Question 1

The nurse is establishing a therapeutic relationship with the family. This takes place during which phase?&#10;A) Assessment&#10;B) Engagement&#10;C) Intervention&#10;D) Termination

Accepted Answer

A.This is incorrect. The therapeutic relationship should be established before assessment.
B.This is correct. The therapeutic relationship should be established during the engagement phase.
C.This is incorrect. The therapeutic relationship must be established before the intervention phase.
D.This is incorrect. The therapeutic relationship is established before the termination phase.

Question 2

During the interview, the nurse asks circular questions. Which is not a circular question?&#10;A) &#34;How have things changed since the birth of the baby?&#34;&#10;B) &#34;How often do you think we should meet?&#34;&#10;C) &#34;How would things be different if you changed jobs?&#34;&#10;D) &#34;What was the family dynamic like before the baby was born?&#34;

Accepted Answer

A.This is incorrect. This is a circular question asking about the present situation.
B.This is correct. This question does not cause reflection but just seeks information, so it is not circular.
C.This is incorrect. This is a circular question asking about future potential.
D.This is incorrect. This is a circular question asking about a past situation.

Question 3

The nurse wants to create a cognitive intervention. Which is a cognitive intervention?&#10;A) Family members will participate in a support group.&#10;B) Family members will practice mindfulness.&#10;C) Each family member will identify his or her roles in caring for the client.&#10;D) Each family member will identify strengths and coping skills.

Accepted Answer

A.This is incorrect. Participating in a support group is a behavioral intervention.
B.This is incorrect. Mindfulness is a behavioral intervention.
C.This is correct. Identifying roles is a cognitive intervention.
D.This is incorrect. Identifying strengths and coping skills is an affective intervention.

Question 4

The nurse wants to create an affective intervention. Which is an affective intervention?&#10;A) Each family member will state what the member knows about the disease.&#10;B) The family will be given information about home health and respite care.&#10;C) The client will keep a sleep journal.&#10;D) Every family member will acknowledge how hard the caregiver role is.

Accepted Answer

A.This is incorrect. Determining what is known is a cognitive intervention.
B.This is incorrect. Reaching out to resources is a behavioral intervention.
C.This is incorrect. Keeping a sleep journal is a behavioral intervention.
D.This is correct. Acknowledging the difficulty of the caregiver role is an affective intervention.

Question 5

The nurse wants to create several behavioral interventions for the family. Which is not a behavioral intervention?&#10;A) Keeping a food diary&#10;B) Attending Alcoholics Anonymous meetings&#10;C) Watching captured webinars on services for seniors&#10;D) Taking an interactive quiz about multiple sclerosis

Accepted Answer

A.This is incorrect. Keeping a food diary is a behavioral intervention.
B.This is incorrect. Attending meetings with others with the disease is a behavioral intervention.
C.This is incorrect. Watching a webinar on services for seniors is a behavioral intervention.
D.This is correct. An interactive quiz on knowledge is a cognitive intervention.

Question 6

The nurse encourages the family members to each share a positive comment about another family member's feelings. In which domain does this intervention fall?&#10;A) Affective&#10;B) Behavioral&#10;C) Cognitive&#10;D) None of the above

Accepted Answer

A.This is correct. Validating others' feelings is in the affective domain.
B.This is incorrect. Validating others' feelings is not in the behavioral domain.
C.This is incorrect. Validating others' feelings is not in the cognitive domain.
D.This is incorrect. Validating others' feelings falls into the affective domain.

Question 7

A nurse is working with a family that has a teenager who has a conduct disorder. Which intervention would be the least appropriate?&#10;A) Sharing information about the challenges of adolescents with the parents&#10;B) Sharing information about the growth and development of adolescents with the parents&#10;C) Identifying conflict management strategies&#10;D) Teaching parents to discount feelings and behaviors

Accepted Answer

A.This is incorrect. Sharing information about challenges will help the parents in the cognitive domain.
B.This is incorrect. Sharing information about normal growth and development will help the parents in the cognitive domain.
C.This is incorrect. Identifying conflict management strategies may help to find solutions in the behavioral domain.
D.This is correct. The parents should be taught to be more aware of the feelings of the teenager and how they inform the teenager's behavior.

Question 8

The nurse is preparing a report on an interview with a family whose primary caregiver is no longer able to do shopping and cooking. In which section should the nurse document which family members are doing these chores?

A) Structure
B) Developmental
C) Functional
D) Demographic

Accepted Answer

A.This is incorrect. Instrumental information does not belong in the section on family structure.
B.This is incorrect. Instrumental information does not belong in the section on development.
C.This is correct. Instrumental information belongs in the section on functionality.
D.This is incorrect. Instrumental information is not demographic information.

Question 9

A couple has decided to focus on strategies to improve their marriage after their son goes to college. In which section would the nurse document this information?&#10;A) Structure&#10;B) Developmental&#10;C) Functional&#10;D) Demographic

Accepted Answer

A.This is incorrect. Information about improving the marriage should not be in the section on family structure.
B.This is correct. Information about improving the marriage should be documented in the developmental area.
C.This is incorrect. Information about improving the marriage does not belong in the functional area.
D.This is incorrect. Although marital status might appear in the demographics, information about improving the marriage would not appear there.

Question 10

The nurse is documenting the interview. In which section would information about the family members' lack of boundaries be charted?&#10;A) Structure&#10;B) Developmental&#10;C) Functional&#10;D) Demographic

Accepted Answer

A.This is correct. Information about boundaries would be recorded in the structure section.
B.This is incorrect. Information about boundaries would not be recorded in the developmental section.
C.This is incorrect. Information about boundaries would not be recorded in the functional section.
D.This is incorrect. Information about boundaries is not demographic information.

Question 11

The nurse is charting after an interview. Which would be charted in the structure section?&#10;A) The client's telephone number&#10;B) The father saying he is spending more time helping the child with homework&#10;C) The child saying the parent does not understand his need to go out with friends&#10;D) The husband saying he has had to take over the family finances

Accepted Answer

The answer of The nurse is charting after an interview....

Question 12

The nurse is charting in the functional section. Which should be documented in this section?&#10;A) An older child expressing frustration at having to make lunches for her siblings and take them to school every morning&#10;B) A client's emergency contact information&#10;C) A parent stating that she does not understand why the child does not want to do homework anymore&#10;D) A child saying her father loves her sister more than he loves her

Accepted Answer

The answer of The nurse is charting in the functional...

Question 13

Which should be documented by the nurse in the functional section? Select all that apply.&#10;A) Difficulty paying bills&#10;B) Difficulty getting medication prescriptions&#10;C) Testing boundaries in adolescence&#10;D) Struggling with expressing feelings

Accepted Answer

The answer of Which should be documented by the nurse...

Question 14

Which should be documented by the nurse in the structure section? Select all that apply.&#10;A) Lack of boundaries among family members&#10;B) Conflict over an adolescent getting a job&#10;C) Changes in family dynamics&#10;D) Family stressors related to changes in family roles

Accepted Answer

The answer of Which should be documented by the nurse...

Question 15

Which should be documented by the nurse in the developmental section? Select all that apply.&#10;A) Aging children making more friendships outside the home&#10;B) New parents shifting focus away from their careers and toward their children&#10;C) Family adjusting to mother-in-law moving in after her husband dies&#10;D) Husband feeling unable to express emotions around mother-in-law moving in

Accepted Answer

The answer of Which should be documented by the nurse...

Deck 13: Putting It All Together