Quiz 3: Family Dynamics

Concepts For Nursing Practice

Nursing
7
Questions
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True/False
7
Choices
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Questions

Q1
Free

The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to

Multiple Choice
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A) enforce hospital visiting policies.
B) monitor the dysfunctional interactions.
C) notify the primary care provider.
D) role model appropriate support.
Answer:
D) role model appropriate support.

Explanation:
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.
Q2
Free

The nurse caring for a patient would identify a need for additional interventions related to family dynamics when

Multiple Choice
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A) extended family offers to help.
B) family members express concern.
C) the ill member demands attention.
D) memories are shared.
Answer:
C) the ill member demands attention.

Explanation:
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.
Q3
Free

Jane and Janet have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of baby Joan. Jane and Janet would be considered which type of family?

Multiple Choice
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A) Cohabiting
B) Nuclear
C) Same-sex
D) Single parent
Answer:
C) Same-sex

Explanation:
Jane and Janet 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.
Q4

Critical Thinking: The nurse identifies the family with a child graduating from college as being in the family life cycle of

Multiple Choice
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A) single young adult leaving home.
B) new couple joins their families through marriage or living together.
C) families with young children.
D) launching children and moving on.
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Q5

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 the family

Multiple Choice
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A) development.
B) function.
C) political views.
D) structure.
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Q6

The nurse planning to assess the structure of a family would which question?

Multiple Choice
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A) Who lives with you?
B) Who does the grocery shopping?
C) Who provides support in your family?
D) How old are the members of your family?
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Q7

Factors which would alert the nurse to negative/dysfunctional family dynamics include

Multiple Choice
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A) aging of family members.
B) chronic illness of a family member.
C) disability of a family member.
D) intimate partner violence.
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