NURSING 7260
Concepts in Advanced
Family Nursing
Q & A w/ Rationales
2024
,1. A nurse practitioner is conducting a family assessment
for a patient with chronic obstructive pulmonary disease
(COPD). Which of the following questions is most
appropriate to ask the patient's spouse?
a) How do you cope with your partner's condition?
b) How often do you accompany your partner to the clinic?
c) How do you feel about your partner's smoking habits?
d) How has your partner's condition affected your family
roles and relationships?*
Rationale: Option d is the most appropriate question to ask
the patient's spouse, as it explores the impact of the
patient's condition on the family system, which is one of
the key concepts in advanced family nursing. Options a, b,
and c are more focused on the individual coping, behavior,
and feelings of the spouse, which are not directly related to
the family system.
2. A nurse practitioner is providing care for a pregnant
woman who has a history of substance abuse. The nurse
practitioner suspects that the woman is still using drugs
during her pregnancy. Which of the following interventions
is most appropriate for the nurse practitioner to implement?
a) Refer the woman to a substance abuse treatment
program and provide education on the effects of drugs on
the fetus.
b) Report the woman to child protective services and
inform her of the legal consequences of her actions.
c) Confront the woman about her drug use and urge her to
quit for the sake of her baby.
, d) Collaborate with the woman and her family to develop a
plan of care that addresses her substance abuse issues and
supports her recovery.*
Rationale: Option d is the most appropriate intervention for
the nurse practitioner to implement, as it demonstrates
respect, empathy, and partnership with the woman and her
family, which are essential components of advanced family
nursing. Option d also recognizes that substance abuse is a
complex and multifaceted problem that requires a holistic
and family-centered approach. Options a, b, and c are more
paternalistic, punitive, and judgmental interventions that
may alienate or harm the woman and her family.
3. A nurse practitioner is working with a family who has a
child with autism spectrum disorder (ASD). The nurse
practitioner notices that the parents have different views on
how to manage their child's behavior. The father believes
that the child needs more discipline and structure, while the
mother believes that the child needs more flexibility and
understanding. How should the nurse practitioner address
this issue with the family?
a) Encourage the parents to attend a parenting class or
support group for families with children with ASD.
b) Advise the parents to adopt a consistent and unified
approach to their child's behavior management.
c) Acknowledge the parents' different perspectives and
facilitate a dialogue between them to explore their values,
beliefs, and goals.*
d) Suggest that the parents seek counseling or therapy to
resolve their conflicts and improve their communication.
Concepts in Advanced
Family Nursing
Q & A w/ Rationales
2024
,1. A nurse practitioner is conducting a family assessment
for a patient with chronic obstructive pulmonary disease
(COPD). Which of the following questions is most
appropriate to ask the patient's spouse?
a) How do you cope with your partner's condition?
b) How often do you accompany your partner to the clinic?
c) How do you feel about your partner's smoking habits?
d) How has your partner's condition affected your family
roles and relationships?*
Rationale: Option d is the most appropriate question to ask
the patient's spouse, as it explores the impact of the
patient's condition on the family system, which is one of
the key concepts in advanced family nursing. Options a, b,
and c are more focused on the individual coping, behavior,
and feelings of the spouse, which are not directly related to
the family system.
2. A nurse practitioner is providing care for a pregnant
woman who has a history of substance abuse. The nurse
practitioner suspects that the woman is still using drugs
during her pregnancy. Which of the following interventions
is most appropriate for the nurse practitioner to implement?
a) Refer the woman to a substance abuse treatment
program and provide education on the effects of drugs on
the fetus.
b) Report the woman to child protective services and
inform her of the legal consequences of her actions.
c) Confront the woman about her drug use and urge her to
quit for the sake of her baby.
, d) Collaborate with the woman and her family to develop a
plan of care that addresses her substance abuse issues and
supports her recovery.*
Rationale: Option d is the most appropriate intervention for
the nurse practitioner to implement, as it demonstrates
respect, empathy, and partnership with the woman and her
family, which are essential components of advanced family
nursing. Option d also recognizes that substance abuse is a
complex and multifaceted problem that requires a holistic
and family-centered approach. Options a, b, and c are more
paternalistic, punitive, and judgmental interventions that
may alienate or harm the woman and her family.
3. A nurse practitioner is working with a family who has a
child with autism spectrum disorder (ASD). The nurse
practitioner notices that the parents have different views on
how to manage their child's behavior. The father believes
that the child needs more discipline and structure, while the
mother believes that the child needs more flexibility and
understanding. How should the nurse practitioner address
this issue with the family?
a) Encourage the parents to attend a parenting class or
support group for families with children with ASD.
b) Advise the parents to adopt a consistent and unified
approach to their child's behavior management.
c) Acknowledge the parents' different perspectives and
facilitate a dialogue between them to explore their values,
beliefs, and goals.*
d) Suggest that the parents seek counseling or therapy to
resolve their conflicts and improve their communication.
