1. The vmost vappropriate vinitial vnursing vintervention vwhen vthe vnurse vnotes

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• The vmost vappropriate vinitial vnursing vintervention vwhen vthe vnurse vnotes

vdysfunctional vinteractions vand vlack vof vfamily vsupport vfor va vpatient vwould vbe vto

• enforce vhospital vvisiting vpolicies.
• monitor vthe vdysfunctional vinteractions.
• notify vthe vprimary vcare vprovider.
• role vmodel vappropriate vsupport.

ANS: v D

Nurses vcan, vat vtimes, vrole vmodel vmore vappropriate vinteractions vor vprovide vsuggestions vfor vimproving vcommunication vand vinteractions vamong vfamily vmembers.vIf vthe vnurse vdetermines vthat vthe vnumber vof vvisitors vhas va vnegative vimpact von vthe vpatient, vhospital vpolicy vmay vbe vto vlimit vvisitors, vbut vthat vwould vnot vbe vthe vinitial vaction. vMonitoring vthe vdysfunctional vinteractions vwould vnot vbe van vadequate vresponse. vThe vprimary vcare vprovider vshould vcertainly vbe vnotified, vbut vthat vwould vnot vbe vthe vinitial vresponse.

OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity

• The vnurse vcaring vfor va vpatient vwould videntify va vneed vfor vadditional vinterventions

vrelated vto vfamily vdynamics vwhen

• extended vfamily voffers vto vhelp.
• family vmembers vexpress vcNoncern.
• the vill vmember vdemands vattention.

d. memories vare vshared. ANS: v C

It vis vnot vuncommon vfor vthe vill vfamily vmember vto vbecome vdemanding vand vindicate vthat vthey vdeserve vspecial vtreatment vand vcare, vand vthe vsupportive vfamily vmay vneed vassistance vin vunderstanding vthe vdynamics vof vthe villness vin vorder vto vcontinue vto vbe vsupportive. vOffers vfrom vextended vfamily vto vhelp vcan vbe vindicative vof vpositive vdynamics. vConcern vexpressed vby vfamily vmembers vcan vbe vindicative vof vpositive vdynamics. vSharing vof vfamily vmemories vcan vbe vindicative vof vpositive vdynamics.

OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity

• Two vwomen vhave van vestablished vlong-term vrelationship vand vare vattending vparenting

vclasses vin vanticipation vof vfinalizing vadoption vof va vbaby. vThe vnurse videntifies vthem vas vwhich vtype vof vfamily? a. Cohabiting

• Nuclear
• Same-sex

d. Single vparent vANS:

v C This vfamily vwould vbe vconsidered va vsame-sex vfamily. vCohabiting vrefers vto va vcouple vwho vlive vtogether vwith vno vlegal vbond. vNuclear vrefers vto vthe vtraditional vmale vand vfemale vcore vfamily vwith vone vor vmore vchildren. vSingle vparent vrefers vto va vfamily vwith vone vadult vand vone vor vmore vchildren.

OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity 2 / 4

• The vnurse videntifies vthe vfamily vwith va vchild vgraduating vfrom vcollege vas vhaving

vwhich veffect von vthe vfamily vlife vcycle? a. Minimal vimpact

• Considered vto vbe va vnegative vimpact von vthe vfamily vunit
• Leads vto vrole vconfusion

d. Expectation vof vrole vchange ANS: v D

The vfamily vlife vcycle vdevelopmental vtheory vfocuses von vthe vgrowth vand vdevelopment vof vchanges vin vrole vrelationships vduring vtransitional vperiods. vA vchild vgraduating vfrom vcollege vis van vexample vof va vtransition vwhich vrequires va vrole vchange. vAs vthis vis va vtransition, vone vwould vexpect vto vsee va vchange vso vminimal vimpact vwould vnot vbe vexpected. vGraduation vdoes vnot vimply vthat vit vwill vbe va vnegative vchange von vthe vfamily vlife vcycle vor vlead vto vrole vconfusion.OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity

• When vreviewing vthe vpurposes vof va vfamily vassessment, vthe vnurse veducator vwould

videntify va vneed vfor vfurther vteaching vif vthe vstudent vresponded vthat vfamily vassessment vis vused vto vgain van vunderstanding vof vwhich vaspect vof vthe vfamily?

• Development N
• Function
• Political vviews

d. Structure ANS: v C

An vunderstanding vof vthe vpolitical vviews vof vfamily vmembers vis vnot va vprimary vpurpose vof va vfamily vassessment. vA vfamily vassessment vprovides vthe vnurse vwith vinformation vand van vunderstanding vof vfamily vdynamics. vThis vis vimportant vto vnurses vfor vthe vprovision vof vquality vhealth vcare. vA vfamily vassessment vprovides van vunderstanding vof vfamily vdevelopment, vfunction, vand vstructure.

OBJ: NCLEX vClient vNeeds vCategory: vHealth vPromotion vand vMaintenance

• A vnurse vis vplanning vto vassess vthe vstructure vof va vfamily. vWhich vquestion vshould

vthe vnurse vask?

• “Who vlives vwith vyou vin vthis vhome?”
• “Who vdoes vthe vgrocery vshopping?”
• “Who vprovides vsupport vin vyour vfamily?”

d. “How vold vare vthe vmembers vof vyour vfamily?” vANS: v A

The vstructure vof vthe vfamily vincludes vwho vis vin vthe vfamily vand vwhat vtheir vrelationship vis. v“Who vdoes vthe vshopping?” vwould vprovide vinformation vabout vfamily vfunctioning. v“Who vprovides vsupport?” vwould vprovide vinformation vabout vfamily vfunctioning. v“How vold vare vthe vmembers?” vwould vprovide vinformation vabout vfamily vdevelopment.

OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity

• Which vfactors vwhich vwould valert vthe vnurse vto vnegative/dysfunctional vfamily

vdynamics? a. Aging vof vfamily vmembers

• Chronic villness vof va vfamily vmember
• Disability vof va vfamily vmember
• Intimate vpartner vviolence 3 / 4

ANS: v D

Intimate vpartner vviolence vis van vexemplar vof vnegative/dysfunctional vfamily vdynamics. vAging vof vfamily vmembers vis van vexemplar vof vchanges vto vfamily vdynamics. vChronic villness vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily vdynamics.vDisability vof va vfamily vmember vis van vexemplar vof vchanges vto vfamily vdynamics.

OBJ: NCLEX vClient vNeeds vCategory: vPsychosocial vIntegrity

N

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