,1. Thenmostnappropriateninitialnnursingn interventionn whenn then nursen notesndysfunctiona
lninteractionsnandn lackn ofnfamilyn supportn forn an patientn wouldn ben to
a. enforcen hospitaln visitingn policies.
b. monitorn then dysfunctionaln interactions.
c. notifyn thenprimaryn caren provider.
d. rolen modeln appropriatensupport.
ANS:n D
Nursesncan,n atn times,n rolen modeln moren appropriaten interactionsn orn providensuggestion
snfornimprovingn communicationn andn interactionsn amongn familyn members.nIfnthennursen
determinesnthatnthennumbernofnvisitorsnhasn an negativen impactn onn thenpatient,nhospitalnpo
licynmaynbentonlimitnvisitors,nbutnthatn wouldn notn ben then initialnaction.nMonitoringn then d
ysfunctionaln interactionsn wouldn notn ben ann adequatenresponse.nThen primaryn caren prov
idern shouldn certainlyn ben notified,n butn thatn wouldnnotn ben then initialnresponse.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
2. Thennursencaringnfornanpatientnwouldnidentifynanneednforn additionaln interventionsnrelated
n ton familyn dynamicsn when
a. extendedn familyn offersntonnhelp.
b. familyn membersnnexpressn cNoncern.
c. then illn membern demandsn attention.
d. memoriesn aren shared.nANS:n C
Itnisnnotnuncommonnforn then illn familyn membern ton becomen demandingn andn indicatenth
atntheyndeservenspecialntreatmentnandncare,nandnthensupportivenfamilynmaynneednassistanc
eninnunderstandingnthendynamicsnofnthenillnessninnorderntoncontinuentonbensupportive.nOffe
rsnfromnextendednfamilyntonhelpncannben indicativen ofn positivendynamics.nConcernnexpr
essednbynfamilynmembersncannbenindicativenofnpositivendynamics.nSharingn ofn familyn m
emoriesncann benindicativen ofn positivendynamics.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
3. Twonwomennhavenannestablishednlong-
termnrelationshipnandnarenattendingnparentingnclassesninnanticipationn ofn finalizingn adoptio
nn ofn an baby.n Then nursen identifiesn themnasn whichnntypen ofn family?na.n Cohabiting
b. Nuclear
c. Same-sex
d. Singlen parentn ANS:
C
Thisnfamilynwouldnbenconsiderednansame-
sexn family.n Cohabitingn refersn ton an couplenwhonliventogethernwithnnonlegalnbond.nNuclea
rnrefersn ton then traditionaln malen andnfemalencorenfamilyn withn onen orn moren children.n Si
nglen parentn refersn ton an familynwithn onen adultnandnnonen orn morenchildren.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
,4. Thennursenidentifiesnthenfamilynwithnanchildngraduatingnfromn collegen asn havingnwhich
n effectn onnnthen familyn lifen cycle?n a.n Minimalnnimpact
b. Considerednton ben an negativen impactn onnnthen familyn unit
c. Leadsn ton rolen confusion
d. Expectationnofn rolen changenANS:n D
Thenfamilynlifencyclen developmentaln theoryn focusesn onn then growthn andn developmentnof
n changesn inn rolen relationshipsn duringn transitionaln periods.n An childn graduatingnfromn
collegen isnann examplen ofn an transitionnnwhichn requiresnan rolenchange.n Asn this
isnantransition,nonenwouldnexpectntonseenanchangensonminimalnimpactnwouldnnotn benexpec
ted.n Graduationn doesn notn implyn thatn itn willn ben an negativen changen onn thenfamilyn li
fen cyclen orn leadn ton rolen confusion.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
5. Whennreviewingnthenpurposesnofnanfamilynassessment,nthennurseneducatornwouldnidentify
nanneednfornfurthernteachingn ifn then studentn respondedn thatn familynassessmentn isn use
dn tongainnann understandingn ofn whichn aspectn ofn thennfamily?
a. Development N
b. Function
c. Politicalnviews
d. StructurenANS:n C
Annunderstandingnofn then politicaln viewsn ofn familyn membersn isn notn an primarynpurpo
senofnanfamilynassessment.nAnfamilynassessmentnprovidesnthennursenwithninformationnan
dnannunderstandingnofn familyn dynamics.n Thisn isn importantn ton nursesnfornthenprovisio
nnofnqualitynhealthncare.nAn familyn assessmentn providesn annunderstandingn ofnfamilyn d
evelopment,nfunction,nnandn structure.
OBJ: NCLEXn Clientn NeedsnnCategory:nHealthn Promotionn andn Maintenance
6. Annursenisnplanningnton assessn then structuren ofn an family.n Whichn questionn shouldnthe
n nursen ask?
a. “Whon livesnnwithnyoun inn thisn home?”
b. “Whon doesn then groceryn shopping?”
c. “Whon providesn supportn inn yourn family?”
d. “Hown oldnnaren then membersn ofn yournnfamily?”n ANS:n A
Thenstructuren ofn then familyn includesn whon isn inn then familyn andn whatn theirnrelations
hipnis.n“Whondoesnthenshopping?”nwouldnprovideninformationnaboutnfamilynfunctioning.n
“Whonprovidesnsupport?”nwouldnprovideninformationnaboutnfamilynfunctioning.n“Howno
ldnarenthenmembers?”nwouldnprovideninformationnaboutnfamilyndevelopment.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
7. Whichnfactorsnwhichnwouldnalertnthennursentonnegative/dysfunctionalnfamilyndyna
mics?na.n Agingn ofnfamilyn members
b. Chronicn illnessnofnnan familyn member
c. Disabilityn ofnan familyn member
d. Intimaten partnern violence
, ANS:n D
Intimaten partnern violencen isn ann exemplarn ofn negative/dysfunctionalnnnfamilyndynamics.
nAgingnofn familyn membersn isn ann exemplarn ofn changesn ton familyndynamics.nChronicn
illnessn ofn an familyn membern isn ann exemplarn ofn changesn tonfamilyn dynamics.
Disabilitynofnanfamilynmembernisnannexemplarnofn changesn ton familyn dynamics.nO
BJ: NCLEXn ClientnNeedsnCategory:nPsychosocialn Integrity
N
lninteractionsnandn lackn ofnfamilyn supportn forn an patientn wouldn ben to
a. enforcen hospitaln visitingn policies.
b. monitorn then dysfunctionaln interactions.
c. notifyn thenprimaryn caren provider.
d. rolen modeln appropriatensupport.
ANS:n D
Nursesncan,n atn times,n rolen modeln moren appropriaten interactionsn orn providensuggestion
snfornimprovingn communicationn andn interactionsn amongn familyn members.nIfnthennursen
determinesnthatnthennumbernofnvisitorsnhasn an negativen impactn onn thenpatient,nhospitalnpo
licynmaynbentonlimitnvisitors,nbutnthatn wouldn notn ben then initialnaction.nMonitoringn then d
ysfunctionaln interactionsn wouldn notn ben ann adequatenresponse.nThen primaryn caren prov
idern shouldn certainlyn ben notified,n butn thatn wouldnnotn ben then initialnresponse.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
2. Thennursencaringnfornanpatientnwouldnidentifynanneednforn additionaln interventionsnrelated
n ton familyn dynamicsn when
a. extendedn familyn offersntonnhelp.
b. familyn membersnnexpressn cNoncern.
c. then illn membern demandsn attention.
d. memoriesn aren shared.nANS:n C
Itnisnnotnuncommonnforn then illn familyn membern ton becomen demandingn andn indicatenth
atntheyndeservenspecialntreatmentnandncare,nandnthensupportivenfamilynmaynneednassistanc
eninnunderstandingnthendynamicsnofnthenillnessninnorderntoncontinuentonbensupportive.nOffe
rsnfromnextendednfamilyntonhelpncannben indicativen ofn positivendynamics.nConcernnexpr
essednbynfamilynmembersncannbenindicativenofnpositivendynamics.nSharingn ofn familyn m
emoriesncann benindicativen ofn positivendynamics.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
3. Twonwomennhavenannestablishednlong-
termnrelationshipnandnarenattendingnparentingnclassesninnanticipationn ofn finalizingn adoptio
nn ofn an baby.n Then nursen identifiesn themnasn whichnntypen ofn family?na.n Cohabiting
b. Nuclear
c. Same-sex
d. Singlen parentn ANS:
C
Thisnfamilynwouldnbenconsiderednansame-
sexn family.n Cohabitingn refersn ton an couplenwhonliventogethernwithnnonlegalnbond.nNuclea
rnrefersn ton then traditionaln malen andnfemalencorenfamilyn withn onen orn moren children.n Si
nglen parentn refersn ton an familynwithn onen adultnandnnonen orn morenchildren.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
,4. Thennursenidentifiesnthenfamilynwithnanchildngraduatingnfromn collegen asn havingnwhich
n effectn onnnthen familyn lifen cycle?n a.n Minimalnnimpact
b. Considerednton ben an negativen impactn onnnthen familyn unit
c. Leadsn ton rolen confusion
d. Expectationnofn rolen changenANS:n D
Thenfamilynlifencyclen developmentaln theoryn focusesn onn then growthn andn developmentnof
n changesn inn rolen relationshipsn duringn transitionaln periods.n An childn graduatingnfromn
collegen isnann examplen ofn an transitionnnwhichn requiresnan rolenchange.n Asn this
isnantransition,nonenwouldnexpectntonseenanchangensonminimalnimpactnwouldnnotn benexpec
ted.n Graduationn doesn notn implyn thatn itn willn ben an negativen changen onn thenfamilyn li
fen cyclen orn leadn ton rolen confusion.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
5. Whennreviewingnthenpurposesnofnanfamilynassessment,nthennurseneducatornwouldnidentify
nanneednfornfurthernteachingn ifn then studentn respondedn thatn familynassessmentn isn use
dn tongainnann understandingn ofn whichn aspectn ofn thennfamily?
a. Development N
b. Function
c. Politicalnviews
d. StructurenANS:n C
Annunderstandingnofn then politicaln viewsn ofn familyn membersn isn notn an primarynpurpo
senofnanfamilynassessment.nAnfamilynassessmentnprovidesnthennursenwithninformationnan
dnannunderstandingnofn familyn dynamics.n Thisn isn importantn ton nursesnfornthenprovisio
nnofnqualitynhealthncare.nAn familyn assessmentn providesn annunderstandingn ofnfamilyn d
evelopment,nfunction,nnandn structure.
OBJ: NCLEXn Clientn NeedsnnCategory:nHealthn Promotionn andn Maintenance
6. Annursenisnplanningnton assessn then structuren ofn an family.n Whichn questionn shouldnthe
n nursen ask?
a. “Whon livesnnwithnyoun inn thisn home?”
b. “Whon doesn then groceryn shopping?”
c. “Whon providesn supportn inn yourn family?”
d. “Hown oldnnaren then membersn ofn yournnfamily?”n ANS:n A
Thenstructuren ofn then familyn includesn whon isn inn then familyn andn whatn theirnrelations
hipnis.n“Whondoesnthenshopping?”nwouldnprovideninformationnaboutnfamilynfunctioning.n
“Whonprovidesnsupport?”nwouldnprovideninformationnaboutnfamilynfunctioning.n“Howno
ldnarenthenmembers?”nwouldnprovideninformationnaboutnfamilyndevelopment.
OBJ: NCLEXn Clientn Needsn Category:n PsychosocialnIntegrity
7. Whichnfactorsnwhichnwouldnalertnthennursentonnegative/dysfunctionalnfamilyndyna
mics?na.n Agingn ofnfamilyn members
b. Chronicn illnessnofnnan familyn member
c. Disabilityn ofnan familyn member
d. Intimaten partnern violence
, ANS:n D
Intimaten partnern violencen isn ann exemplarn ofn negative/dysfunctionalnnnfamilyndynamics.
nAgingnofn familyn membersn isn ann exemplarn ofn changesn ton familyndynamics.nChronicn
illnessn ofn an familyn membern isn ann exemplarn ofn changesn tonfamilyn dynamics.
Disabilitynofnanfamilynmembernisnannexemplarnofn changesn ton familyn dynamics.nO
BJ: NCLEXn ClientnNeedsnCategory:nPsychosocialn Integrity
N
