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Test Bank For Concepts for Nursing Practice 3rd Edition by
Giddens (All Chapters) Updated 2025 A+
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.
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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
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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
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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
4
Test Bank For Concepts for Nursing Practice 3rd Edition by
Giddens (All Chapters) Updated 2025 A+
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.
1
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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
2
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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
3
, Created by QuickNotesPro
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
4
