Deck 5: Family Nursing Interviews: Stages and Skills

Question 1

The nurse is preparing to interview a family in order to assist with healthy coping strategies for the mother's new diagnosis of breast cancer. Which of the following should the nurse keep in mind as the purpose of the interview?

A) Uncovering weaknesses is the main purpose of the family nursing interview.
B) Nursing, as a profession, typically knows what is best for the family.
C) The interview will take shape naturally, without any interference by the nurse.
D) The nurse should use interview questions to assist the family to find and implement their own solutions.

Answer 1

The nurse should use interview questions to assist the family to find and implement their own solutions.

Question 2

The nurse is working with a family as they adjust to life after the husband's car accident that left him as a paraplegic. Which of the following is a role of the "nine-star family nurse" that the nurse should be fulfilling?

A) Confidante
B) Director
C) Manager and coordinator
D) Model

Answer 2

Manager and coordinator

Question 3

The nurse is a generalist in a family practice clinic. Which of the following is a competency she should focus on developing?

A) Commit to a self-reflective practice.
B) Work hard to learn how families are cared for in the unit.
C) Concentrate on the care of families in the medical/surgical area.
D) Practice identifying family weaknesses.

Answer 3

Commit to a self-reflective practice.

Question 4

The nurse has introduced herself to a family and is explaining the interview process. Which stage of the family nursing interview does this describe?

A) Assessment stage
B) Termination stage
C) Engagement stage
D) Intervention stage

Question 5

The nurse has identified strengths within a family. She now explores areas where the family desires to change. Which stage of the family nursing interview does this describe?

A) Assessment stage
B) Termination stage
C) Engagement stage
D) Intervention stage

Question 6

The nurse discusses a client's chronic illness with the client's family and asks about coping strategies. She carefully notes family strengths and commends the family for each. Which stage of the family nursing interview does this describe?

A) Assessment stage
B) Termination stage
C) Engagement stage
D) Intervention stage

Question 7

The nurse is working with a family with four children: two boys aged 14 years and 4 years and two girls aged 12 and 10 years. The 4-year-old was recently diagnosed with an autism spectrum disorder. As the mother describes the 4-year-old's problems, the nurse notices the 14-year-old roll his eyes. Which of the following best describes the skill the nurse used in making this observation?

A) Perceptual
B) Conceptual
C) Executive
D) Authoritarian

Question 8

The nurse is interviewing a family. The wife and husband recently married and joined their families, with the husband having two children from a prior marriage and the wife having one. The nurse carefully asks questions about how the family has adapted. Which of the following best describes the skill the nurse used in making this observation?

A) Perceptual
B) Conceptual
C) Executive
D) Authoritarian

Question 9

The nurse is providing care for a family. The wife has been diagnosed with early-onset Alzheimer's disease, and the husband has been providing care around the clock. Their daughter is concerned about the health of both of her parents. The nurse asks the husband how many times he wakes at night, listens carefully to his answer, and then asks follow-up questions to identify the exact cause of his poor sleeping. She then asks questions to help identify solutions. Which of the following best describes the skill the nurse is using?

A) Perceptual
B) Conceptual
C) Executive
D) Authoritarian

Question 10

Executive skills are used at all stages of the family interview. The nurse is providing care for a client who has been diagnosed with end-stage liver disease. The nurse invites the client's family to a meeting to discuss the client's plan of care. What skill is demonstrated in this scenario?

A) Perceptual skills in the engagement stage
B) Perceptual/conceptual skills in the assessment stage
C) Executive skills in the assessment stage
D) Executive skills in the engagement stage

Question 11

The nurse is interviewing a newly married couple. The couple's 8-year-old son, from the wife's previous relationship, never knew his birth father and is throwing temper tantrums whenever the new husband asks him to do something. The nurse asks clarifying questions about the couple's individual responses to their son's outbursts. What skills are demonstrated in this scenario?

A) Perceptual/conceptual skills in the engagement stage
B) Perceptual/conceptual skills in the assessment stage
C) Executive skills in the intervention stage
D) Executive skills in the engagement stage

Question 12

The nurse is providing care for a family. The mother fell several weeks ago and broke her hip. She is currently in a rehab facility. Her husband is concerned about the steps at home and his ability to care for her. Their daughter lives 3 hours away and is worried about her parents living on their own. The nurse asks the daughter if she has any thoughts about possible solutions that would ensure the safety of both of her parents. What skills are demonstrated in this scenario?

A) Perceptual/conceptual skills in the engagement stage
B) Perceptual/conceptual skills in the assessment stage
C) Executive skills in the intervention stage
D) Executive skills in the engagement stage

Question 13

Which of the following is not a method of study that will help develop perceptual and conceptual skills during family interviews?

A) Role-playing
B) Reflective inquiry
C) Memorizing interview questions
D) Analyzing DVDs of actual family interviews

Question 14

The nurse graduated from nursing school 1 year ago and is still working on her executive skills in family interviewing. She knows what to be true?

A) Asking a mentor or peer for feedback on positive behaviors will assist in developing executive skills.
B) Outcomes-based clinical scenarios are not helpful in developing executive skills.
C) Executive skills are not related to conceptual or perceptual skills.
D) Reflection on conceptual skills will not help build executive skills.

Question 15

The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. As the nurse is speaking with the client and his family, the client's wife asks about palliative care. The nurse provides basic information about palliative care and offers to call the palliative care team to meet with the family. What skills are demonstrated in this scenario?

A) Perceptual/conceptual skills in the engagement stage
B) Perceptual/conceptual skills in the termination stage
C) Executive skills in the intervention stage
D) Executive skills in the engagement stage