Test Bank for Concepts for Nursing Practice 4th Edition by Jean Giddens 2024Test Bank for Concepts for Nursing Practice 4th Edition by Jean Giddens 2024Test Bank for Concepts for Nursing Practice 4th Edition by Jean Giddens 2024Test Bank for Concepts for Nursing Practice 4th Edition by Jean Giddens...
,1. The most appropriate initial nursing intervention when the nurse notes
f f f f f f f f f
dysfunctional interactions and lack of family support for a patient would
f f f f f f f f f f f
fbe to f
a. enforce hospital visiting policies. f f f
b. monitor the dysfunctional interactions. f f f
c. notify the primary care provider. f f f f
d. role model appropriate support. f f f
ANS: D f
Nurses can, at times, role model more appropriate interactions or provide
f f f f f f f f f f
fsuggestions for improving communication and interactions among family f f f f f f f
members. If the nurse determines that the number of visitors has a negative
f f f f f f f f f f f f f
impact on the patient, hospital policy may be to limit visitors, but that would
f f f f f f f f f f f f f f
not be the initial action. Monitoring the dysfunctional interactions would not
f f f f f f f f f f f
be an adequate response. The primary care provider should certainly be
f f f f f f f f f f f
notified, but that would not be the initial response.
f f f f f f f f f
OBJ: NCLEX Client Needs Category: Psychosocial Integrity f f f f f
2. The nurse caring for a patient would identify a need for additional
f f f f f f f f f f f
finterventions related to family dynamics when f f f f f
a. extended family offers to help. f f f f
b. family members express cNoncern. f f f
c. the ill member demands attention.
f f f f
d. memories are shared. ANS: C f f f f
It is not uncommon for the ill family member to become demanding and
f f f f f f f f f f f f
findicate that they deserve special treatment and care, and the supportive family
f f f f f f f f f f f
fmay need assistance in understanding the dynamics of the illness in order to
f f f f f f f f f f f f
fcontinue to be supportive. Offers from extended family to help can be
f f f f f f f f f f f
findicative of positive dynamics. Concern expressed by family members can be
f f f f f f f f f f
findicative of positive dynamics. Sharing of family memories can be indicative
f f f f f f f f f f
fof positive dynamics.
f f
OBJ: NCLEX Client Needs Category: Psychosocial Integrity f f f f f
3. Two women have an established long-term relationship and are attending parenting classes
f f f f f f f f f f f
fin anticipation of finalizing adoption of a baby. The nurse identifies them as
f f f f f f f f f f f f
fwhich type of family? a. Cohabitingf f f f f
b. Nuclear
c. Same-sex
d. Single parent ANS: f f
C
This family would be considered a same-sex family. Cohabiting refers to a
f f f f f f f f f f f
couple who live together with no legal bond. Nuclear refers to the traditional
f f f f f f f f f f f f f
male and female core family with one or more children. Single parent refers
f f f f f f f f f f f f f
to a family with one adult and one or more children.
f f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Psychosocial Integrity f f f f f
,4. The nurse identifies the family with a child graduating from college as
f f f f f f f f f f f
fhaving which effect on the family life cycle? a. Minimal impact
f f f f f f f f f f
b. Considered to be a negative impact on the family unit f f f f f f f f f
c. Leads to role confusion f f f
d. Expectation of role change ANS: D f f f f f
The family life cycle developmental theory focuses on the growth and
f f f f f f f f f f
fdevelopment of changes in role relationships during transitional periods. A f f f f f f f f f
fchild graduating from college is an example of a transition which requires
f f f f f f f f f f f
fa role change. As this
f f f f
is a transition, one would expect to see a change so minimal impact would not
f f f f f f f f f f f f f f
fbe expected. Graduation does not imply that it will be a negative
f f f f f f f f f f f
fchange on the family life cycle or lead to role confusion. f f f f f f f f f f
OBJ: NCLEX Client Needs Category: Psychosocial Integrity f f f f f
5. When reviewing the purposes of a family assessment, the nurse educator
f f f f f f f f f f
fwould identify a need for further teaching if the student responded that
f f f f f f f f f f f
ffamily assessment is used to gain an understanding of which aspect of
f f f f f f f f f f f
fthe family? f
a. Development N
b. Function
c. Political views f
d. Structure ANS: C f f
An understanding of the political views of family members is not a primary
f f f f f f f f f f f f
purpose of a family assessment. A family assessment provides the nurse with
f f f f f f f f f f f f
information and an understanding of family dynamics. This is important to
f f f f f f f f f f f
fnurses for the provision of quality health care. A family assessment provides an
f f f f f f f f f f f f
understanding of family development, function, and structure.
f f f f f f f
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance f f f f f f f
6. A nurse is planning to assess the structure of a family. Which question
f f f f f f f f f f f f
fshould the nurse ask? f f f
a. ―Who lives with you in this home?‖ f f f f f f
b. ―Who does the grocery shopping?‖ f f f f
c. ―Who provides support in your family?‖ f f f f f
d. ―How old are the members of your family?‖ ANS: A f f f f f f f f f
The structure of the family includes who is in the family and what their
f f f f f f f f f f f f f
relationship is. ―Who does the shopping?‖ would provide information about
f f f f f f f f f f
ffamily functioning. ―Who provides support?‖ would provide information about
f f f f f f f f
ffamily functioning. ―How old are the members?‖ would provide information
f f f f f f f f f
fabout family development. f f
OBJ: NCLEX Client Needs Category: Psychosocial Integrity f f f f f
7. Which factors which would alert the nurse to negative/dysfunctional
f f f f f f f f
ffamily dynamics? a. Aging of family members f f f f f f
b. Chronic illness of a family member f f f f f
c. Disability of a family member f f f f
d. Intimate partner violence f f
, ANS: D f
Intimate partner violence is an exemplar
f f f f f f of negative/dysfunctional family
f f
dynamics. Aging of family members is an
f f f f f f f fexemplar of changes to family
f f f f
dynamics. Chronic illness of a family
f f f f f f fmember is an exemplar of
f f f f
changes to family dynamics.
f f f f
Disability of a family member is an exemplar
f f f f f f f f of changes to family
f f f
f dynamics. OBJ: f NCLEX Client Needs Category: Psychosocial Integrity
f f f f f
N
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