Question 1

The nurse is greeting the family warmly and establishing the relationship. Which stage is this?

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?

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?

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?

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?

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 "miracle question." Which is a miracle question?

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?

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?

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?

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?

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?

Accepted Answer

A.This is correct. Ethnicity and gender inform the family structure.
B.This is incorrect. Roles are charted in the functional section.
C.This is incorrect. Circular communication is charted in the functional section.
D.This is incorrect. Adjusting to developmental milestones is charted in the developmental section.

Question 12

The nurse is working with adolescents and children. In what ways are they different from adults? Select all that apply.

Accepted Answer

A.This is incorrect. Adolescents often do not comply with adult thinking.
B.This is correct. Children may hesitate to disagree with their parents' perspective.
C.This is correct. Children may be able to express what the situation might look like if a variable were changed.
D.This is incorrect. Children should be encouraged to participate as members of the family.

Question 13

The nurse is deciding how to intervene with a family. Which might be considered before intervening? Select all that apply.

Accepted Answer

A.This is correct. Selecting an ethnically, spiritually, and culturally appropriate intervention is important.
B.This is correct. If the family has a different style of coping, that might work better.
C.This is correct. The intervention needs to match the way the family functions.
D.This is correct. The nurse must plan which domain the intervention will affect.

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.

Accepted Answer

A.This is correct. Art tools are good ways to promote expression.
B.This is correct. Children can express themselves through role-play.
C.This is incorrect. Young children may not have the writing skills to express themselves through journals.
D.This is correct. Storytelling can be used to show others working through problems.

Question 15

The nurse is considering referring the care of a family to another provider. Which must be considered? Select all that apply.

Accepted Answer

A.This is correct. Personal experience can affect the decision. If the nurse does not have the necessary experience, it may be necessary to transfer the client.
B.This is correct. Sometimes changes in work context, such as accepting insurance or team composition, require changes in providers.
C.This is correct. If a client is a danger to self or others, a transfer may be indicated.
D.This is correct. The nurse must operate within the scope of practice.

Quiz 7: How to Conduct Family Interviews