CONCEPT FOR NURSING PRACTICE
,1. The most appropriate initial nursing intervention when the nurse notes
dysfunctional interactions and lack of family support for a patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions or provide
suggestions for improving communication and interactions among family members.
If the nurse determines that the number of visitors has a negative impact on the
patient, hospital policy may be to limit visitors, but that would not be the initial
action. Monitoring the dysfunctional interactions would not be an adequate
response. The primary care provider should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional interventions
related to family dynamics when
a. extended family offers to help.
b. family members express cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding and indicate
that they deserve special treatment and care, and the supportive family may need
assistance in understanding the dynamics of the illness in order to continue to be
supportive. Offers from extended family to help can be indicative of positive
dynamics. Concern expressed by family members can be indicative of positive
dynamics. Sharing of family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending parenting
classes in anticipation of finalizing adoption of a baby. The nurse identifies them
as which type of family? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple
who live together with no legal bond. Nuclear refers to the traditional male and
female core family with one or more children. Single parent refers to a family
with one adult and one or more children.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
,4. The nurse identifies the family with a child graduating from college as having
which effect on the family life cycle? a. Minimal impact
b. Considered to be a negative impact on the family unit
c. Leads to role confusion
d. Expectation of role change ANS: D
The family life cycle developmental theory focuses on the growth and development
of changes in role relationships during transitional periods. A child graduating
from college is an example of a transition which requires a role change. As this
is a transition, one would expect to see a change so minimal impact would not be
expected. Graduation does not imply that it will be a negative change on the
family life cycle or lead to role confusion.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
5. When reviewing the purposes of a family assessment, the nurse educator would
identify a need for further teaching if the student responded that family
assessment is used to gain an understanding of which aspect of the family?
a. Development N
b. Function
c. Political views
d. Structure ANS: C
An understanding of the political views of family members is not a primary
purpose of a family assessment. A family assessment provides the nurse with
information and an understanding of family dynamics. This is important to nurses
for the provision of quality health care. A family assessment provides an
understanding of family development, function, and structure.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. A nurse is planning to assess the structure of a family. Which question should
the nurse ask?
a. “Who lives with you in this home?”
b. “Who does the grocery shopping?”
c. “Who provides support in your family?”
d. “How old are the members of your family?” ANS: A
The structure of the family includes who is in the family and what their
relationship is. “Who does the shopping?” would provide information about family
functioning. “Who provides support?” would provide information about family
functioning. “How old are the members?” would provide information about family
development.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
7. Which factors which would alert the nurse to negative/dysfunctional family
dynamics? a. Aging of family members
b. Chronic illness of a family member
c. Disability of a family member
d. Intimate partner violence
, ANS: D
Intimate partner violence is an exemplar of negative/dysfunctional family
dynamics. Aging of family members is an exemplar of changes to family
dynamics. Chronic illness of a family member is an exemplar of changes to
family dynamics.
Disability of a family member is an exemplar of changes to family dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
N
,1. The most appropriate initial nursing intervention when the nurse notes
dysfunctional interactions and lack of family support for a patient would be to
a. enforce hospital visiting policies.
b. monitor the dysfunctional interactions.
c. notify the primary care provider.
d. role model appropriate support.
ANS: D
Nurses can, at times, role model more appropriate interactions or provide
suggestions for improving communication and interactions among family members.
If the nurse determines that the number of visitors has a negative impact on the
patient, hospital policy may be to limit visitors, but that would not be the initial
action. Monitoring the dysfunctional interactions would not be an adequate
response. The primary care provider should certainly be notified, but that would
not be the initial response.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional interventions
related to family dynamics when
a. extended family offers to help.
b. family members express cNoncern.
c. the ill member demands attention.
d. memories are shared. ANS: C
It is not uncommon for the ill family member to become demanding and indicate
that they deserve special treatment and care, and the supportive family may need
assistance in understanding the dynamics of the illness in order to continue to be
supportive. Offers from extended family to help can be indicative of positive
dynamics. Concern expressed by family members can be indicative of positive
dynamics. Sharing of family memories can be indicative of positive dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
3. Two women have an established long-term relationship and are attending parenting
classes in anticipation of finalizing adoption of a baby. The nurse identifies them
as which type of family? a. Cohabiting
b. Nuclear
c. Same-sex
d. Single parent ANS:
C
This family would be considered a same-sex family. Cohabiting refers to a couple
who live together with no legal bond. Nuclear refers to the traditional male and
female core family with one or more children. Single parent refers to a family
with one adult and one or more children.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
,4. The nurse identifies the family with a child graduating from college as having
which effect on the family life cycle? a. Minimal impact
b. Considered to be a negative impact on the family unit
c. Leads to role confusion
d. Expectation of role change ANS: D
The family life cycle developmental theory focuses on the growth and development
of changes in role relationships during transitional periods. A child graduating
from college is an example of a transition which requires a role change. As this
is a transition, one would expect to see a change so minimal impact would not be
expected. Graduation does not imply that it will be a negative change on the
family life cycle or lead to role confusion.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
5. When reviewing the purposes of a family assessment, the nurse educator would
identify a need for further teaching if the student responded that family
assessment is used to gain an understanding of which aspect of the family?
a. Development N
b. Function
c. Political views
d. Structure ANS: C
An understanding of the political views of family members is not a primary
purpose of a family assessment. A family assessment provides the nurse with
information and an understanding of family dynamics. This is important to nurses
for the provision of quality health care. A family assessment provides an
understanding of family development, function, and structure.
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. A nurse is planning to assess the structure of a family. Which question should
the nurse ask?
a. “Who lives with you in this home?”
b. “Who does the grocery shopping?”
c. “Who provides support in your family?”
d. “How old are the members of your family?” ANS: A
The structure of the family includes who is in the family and what their
relationship is. “Who does the shopping?” would provide information about family
functioning. “Who provides support?” would provide information about family
functioning. “How old are the members?” would provide information about family
development.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
7. Which factors which would alert the nurse to negative/dysfunctional family
dynamics? a. Aging of family members
b. Chronic illness of a family member
c. Disability of a family member
d. Intimate partner violence
, ANS: D
Intimate partner violence is an exemplar of negative/dysfunctional family
dynamics. Aging of family members is an exemplar of changes to family
dynamics. Chronic illness of a family member is an exemplar of changes to
family dynamics.
Disability of a family member is an exemplar of changes to family dynamics.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
N
