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NCLEX-RN Exam - Topic 4 Question 16 Discussion

A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?
D) Allow family members to assume the seats as they choose.
A) Always allow the most vocal person to state the problem first.
B) Encourage the mother to speak for the children.
C) Interpret immediately what seems to be going on within the family.

NCLEX-RN Exam - Topic 4 Question 16 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 16
Topic #: 4
[All NCLEX-RN Questions]

A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

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Suggested Answer: D

(A) One will always hear what the most vocal person has to say. It is best to start with the quietest family member to encourage that person to express emotions. (B) All family members are encouraged to speak for themselves. (C) In the initial family assessment, only data collection occurs; interpretations are made later. (D) Allowing family members to choose their own seats will assist the nurse in assessing the family system and in determining who feels closer to whom.


by Ryan at Mar 30, 2026, 08:31 AM

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Nana
2 hours ago
I think D is the best option. Letting them choose seats feels more comfortable.
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Hailey
5 days ago
I feel like C could lead to misunderstandings right away.
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Farrah
10 days ago
A is not a good idea. It can make the quieter ones feel ignored.
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Felicidad
16 days ago
Wait, why would we let kids choose? They might just sit anywhere!
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Maricela
2 months ago
Totally agree! It sets a relaxed vibe for everyone.
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Joanne
2 months ago
I think D is the best choice. Letting them choose seats feels more natural.
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Clay
3 months ago
I’m not confident about interpreting the family dynamics right away; it seems like jumping to conclusions could create more tension.
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Elly
3 months ago
Encouraging the mother to speak for the children seems a bit limiting; I feel like the kids should have a chance to express themselves directly.
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Stefania
3 months ago
I remember a practice question where we discussed the importance of letting everyone have a voice, so I wonder if option A could be relevant here too.
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Kimberlie
3 months ago
I think allowing family members to choose their seats might help them feel more comfortable, but I'm not entirely sure if that's the best approach.
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