Question 1

Which statement from a family member indicates to the nurse that the family is not ready for termination of the clinical work?&#10;A) &#34;I am hopeful we have solved this problem.&#34;&#10;B) &#34;I am able to focus on my pain now.&#34;&#10;C) &#34;I feel stronger now.&#34;&#10;D) &#34;I am feeling so much better now.&#34;

Accepted Answer

A.This is incorrect. The family should leave the relationship hopeful.
B.This is correct. The family should be able to focus beyond the pain and draw on coping skills learned in the clinical work.
C.This is incorrect. The family members should feel empowered.
D.This is incorrect. The family should be feeling better.

Question 2

The nurse is preparing to terminate the clinical work with a family. Which would be an unusual feeling?&#10;A) Fear&#10;B) Happiness&#10;C) Sense of accomplishment&#10;D) Depression

Accepted Answer

A.This is incorrect. After helping the family solve problems, the nurse may feel guilt and fear that the family will not be able to solve them on their own.
B.This is incorrect. If the family is empowered to solve their own problems, the nurse may be happy.
C.This is incorrect. If the family is able to solve their own problems, the nurse should have a sense of accomplishment.
D.This is correct. The nurse would normally not have a profound sense of loss and depression.

Question 3

The nurse is initiating termination of clinical work with the family. Which is the appropriate reason?&#10;A) The problem is completely eliminated.&#10;B) The illness is cured.&#10;C) The family is able to manage the problem.&#10;D) The client has less pain.

Accepted Answer

A.This is incorrect. Although the problem may not be completely eliminated, the nurse may still terminate the clinical work.
B.This is incorrect. The nurse may terminate the clinical work before the illness is cured.
C.This is correct. When the family is able to manage the problem, the nurse can terminate the clinical work.
D.This is incorrect. The nurse may terminate the clinical work even if the client does not have less pain.

Question 4

When should the termination phase of clinical work begin?&#10;A) After the first one-question question is established&#10;B) When the nurse and family collaboratively decide it is time to terminate&#10;C) When the client gets a positive prognosis&#10;D) When every family member has had a chance to share feelings

Accepted Answer

A.This is incorrect. The one-question question comes much earlier in the process.
B.This is correct. When the family and nurse agree that goals have been met, it is time to terminate.
C.This is incorrect. The client may get a positive prognosis, but the family may still have problems to resolve.
D.This is incorrect. Just because the family members have all shared, that does not mean that problems have been resolved.

Question 5

Which would be the best statement for the nurse to make during the termination phase?&#10;A) &#34;Let's discuss how your strengths have helped to solve the problem.&#34;&#10;B) &#34;Tell me what you think were the strengths of the process.&#34;&#10;C) &#34;Identify the ways I helped you with the problem.&#34;&#10;D) &#34;You are cured now!&#34;

Accepted Answer

A.This is correct. The nurse should commend the family on their strengths and help them to reflect on how these strengths helped in problem solving.
B.This is incorrect. The process is not as important as the people are.
C.This is incorrect. The nurse is not as important as the family.
D.This is incorrect. This does not promote reflection.

Question 6

The nurse suggests to the family that they reach out to other families through a letter to help them become stronger. Which statement would not be appropriate?&#10;A) &#34;You have become so much stronger. I think you would be helpful to other families.&#34;&#10;B) &#34;I need your permission to share information with other families.&#34;&#10;C) &#34;The receiving family will have to give permission to receive the letter.&#34;&#10;D) &#34;You can feel free to give other families advice based on what you have learned.&#34;

Accepted Answer

A.This is incorrect. It commends the family by suggesting they are strong enough to help others.
B.This is correct. The nurse will not be sharing information; the family will be writing the letter.
C.This is incorrect. The nurse would need to get permission from the family receiving the letter to give out contact information.
D.This is incorrect. The family should feel free to share whatever help the members choose to share.

Question 7

A family has initiated termination. Which is the first action of the nurse?&#10;A) Draft a closure letter.&#10;B) Gain information about the reasons for termination.&#10;C) Acknowledge their desire to terminate.&#10;D) Request information about the nurse's performance.

Accepted Answer

A.This is incorrect. Drafting a closure letter is a final ritual.
B.This is incorrect. Although this is not the first action, it should be done nonjudgmentally.
C.This is correct. The nurse should first acknowledge their desire to terminate.
D.This is incorrect. Requesting information about the nurse's performance may seem defensive.

Question 8

The family has decided to terminate the relationship, but the nurse believes this decision is premature. Which is the best response?&#10;A) &#34;I do not think you are ready. Let's rethink this.&#34;&#10;B) &#34;Let's discuss what we have achieved and what we still have yet to achieve.&#34;&#10;C) &#34;It is your decision. I will start the paperwork.&#34;&#10;D) &#34;It is clear we cannot work well together. Can I refer you to someone else?&#34;

Accepted Answer

A.This is incorrect. This approach is very parental and not collaborative.
B.This is correct. The nurse needs to remind the family of progress made but that there are still issues left to resolve.
C.This is incorrect. The nurse has an obligation to help the family see the potential for continuing to meet together.
D.This is incorrect. The nurse appears victimized and emotional rather than helping the family to see how they have worked together.

Question 9

The insurance company notifies the nurse that continuing clinical treatment will no longer be covered. What type of termination would this be?&#10;A) Nurse-initiated termination&#10;B) Context-initiated termination&#10;C) Family-initiated termination&#10;D) Financial-initiated termination

Accepted Answer

A.This is incorrect. The nurse did not initiate this termination.
B.This is correct. This termination was initiated by the context of insurance denial.
C.This is incorrect. The family did not initiate this termination.
D.This is incorrect. This is not a financial termination.

Question 10

The nurse is referring a client to another caregiver. Which would not be a reason for a referral?&#10;A) The nurse thinks another nurse would be good with this family.&#10;B) The family needs a practitioner who specializes in working with children.&#10;C) The family needs a practitioner who specializes in working with seniors.&#10;D) The complexity of the case may require additional resources.

Accepted Answer

A.This is correct. Transferring to a practitioner of the same discipline and qualifications is a transfer, not a referral.
B.This is incorrect. The family may need a referral for someone specifically trained to work with the children.
C.This is incorrect. The family may need a referral for a caregiver who has skills with seniors.
D.This is incorrect. The family may need additional resources not available at this office.

Question 11

The nurse is referring a family to another health-care practitioner. What is the most effective way to accomplish this?&#10;A) Give the family a letter of introduction to take to the new provider.&#10;B) Be present at the first meeting with the new provider.&#10;C) Provide detailed information about the qualifications of the new provider.&#10;D) Talk with the new provider about the family.

Accepted Answer

The answer of The nurse is referring a family to...

Question 12

The nurse is evaluating change for a research study. Which levels should be included in change outcomes? Select all that apply.&#10;A) Individual&#10;B) Marital&#10;C) Parent-child&#10;D) Family

Accepted Answer

The answer of The nurse is evaluating change for a...

Question 13

The nurse writes a closure letter. Which should be included? Select all that apply.&#10;A) Identify what the team offered the family.&#10;B) Discuss what the team learned from the family.&#10;C) Provide the home phone number of the nurse.&#10;D) Provide the names and credentials of the people who worked with the family.

Accepted Answer

The answer of The nurse writes a closure letter. Which...

Question 14

The nurse is reflecting on the reasons why a family terminated the relationship prematurely. Which are common potential reasons? Select all that apply.&#10;A) The family believes the nurse is taking sides.&#10;B) The nurse is not addressing concerns important to the family.&#10;C) The family is involved with many therapies and is overwhelmed.&#10;D) The nurse does not stick to one hypothesis about why the family is dysfunctional.

Accepted Answer

The answer of The nurse is reflecting on the reasons...

Question 15

The nurse wants to emphasize changes that the family has made during clinical support. Which would be appropriate ways to emphasize change? Select all that apply.&#10;A) Establishing rituals&#10;B) Collaboratively identifying changes&#10;C) Sending a closure letter&#10;D) Creating a problem list

Accepted Answer

The answer of The nurse wants to emphasize changes that...

Deck 12: How to Terminate With Families