Test Prep NCLEX-PN Exam
National Council Licensure Examination(NCLEX-PN) (Page 17 )

Updated On: 30-Jan-2026

American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?

  1. structure of the health care system and family structure
  2. psychological factors for men and women seeking health care
  3. conditions being labeled disabilities and seen as too time consuming
  4. health care organizations (HMOs) and disconnected families

Answer(s): A

Explanation:

Scholars suggest that the reasons families are having difficulty providing health care for their members lies with both the structure of the health care system and the family structure.
Major factors explaining differences in utilization patterns of medical services include the lack of healthcare insurance coverage, lack of services for special populations (that is, teenage males), perception by families of the health care system and the health care provider, and lack of partnership between health care providers and families in mutually addressing health care issues.



Kleinman’s Explanatory Model of Health and Illness is significant because ______________.

  1. it explains what kind of health beliefs a family is likely to have
  2. it brings out the importance of culture in forming health explanations
  3. it discusses the important role that popular and folk domains of influence have
  4. it has an educational base to the structure

Answer(s): C

Explanation:

The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals’ biomedical understanding of the health problem, while illness is the client’s personal and unique understanding and definition of what is happening to him.
The theorist states that cultural factors determine the importance of the various domains of influence.



An example of an extended care facility is a ______________.

  1. home health agency
  2. suicide prevention center
  3. state-owned psychiatric hospital
  4. nursing facility

Answer(s): D

Explanation:

When an elderly client has been hospitalized for an illness, under Medicare he or she can be transferred to a nursing facility.



A client and his family facing the end stage of a terminal illness might be best served by ______________.

  1. a rehabilitation center
  2. an extended care facility
  3. Hospice
  4. a crisis intervention center

Answer(s): C

Explanation:

Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures.
No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.



During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?

  1. the potential hazards of accidents
  2. appropriate nutrition now that the child has been weaned from breast-feeding
  3. toilet training
  4. how to purchase appropriate shoes now that the child is walking

Answer(s): A

Explanation:

Accidents are the primary source of injury in children and can be life threatening.
Appropriate nutrition should have been discussed during the weaning process and while the purchase of appropriate shoes is important, it is not life threatening. One year of age is too early to discuss toilet training.



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