vtogether vwith vno vlegal vbond. vNuclear vreғers vto vthe vtraditional
vmale vand vғemale vcore vғamily vwith vone vor vmore vchildren. vSingle vparent vreғers vto
va vғamily vwith vone vadult vand vone vor vmore vchildren.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
,4.The vnurse videntiғies vthe vғamily vwith va vchild vgraduating vғrom vcollege vas vhaving
vwhich veғғect von vthe vғamily vliғe vcycle? a.Minimal vimpact
b.Considered vto vbe va vnegative vimpact von vthe vғamily vunit
c.Leads vto vrole vconғusion
d.Expectation voғ vrole vchange ANS: v D
The vғamily vliғe vcycle vdevelopmental vtheory vғocuses von vthe vgrowth vand vdevelopment
voғ vchanges vin vrole vrelationships vduring vtransitional vperiods. vA vchild vgraduating
vғromvcollege vis van vexample voғ 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
vғamily vliғe vcycle vor vlead vto vrole vconғusion.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
5.When vreviewing vthe vpurposes voғ va vғamily vassessment, vthe vnurse veducator vwould
videntiғy va vneed vғor vғurther vteaching viғ vthe vstudent vresponded vthat vғamily
vassessment vis vused vto vgain van vunderstanding voғ vwhich vaspect voғ vthe vғamily?
a.Development N
b.Function
c.Political vviews
d.Structure ANS: v C
An vunderstanding voғ vthe vpolitical vviews voғ vғamily vmembers vis vnot va vprimary
vpurpose voғ va vғamily vassessment. vA vғamily vassessment vprovides vthe vnurse vwith
vinғormation vand van vunderstanding voғ vғamily vdynamics. vThis vis vimportant vto
vnurses vғor vthe vprovision voғ vquality vhealth vcare. vA vғamily vassessment vprovides van
vunderstanding voғvғamily vdevelopment, vғunction, vand vstructure.
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
6.A vnurse vis vplanning vto vassess vthe vstructure voғ va vғamily. 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 vғamily?”
d.“How vold vare vthe vmembers voғ vyour vғamily?” vANS: v A
The vstructure voғ vthe vғamily vincludes vwho vis vin vthe vғamily vand vwhat vtheir
vrelationship vis. v“Who vdoes vthe vshopping?” vwould vprovide vinғormation vabout vғamily
vғunctioning. v“Who vprovides vsupport?” vwould vprovide vinғormation vabout vғamily
vғunctioning. v“How vold vare vthe vmembers?” vwould vprovide vinғormation vabout vғamily
vdevelopment.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
7.Which vғactors vwhich vwould valert vthe vnurse vto vnegative/dysғunctional vғamily
vdynamics? a.Aging voғ vғamily vmembers
b.Chronic villness voғ va vғamily vmember
c.Disability voғ va vғamily vmember
d.Intimate vpartner vviolence
, ANS: v D
Intimate vpartner vviolence vis van vexemplar voғ vnegative/dysғunctional vғamily
vdynamics.vAging voғ vғamily vmembers vis van vexemplar voғ vchanges vto vғamily
vdynamics. vChronic villness voғ va vғamily vmember vis van vexemplar voғ vchanges vto
vғamily vdynamics.
vDisability voғ va vғamily vmember vis van vexemplar voғ vchanges vto vғamily vdynamics.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
N
vdysғunctional vinteractions vand vlack voғ vғamily vsupport vғor va vpatient vwould vbe vto
a.enғorce vhospital vvisiting vpolicies.
b.monitor vthe vdysғunctional vinteractions.
c.notiғy vthe vprimary vcare vprovider.
d.role vmodel vappropriate vsupport.
ANS: v D
Nurses vcan, vat vtimes, vrole vmodel vmore vappropriate vinteractions vor vprovide
vsuggestions vғor vimproving vcommunication vand vinteractions vamong vғamily
vmembers. vIғ vthe vnurse vdetermines vthat vthe vnumber voғ 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 vdysғunctional vinteractions vwould vnot vbe
van vadequate vresponse. vThe vprimary vcare vprovider vshould vcertainly vbe vnotiғied, vbut
vthat vwould vnot vbe vthe vinitial vresponse.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
2.The vnurse vcaring vғor va vpatient vwould videntiғy va vneed vғor vadditional vinterventions
vrelated vto vғamily vdynamics vwhen
a.extended vғamily voғғers vto vhelp.
b.ғamily vmembers vexpress vcNoncern.
c.the vill vmember vdemands vattention.
d.memories vare vshared. ANS: v C
It vis vnot vuncommon vғor vthe vill vғamily vmember vto vbecome vdemanding vand vindicate
vthat vthey vdeserve vspecial vtreatment vand vcare, vand vthe vsupportive vғamily vmay vneed
vassistance vin vunderstanding vthe vdynamics voғ vthe villness vin vorder vto vcontinue vto vbe
vsupportive. vOғғers vғrom vextended vғamily vto vhelp vcan vbe vindicative voғ vpositive
vdynamics. vConcern vexpressed vby vғamily vmembers vcan vbe vindicative voғ vpositive
vdynamics. vSharing voғ vғamily vmemories vcan vbe vindicative voғ 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 voғ vғinalizing vadoption voғ va vbaby. vThe vnurse videntiғies
vthem vas vwhich vtype voғ vғamily? a.Cohabiting
b.Nuclear
c.Same-sex
d.Single vparent vANS:
vC
This vғamily vwould vbe vconsidered va vsame-sex vғamily. vCohabiting vreғers vto va
vcouple vwho vlive vtogether vwith vno vlegal vbond. vNuclear vreғers vto vthe vtraditional
vmale vand vғemale vcore vғamily vwith vone vor vmore vchildren. vSingle vparent vreғers vto
va vғamily vwith vone vadult vand vone vor vmore vchildren.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
,4.The vnurse videntiғies vthe vғamily vwith va vchild vgraduating vғrom vcollege vas vhaving
vwhich veғғect von vthe vғamily vliғe vcycle? a.Minimal vimpact
b.Considered vto vbe va vnegative vimpact von vthe vғamily vunit
c.Leads vto vrole vconғusion
d.Expectation voғ vrole vchange ANS: v D
The vғamily vliғe vcycle vdevelopmental vtheory vғocuses von vthe vgrowth vand vdevelopment
voғ vchanges vin vrole vrelationships vduring vtransitional vperiods. vA vchild vgraduating
vғromvcollege vis van vexample voғ 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
vғamily vliғe vcycle vor vlead vto vrole vconғusion.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
5.When vreviewing vthe vpurposes voғ va vғamily vassessment, vthe vnurse veducator vwould
videntiғy va vneed vғor vғurther vteaching viғ vthe vstudent vresponded vthat vғamily
vassessment vis vused vto vgain van vunderstanding voғ vwhich vaspect voғ vthe vғamily?
a.Development N
b.Function
c.Political vviews
d.Structure ANS: v C
An vunderstanding voғ vthe vpolitical vviews voғ vғamily vmembers vis vnot va vprimary
vpurpose voғ va vғamily vassessment. vA vғamily vassessment vprovides vthe vnurse vwith
vinғormation vand van vunderstanding voғ vғamily vdynamics. vThis vis vimportant vto
vnurses vғor vthe vprovision voғ vquality vhealth vcare. vA vғamily vassessment vprovides van
vunderstanding voғvғamily vdevelopment, vғunction, vand vstructure.
OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance
6.A vnurse vis vplanning vto vassess vthe vstructure voғ va vғamily. 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 vғamily?”
d.“How vold vare vthe vmembers voғ vyour vғamily?” vANS: v A
The vstructure voғ vthe vғamily vincludes vwho vis vin vthe vғamily vand vwhat vtheir
vrelationship vis. v“Who vdoes vthe vshopping?” vwould vprovide vinғormation vabout vғamily
vғunctioning. v“Who vprovides vsupport?” vwould vprovide vinғormation vabout vғamily
vғunctioning. v“How vold vare vthe vmembers?” vwould vprovide vinғormation vabout vғamily
vdevelopment.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
7.Which vғactors vwhich vwould valert vthe vnurse vto vnegative/dysғunctional vғamily
vdynamics? a.Aging voғ vғamily vmembers
b.Chronic villness voғ va vғamily vmember
c.Disability voғ va vғamily vmember
d.Intimate vpartner vviolence
, ANS: v D
Intimate vpartner vviolence vis van vexemplar voғ vnegative/dysғunctional vғamily
vdynamics.vAging voғ vғamily vmembers vis van vexemplar voғ vchanges vto vғamily
vdynamics. vChronic villness voғ va vғamily vmember vis van vexemplar voғ vchanges vto
vғamily vdynamics.
vDisability voғ va vғamily vmember vis van vexemplar voғ vchanges vto vғamily vdynamics.
OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity
N
