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1. A nurse practitioner is conducting a family assessment
for a patient with chronic obstructive pulmonary disease
(COPD). Which of the following questions is most
appropriate to ask the patient's spouse?
a) How do you cope with your partner's condition?
b) How often do you accompany your partner to the clinic?
c) How do you feel about your partner's smoking habits?
d) How has your partner's condition affected your family
roles and relationships?*
Rationale: Option d is the most appropriate question to ask
the patient's spouse, as it explores the impact of the
patient's condition on the family system, which is one of
the key concepts in advanced family nursing. Options a, b,
and c are more focused on the individual coping, behavior,
and feelings of the spouse, which are not directly related to
the family system.
2. A nurse practitioner is providing care for a pregnant
woman who has a history of substance abuse. The nurse
practitioner suspects that the woman is still using drugs
during her pregnancy. Which of the following interventions
is most appropriate for the nurse practitioner to implement?
a) Refer the woman to a substance abuse treatment
program and provide education on the effects of drugs on
the fetus.
b) Report the woman to child protective services and
inform her of the legal consequences of her actions.
c) Confront the woman about her drug use and urge her to
quit for the sake of her baby.
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