Question 1

The nurse is greeting the family warmly and establishing the relationship. Which stage is this?&#10;A) Assessment stage&#10;B) Engagement stage&#10;C) Intervention stage&#10;D) Termination stage

Accepted Answer

A.This is incorrect. Assessment follows this earlier stage.
B.This is correct. Establishing the relationship begins in the engagement stage.
C.This is incorrect. Interventions will wait until after this stage.
D.This is incorrect. The termination stage is a later stage.

Question 2

The nurse is seeking to alleviate a family's anxiety and distress. Which action is the least effective?&#10;A) Providing reassurance&#10;B) Responding to nonverbal cues&#10;C) Being open and honest&#10;D) Presenting conflicting perspectives

Accepted Answer

A.This is incorrect. Providing reassurance can comfort the client and alleviate anxiety and distress.
B.This is incorrect. The nurse should respond to nonverbal cues of anxiety and distress in the client.
C.This is incorrect. The nurse should be open and honest to build trust.
D.This is correct. The family will be frustrated if conflicting views are presented, and this will increase anxiety and decrease trust.

Question 3

The nurse is reflecting on the interview. Which is the least helpful to a good outcome of the interview?&#10;A) Curiosity&#10;B) Closed process&#10;C) Circularity&#10;D) Hypothesizing

Accepted Answer

A.This is incorrect. Curiosity throughout the interview drives fresh outlooks on problems.
B.This is correct. Having a closed process or a set script for questions is not helpful in producing a good outcome.
C.This is incorrect. Circular, rather than linear, questioning is reflective and aids in a positive outcome.
D.This is incorrect. Frequent hypothesizing and changes of hypotheses produce good outcomes.

Question 4

Family members arrive for an interview. Which is the most effective way for the nurse to manage this situation?&#10;A) Construct a genogram with the family.&#10;B) Ask all but close family members to leave.&#10;C) Have the client determine who should leave.&#10;D) Limit the number of family members who can come to each session.

Accepted Answer

A.This is correct. With a genogram, the family can share with the nurse their roles in the family structure.
B.This is incorrect. The client has invited these family members to come, and they should be included in the collaboration.
C.This is incorrect. This choice puts the client in the awkward position of choosing between family members.
D.This is incorrect. The nurse should embrace the family members, not exclude them.

Question 5

The family and nurse have moved into the assessment phase. What occurs during this phase?&#10;A) The problem is identified and explored.&#10;B) The nurse and family collaborate to find solutions.&#10;C) The nurse introduces him- or herself to the family.&#10;D) The relationship between the nurse and the family is ended.

Accepted Answer

A.This is correct. The problem is identified and explored during the assessment phase.
B.This is incorrect. This describes the intervention phase.
C.This is incorrect. This describes the engagement phase.
D.This is incorrect. This describes the termination phase.

Question 6

The nurse asks a client a &#34;miracle question.&#34; Which is a miracle question?&#10;A) &#34;Do you think you will be healed by a miracle?&#34;&#10;B) &#34;Suppose your brother's solution was chosen. What would that look like?&#34;&#10;C) &#34;I know the chances of survival are slim, but do you think you deserve a miracle?&#34;&#10;D) &#34;Why do you think God heals some people and not others?&#34;

Accepted Answer

A.This is incorrect. This is not a collaborative question.
B.This is correct. The miracle question asks a client or family member to see another person's view-"If by some miracle this happens . . ."
C.This is incorrect. This question is not therapeutic.
D.This is incorrect. This question is a spiritual question, rather than one for the interview.

Question 7

A client is not doing what the nurse has suggested. What is the best way for the nurse to address this situation?&#10;A) Document the noncompliance in the medical chart.&#10;B) Ask the family why the client is noncompliant.&#10;C) Tell the client that you are curious about why he has made a different choice.&#10;D) Discharge the client for noncompliance.

Accepted Answer

A.This is incorrect. The client has the right to make an alternative choice.
B.This is incorrect. The family should not be pressured to make the client change.
C.This is correct. Explain to the client your curiosity, but validate that he can make a different choice.
D.This is incorrect. The client should not be discharged for making a different choice from the nurse.

Question 8

The nurse should bring relevant resources to the home interview. Which would the nurse not bring?&#10;A) Information on agencies providing resources&#10;B) Insurance information&#10;C) Nurse contact information&#10;D) Pamphlets about the disease

Accepted Answer

A.This is incorrect. The nurse should bring resource information.
B.This is correct. The client will bring the insurance information.
C.This is incorrect. The nurse should provide contact information to the family.
D.This is incorrect. The nurse could bring information about the disease affecting the client.

Question 9

The nurse is working with a very talkative client. Which would not be an effective way to interact?&#10;A) Select a focus topic and stick to it.&#10;B) Tell the client it is impolite not to let others share.&#10;C) Using humor, interrupt and suggest that another family member should talk.&#10;D) Set a specific amount of time for sharing.

Accepted Answer

A.This is incorrect. Setting boundaries keeps a talkative client focused.
B.This is correct. Telling a client that he or she is impolite or rude does not build rapport.
C.This is incorrect. Using humor keeps the interruption polite but allows all to share.
D.This is incorrect. If the nurse sets a specific amount of time for sharing, then boundaries should be respected.

Question 10

The nurse is working with a middle-aged couple. Which is a common developmental issue of this age?&#10;A) Dealing with small children&#10;B) Determining how to spend time together&#10;C) Death of numerous friends&#10;D) Numerous health issues

Accepted Answer

A.This is incorrect. This is more typically a developmental problem in young adulthood.
B.This is correct. When children go to college, middle-aged couples frequently have challenges adjusting to being childfree again.
C.This is incorrect. Losses of friends usually come later in life.
D.This is incorrect. Numerous health issues usually come later in life.

Question 11

The nurse is charting according to the Calgary Family Assessment Model. Which would be charted in the structural section?&#10;A) Ethnicity and gender&#10;B) Expressed feelings about roles&#10;C) Communication&#10;D) Adjusting to change events in life

Accepted Answer

The answer of The nurse is charting according to the...

Question 12

The nurse is working with adolescents and children. In what ways are they different from adults? Select all that apply.&#10;A) Adolescents usually comply with adult thinking.&#10;B) Children may be hesitant to disagree with their parents.&#10;C) Future-oriented questions may be helpful in the discussion.&#10;D) Children should not be asked to participate in the interview.

Accepted Answer

The answer of The nurse is working with adolescents and...

Question 13

The nurse is deciding how to intervene with a family. Which might be considered before intervening? Select all that apply.&#10;A) Is the intervention culturally appropriate for the family?&#10;B) How is the intervention different from the family's usual coping?&#10;C) Is the intervention suited to the way the family relates to each other?&#10;D) At what domain of family functioning is the intervention aimed?

Accepted Answer

The answer of The nurse is deciding how to intervene...

Question 14

The nurse wants to involve small children in the interview process. Which tools would be good for working with children? Select all that apply.&#10;A) Coloring books&#10;B) Role-playing&#10;C) Journaling&#10;D) Storytelling

Accepted Answer

The answer of The nurse wants to involve small children...

Question 15

The nurse is considering referring the care of a family to another provider. Which must be considered? Select all that apply.&#10;A) Personal experience&#10;B) Work context&#10;C) Danger to client and others&#10;D) Scope of practice

Accepted Answer

The answer of The nurse is considering referring the care...

Deck 7: How to Conduct Family Interviews