A nurse has identified a coping problem in a family that recently ...

[Kikoku]

A nurse has identified a coping problem in a family that recently lost their house and belongings in a fire. The nurse will next assess the family's external support systems.
 
  Which of the following would be the most appropriate diagnosis for this family? 1. Readiness for Enhanced Family Processes
   2. Dysfunctional Family Processes
   3. Ineffective Coping
   4. Compromised Family Coping

Question 2

The charge nurse has assessed clients during a mass casualty incident (MCI) and transferred some to other units and some to be discharged to home.
 
  In planning for the admission of critically ill clients from the emergency department, the charge nurse assigns the new clients to nurses who have: 1. Exceptional self-care methods.
   2. Impeccable ethics.
   3. Risk-reduction knowledge.
   4. Advanced technical skills.

[cloudre37]

Answer to Question 1

4. Compromised Family Coping

Rationale:
The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that their coping is ineffective.

Answer to Question 2

4. Advanced technical skills.

Rationale:
During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.