Deck 12: How to Terminate With Families

Question 1

Which statement from a family member indicates to the nurse that the family is not ready for termination of the clinical work?

A) "I am hopeful we have solved this problem."
B) "I am able to focus on my pain now."
C) "I feel stronger now."
D) "I am feeling so much better now."

Answer 1

"I am able to focus on my pain now."

Question 2

The nurse is preparing to terminate the clinical work with a family. Which would be an unusual feeling?

A) Fear
B) Happiness
C) Sense of accomplishment
D) Depression

Answer 2

Depression

Question 3

The nurse is initiating termination of clinical work with the family. Which is the appropriate reason?

A) The problem is completely eliminated.
B) The illness is cured.
C) The family is able to manage the problem.
D) The client has less pain.

Answer 3

The family is able to manage the problem.

Question 4

When should the termination phase of clinical work begin?

A) After the first one-question question is established
B) When the nurse and family collaboratively decide it is time to terminate
C) When the client gets a positive prognosis
D) When every family member has had a chance to share feelings

Question 5

Which would be the best statement for the nurse to make during the termination phase?

A) "Let's discuss how your strengths have helped to solve the problem."
B) "Tell me what you think were the strengths of the process."
C) "Identify the ways I helped you with the problem."
D) "You are cured now!"

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?

A) "You have become so much stronger. I think you would be helpful to other families."
B) "I need your permission to share information with other families."
C) "The receiving family will have to give permission to receive the letter."
D) "You can feel free to give other families advice based on what you have learned."

Question 7

A family has initiated termination. Which is the first action of the nurse?

A) Draft a closure letter.
B) Gain information about the reasons for termination.
C) Acknowledge their desire to terminate.
D) Request information about the nurse's performance.

Question 8

The family has decided to terminate the relationship, but the nurse believes this decision is premature. Which is the best response?

A) "I do not think you are ready. Let's rethink this."
B) "Let's discuss what we have achieved and what we still have yet to achieve."
C) "It is your decision. I will start the paperwork."
D) "It is clear we cannot work well together. Can I refer you to someone else?"

Question 9

The insurance company notifies the nurse that continuing clinical treatment will no longer be covered. What type of termination would this be?

A) Nurse-initiated termination
B) Context-initiated termination
C) Family-initiated termination
D) Financial-initiated termination

Question 10

The nurse is referring a client to another caregiver. Which would not be a reason for a referral?

A) The nurse thinks another nurse would be good with this family.
B) The family needs a practitioner who specializes in working with children.
C) The family needs a practitioner who specializes in working with seniors.
D) The complexity of the case may require additional resources.

Question 11

The nurse is referring a family to another health-care practitioner. What is the most effective way to accomplish this?

A) Give the family a letter of introduction to take to the new provider.
B) Be present at the first meeting with the new provider.
C) Provide detailed information about the qualifications of the new provider.
D) Talk with the new provider about the family.

Question 12

The nurse is evaluating change for a research study. Which levels should be included in change outcomes? Select all that apply.

A) Individual
B) Marital
C) Parent-child
D) Family

Question 13

The nurse writes a closure letter. Which should be included? Select all that apply.

A) Identify what the team offered the family.
B) Discuss what the team learned from the family.
C) Provide the home phone number of the nurse.
D) Provide the names and credentials of the people who worked with the family.

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.

A) The family believes the nurse is taking sides.
B) The nurse is not addressing concerns important to the family.
C) The family is involved with many therapies and is overwhelmed.
D) The nurse does not stick to one hypothesis about why the family is dysfunctional.

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.

A) Establishing rituals
B) Collaboratively identifying changes
C) Sending a closure letter
D) Creating a problem list