Which of the following can be viewed as an accurate statement ...

[Destiiny22]

Which of the following can be viewed as an accurate statement regarding the nurse-family communication related to support?
 
  1. A nurse begins an assessment of needs by asking the family what types of support are needed.
  2. Developing a trusting relationship with the family may help the nurse and family identify the types of support needed with discharge.
  3. The nurse is usually the best judge of the types of support needed in the home.
  4. A nurse focuses support on the ill family member, since the family most often has access to support.

Question 2

Identify three core family processes and areas of concern that require the attention of the nurse in illness experiences.
 
  What will be an ideal response?

[cdmart10]

Answer to Question 1

ANS: 2

Feedback
1 Families often do not know the support they need; therefore, beginning the assessment with this approach may not provide the nurse with needed information.
2 Developing a trusting relationship with the family helps the nurse and family identify the types of support needed with discharge.
3 The family knows their home, family members, and context, so they may be the best source of knowledge related to the types of support needed in the home.
4 A nurse focuses support on both the ill family member and the family to provide the best outcomes. At times, the family needs support as well as the ill family member.

Answer to Question 2

ANS:
Example of answers:
Communication: Family silence about a family illness or diagnosis.
Caregiving: Fatigue and stress with long-term care of a family member with a chronic illness.
Cathexis: Chronic sorrow, loss, and ambiguous loss.
Celebration: Loss with changes in celebration rituals.
Change: Family needing to make lifestyle change in diet or exercise.
Connectedness: Family lacks relationships with connections of extended family, friends, support groups, schools, religious affiliations, employers, and professionals.
Coordination: Family may have difficulties in making decisions about care of a family member.

Rationale:
A number of core family process and concerns emerge during a family illness experience. The nurse can have an impact and influence a variety of core processes by identifying concerns and directing nursing actions.