,1. The most appropriate initial nursing intervention when the nurse notes d
ysfunctional interactions and lack of family support for a patient w
ould 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 neg
ative impact on the patient, hospital policy may be to limit visitors, b
ut that would not be the initial action. Monitoring the dysfunctional int
eractions would not be an adequate response. The primary care provider
should certainly be notified, but that would not be the initial respo
nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional int
erventions related to family dynamics when
a. extended family offers to help.
b. family members 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 an
d indicate that they deserve special treatment and care, and the supporti
ve family may need assistance in understanding the dynamics of the illn
ess in order to continue to be supportive. Offers from extended family
to help can be indicative of positive dynamics. Concern expressed by fa
mily 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 finalizi
ng adoption of a baby. The nurse identifies them as which type of fa
mily? 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 lega
l bond. Nuclear refers to the traditional male and female core family
with one or more children. Single parent refers to a family with one a
dult and one or more children.
,OBJ: NCLEX Client Needs Category: Psychosocial Integrity
, 4. The nurse identifies the family with a child graduating from college a
s 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 dev
elopment 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 educato
r 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 t
he nurse with information and an understanding of family dynamics. This
is important to nurses for the provision of quality health care. A fami
ly 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 questi
on 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 wh
at their relationship is. “Who does the shopping?” would provide informa
tion about family functioning. “Who provides support?” would provide inf
ormation about family functioning. “How old are the members?” would p
rovide 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
ysfunctional interactions and lack of family support for a patient w
ould 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 neg
ative impact on the patient, hospital policy may be to limit visitors, b
ut that would not be the initial action. Monitoring the dysfunctional int
eractions would not be an adequate response. The primary care provider
should certainly be notified, but that would not be the initial respo
nse.
OBJ: NCLEX Client Needs Category: Psychosocial Integrity
2. The nurse caring for a patient would identify a need for additional int
erventions related to family dynamics when
a. extended family offers to help.
b. family members 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 an
d indicate that they deserve special treatment and care, and the supporti
ve family may need assistance in understanding the dynamics of the illn
ess in order to continue to be supportive. Offers from extended family
to help can be indicative of positive dynamics. Concern expressed by fa
mily 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 finalizi
ng adoption of a baby. The nurse identifies them as which type of fa
mily? 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 lega
l bond. Nuclear refers to the traditional male and female core family
with one or more children. Single parent refers to a family with one a
dult and one or more children.
,OBJ: NCLEX Client Needs Category: Psychosocial Integrity
, 4. The nurse identifies the family with a child graduating from college a
s 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 dev
elopment 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 educato
r 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 t
he nurse with information and an understanding of family dynamics. This
is important to nurses for the provision of quality health care. A fami
ly 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 questi
on 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 wh
at their relationship is. “Who does the shopping?” would provide informa
tion about family functioning. “Who provides support?” would provide inf
ormation about family functioning. “How old are the members?” would p
rovide 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
