Test Bank for Concepts for Nursing Practice 4th Edition by Jean Giddens 2024

,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