,1.Thevmostvappropriatevinitialvnursingvinterventionvwhenvthevnursevnotes
vdysfunctionalvinteractionsvandvlac𝑘vofvfamilyvsupportvforvavpatientvwouldvbevtoa.enfo
rcevhospitalvvisitingvpolicies.
b.monitorvthevdysfunctionalvinteractions.
c.notifyvthevprimaryvcarevprovider.
d.rolevmodelvappropriatevsupport.
ANS:vD
Nursesvcan,vatvtimes,vrolevmodelvmorevappropriatevinteractionsvorvprovide
vsuggestionsvforvimprovingvcommunicationvandvinteractionsvamongvfamilyvmembers.vIfv
thevnursevdeterminesvthatvthevnumbervofvvisitorsvhasvavnegativevimpactvonvthevpatient,vh
ospitalvpolicyvmayvbevtovlimitvvisitors,vbutvthatvwouldvnotvbevthevinitialvaction.vMonitori
ngvthevdysfunctionalvinteractionsvwouldvnotvbevanvadequatevresponse.vThevprimaryvcarev
providervshouldvcertainlyvbevnotified,vbutvthatvwouldvnotvbevthevinitialvresponse.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
2.Thevnursevcaringvforvavpatientvwouldvidentifyvavneedvforvadditionalvinterventionsvrelated
vtovfamilyvdynamicsvwhen
a.extendedvfamilyvoffersvtovhelp.
b.familyvmembersvexpressvcNoncern.
c.thevillvmembervdemandsvattention.
d.memoriesvarevshared. ANS:vC
Itvisvnotvuncommonvforvthevillvfamilyvmembervtovbecomevdemandingvandvindicatevthatvt
heyvdeservevspecialvtreatmentvandvcare,vandvthevsupportivevfamilyvmayvneedvassistancev
invunderstandingvthevdynamicsvofvthevillnessvinvordervtovcontinuevtovbevsupportive.vOffe
rsvfromvextendedvfamilyvtovhelpvcanvbevindicativevofvpositivevdynamics.vConcernvexpre
ssedvbyvfamilyvmembersvcanvbevindicativevofvpositivevdynamics.vSharingvofvfamilyvme
moriesvcanvbevindicativevofvpositivevdynamics.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
3.Twovwomenvhavevanvestablishedvlong-
termvrelationshipvandvarevattendingvparentingvclassesvinvanticipationvofvfinalizingvadopti
onvofvavbaby.vThevnursevidentifiesvthemvasvwhichvtypevofvfamily? a.Cohabiting
b.Nuclear
c.Same-sex
d.SinglevparentvANS:
vC
Thisvfamilyvwouldvbevconsideredvavsame-
sexvfamily.vCohabitingvrefersvtovavcouplevwhovlivevtogethervwithvnovlegalvbond.vNuclea
rvrefersvtovthevtraditionalvmalevandvfemalevcorevfamilyvwithvonevorvmorevchildren.vSingl
evparentvrefersvtovavfamilyvwithvonevadultvandvonevorvmorevchildren.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
,4.Thevnursevidentifiesvthevfamilyvwithvavchildvgraduatingvfromvcollegevasvhavingvwhic
hveffectvonvthevfamilyvlifevcycle? a.Minimalvimpact
b.Consideredvtovbevavnegativevimpactvonvthevfamilyvunit
c.Leadsvtovrolevconfusion
d.Expectationvofvrolevchange ANS:vD
Thevfamilyvlifevcyclevdevelopmentalvtheoryvfocusesvonvthevgrowthvandvdevelopmentvofvc
hangesvinvrolevrelationshipsvduringvtransitionalvperiods.vAvchildvgraduatingvfromvcollegev
isvanvexamplevofvavtransitionvwhichvrequiresvavrolevchange.vAsvthisvisvavtransition,vonevw
ouldvexpectvtovseevavchangevsovminimalvimpactvwouldvnotvbevexpected.vGraduationvdoesv
notvimplyvthatvitvwillvbevavnegativevchangevonvthevfamilyvlifevcyclevorvleadvtovrolevconfus
ion.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
5.Whenvreviewingvthevpurposesvofvavfamilyvassessment,vthevnurseveducatorvwouldvidenti
fyvavneedvforvfurthervteachingvifvthevstudentvrespondedvthatvfamilyvassessmentvisvuse
dvtovgainvanvunderstandingvofvwhichvaspectvofvthevfamily?
a.DevelopmentN
b.Function
c.Politicalvviews
d.Structure ANS:vC
Anvunderstandingvofvthevpoliticalvviewsvofvfamilyvmembersvisvnotvavprimaryvpurposevof
vavfamilyvassessment.vAvfamilyvassessmentvprovidesvthevnursevwithvinformationvandvanv
understandingvofvfamilyvdynamics.vThisvisvimportantvtovnursesvforvthevprovisionvofvqual
ityvhealthvcare.vAvfamilyvassessmentvprovidesvan
vunderstandingvofvfamilyvdevelopment,vfunction,vandvstructure.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
6.Avnursevisvplanningvtovassessvthevstructurevofvavfamily.vWhichvquestionvshould
vthevnursevas𝑘?
a.“Whovlivesvwithvyouvinvthisvhome?”
b.“Whovdoesvthevgroceryvshopping?”
c.“Whovprovidesvsupportvinvyourvfamily?”
d.“Howvoldvarevthevmembersvofvyourvfamily?”vANS:vA
Thevstructurevofvthevfamilyvincludesvwhovisvinvthevfamilyvandvwhatvtheir
vrelationshipvis.v“Whovdoesvthevshopping?”vwouldvprovidevinformationvaboutvfamilyvfunc
tioning.v“Whovprovidesvsupport?”vwouldvprovidevinformationvaboutvfamilyvfunctioning.v“
Howvoldvarevthevmembers?”vwouldvprovidevinformationvaboutvfamilyvdevelopment.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
7.Whichvfactorsvwhichvwouldvalertvthevnursevtovnegative/
dysfunctionalvfamilyvdynamics? a.Agingvofvfamilyvmembers
b.Chronicvillnessvofvavfamilyvmember
c.Disabilityvofvavfamilyvmember
d.Intimatevpartnervviolence
, ANS:vD
Intimatevpartnervviolencevisvanvexemplarvofvnegative/dysfunctionalvfamilyvdynamics.vA
gingvofvfamilyvmembersvisvanvexemplarvofvchangesvtovfamilyvdynamics.vChronicvillnes
svofvavfamilyvmembervisvanvexemplarvofvchangesvtovfamilyvdynamics.
vDisabilityvofvavfamilyvmembervisvanvexemplarvofvchangesvtovfamilyvdynamics.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
N
vdysfunctionalvinteractionsvandvlac𝑘vofvfamilyvsupportvforvavpatientvwouldvbevtoa.enfo
rcevhospitalvvisitingvpolicies.
b.monitorvthevdysfunctionalvinteractions.
c.notifyvthevprimaryvcarevprovider.
d.rolevmodelvappropriatevsupport.
ANS:vD
Nursesvcan,vatvtimes,vrolevmodelvmorevappropriatevinteractionsvorvprovide
vsuggestionsvforvimprovingvcommunicationvandvinteractionsvamongvfamilyvmembers.vIfv
thevnursevdeterminesvthatvthevnumbervofvvisitorsvhasvavnegativevimpactvonvthevpatient,vh
ospitalvpolicyvmayvbevtovlimitvvisitors,vbutvthatvwouldvnotvbevthevinitialvaction.vMonitori
ngvthevdysfunctionalvinteractionsvwouldvnotvbevanvadequatevresponse.vThevprimaryvcarev
providervshouldvcertainlyvbevnotified,vbutvthatvwouldvnotvbevthevinitialvresponse.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
2.Thevnursevcaringvforvavpatientvwouldvidentifyvavneedvforvadditionalvinterventionsvrelated
vtovfamilyvdynamicsvwhen
a.extendedvfamilyvoffersvtovhelp.
b.familyvmembersvexpressvcNoncern.
c.thevillvmembervdemandsvattention.
d.memoriesvarevshared. ANS:vC
Itvisvnotvuncommonvforvthevillvfamilyvmembervtovbecomevdemandingvandvindicatevthatvt
heyvdeservevspecialvtreatmentvandvcare,vandvthevsupportivevfamilyvmayvneedvassistancev
invunderstandingvthevdynamicsvofvthevillnessvinvordervtovcontinuevtovbevsupportive.vOffe
rsvfromvextendedvfamilyvtovhelpvcanvbevindicativevofvpositivevdynamics.vConcernvexpre
ssedvbyvfamilyvmembersvcanvbevindicativevofvpositivevdynamics.vSharingvofvfamilyvme
moriesvcanvbevindicativevofvpositivevdynamics.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
3.Twovwomenvhavevanvestablishedvlong-
termvrelationshipvandvarevattendingvparentingvclassesvinvanticipationvofvfinalizingvadopti
onvofvavbaby.vThevnursevidentifiesvthemvasvwhichvtypevofvfamily? a.Cohabiting
b.Nuclear
c.Same-sex
d.SinglevparentvANS:
vC
Thisvfamilyvwouldvbevconsideredvavsame-
sexvfamily.vCohabitingvrefersvtovavcouplevwhovlivevtogethervwithvnovlegalvbond.vNuclea
rvrefersvtovthevtraditionalvmalevandvfemalevcorevfamilyvwithvonevorvmorevchildren.vSingl
evparentvrefersvtovavfamilyvwithvonevadultvandvonevorvmorevchildren.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
,4.Thevnursevidentifiesvthevfamilyvwithvavchildvgraduatingvfromvcollegevasvhavingvwhic
hveffectvonvthevfamilyvlifevcycle? a.Minimalvimpact
b.Consideredvtovbevavnegativevimpactvonvthevfamilyvunit
c.Leadsvtovrolevconfusion
d.Expectationvofvrolevchange ANS:vD
Thevfamilyvlifevcyclevdevelopmentalvtheoryvfocusesvonvthevgrowthvandvdevelopmentvofvc
hangesvinvrolevrelationshipsvduringvtransitionalvperiods.vAvchildvgraduatingvfromvcollegev
isvanvexamplevofvavtransitionvwhichvrequiresvavrolevchange.vAsvthisvisvavtransition,vonevw
ouldvexpectvtovseevavchangevsovminimalvimpactvwouldvnotvbevexpected.vGraduationvdoesv
notvimplyvthatvitvwillvbevavnegativevchangevonvthevfamilyvlifevcyclevorvleadvtovrolevconfus
ion.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
5.Whenvreviewingvthevpurposesvofvavfamilyvassessment,vthevnurseveducatorvwouldvidenti
fyvavneedvforvfurthervteachingvifvthevstudentvrespondedvthatvfamilyvassessmentvisvuse
dvtovgainvanvunderstandingvofvwhichvaspectvofvthevfamily?
a.DevelopmentN
b.Function
c.Politicalvviews
d.Structure ANS:vC
Anvunderstandingvofvthevpoliticalvviewsvofvfamilyvmembersvisvnotvavprimaryvpurposevof
vavfamilyvassessment.vAvfamilyvassessmentvprovidesvthevnursevwithvinformationvandvanv
understandingvofvfamilyvdynamics.vThisvisvimportantvtovnursesvforvthevprovisionvofvqual
ityvhealthvcare.vAvfamilyvassessmentvprovidesvan
vunderstandingvofvfamilyvdevelopment,vfunction,vandvstructure.
OBJ: NCLEXvClientvNeedsvCategory:vHealthvPromotionvandvMaintenance
6.Avnursevisvplanningvtovassessvthevstructurevofvavfamily.vWhichvquestionvshould
vthevnursevas𝑘?
a.“Whovlivesvwithvyouvinvthisvhome?”
b.“Whovdoesvthevgroceryvshopping?”
c.“Whovprovidesvsupportvinvyourvfamily?”
d.“Howvoldvarevthevmembersvofvyourvfamily?”vANS:vA
Thevstructurevofvthevfamilyvincludesvwhovisvinvthevfamilyvandvwhatvtheir
vrelationshipvis.v“Whovdoesvthevshopping?”vwouldvprovidevinformationvaboutvfamilyvfunc
tioning.v“Whovprovidesvsupport?”vwouldvprovidevinformationvaboutvfamilyvfunctioning.v“
Howvoldvarevthevmembers?”vwouldvprovidevinformationvaboutvfamilyvdevelopment.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
7.Whichvfactorsvwhichvwouldvalertvthevnursevtovnegative/
dysfunctionalvfamilyvdynamics? a.Agingvofvfamilyvmembers
b.Chronicvillnessvofvavfamilyvmember
c.Disabilityvofvavfamilyvmember
d.Intimatevpartnervviolence
, ANS:vD
Intimatevpartnervviolencevisvanvexemplarvofvnegative/dysfunctionalvfamilyvdynamics.vA
gingvofvfamilyvmembersvisvanvexemplarvofvchangesvtovfamilyvdynamics.vChronicvillnes
svofvavfamilyvmembervisvanvexemplarvofvchangesvtovfamilyvdynamics.
vDisabilityvofvavfamilyvmembervisvanvexemplarvofvchangesvtovfamilyvdynamics.
OBJ: NCLEXvClientvNeedsvCategory:vPsychosocialvIntegrity
N
