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.