HESI (NCLEX-PN) Exam – Family Dynamics

Family Dynamics

•             The nurse is obtaining the history of a client in the third trimester who is visiting the prenatal clinic for the first time. She tells the nurse she has two toddlers at home, that their father abandoned the family last month, and that she doesn’t know what to do. The nurse concludes that the client is what?

•             An adolescent female with an antisocial personality disorder plans to live with her parents after discharge. The parents request advice on how to respond to their daughter’s unruly behavior. What is the most therapeutic response by the nurse?

•             During a well-baby visit, the parents complain that their 2-year-old daughter soils herself because she is lazy. The parents plan to make her wear her soiled clothing to teach her a lesson. The nurse is concerned about the potential for child neglect and abuse. Which nursing intervention will be most therapeutic at this time?

•             The practice of separating parents from their newborn immediately after birth and limiting their time with the infant during the first few days after delivery contradicts what studies?

•             A couple arrives at the newborn nursery asking to take their newborn grandson to his mother’s room. What is the best response by the nurse?

•             A nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through?

•             While communicating with a nurse, a child reports, “I lost my parents in an accident and I live with new parents.” Which type of family is reflected in this situation?

•             A client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client’s care?

•             After an uneventful 8-hour labor a client gives birth. Once the airway has been ensured and the neonate has been dried and wrapped in a blanket, the nurse places the newborn in the mother’s arms. The mother asks, “Is my baby normal?” What is the best response by the nurse?

•             A nurse is considering the family’s role in discharge planning for an adult client who has been in a psychiatric facility. What is the most appropriate nursing action after the nurse obtains the client’s consent?

•             Which type of family involves a nuclear family plus additional family members living in the same household?

•             A client with mild preeclampsia is told that she must remain on bed rest at home. The client starts to cry and tells the nurse that she has two small children at home who need her. How should the nurse respond?

•             A nurse observes regular patterns that look like they were made by a belt buckle, wire hanger, and chain on a child’s skin. What behavioral change might the nurse also expect from the child?

•             The nurse is caring for a couple who have just received amniocentesis results indicating that their fetus has trisomy 18. Why is it important for a nurse to support the parents’ decision to abort a fetus with a birth defect even if the nurse is morally opposed to abortion?

Explanation & Answer

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