Answer to Question 1
C
The newest model, called family as system includes both relational and transactional concepts. If only one family member receives nursing care, it is realistic and practical to view the family as context. When all family members are involved in the daily care of one another, the family as patient is the best approach. Although theoretical and practical distinctions have been noted between family as context and family as patient, they are not necessarily mutually exclusive. Often, the nurse will use the two simultaneously, such as with the perspective of the family as system. Family nursing is based on the assumption that all people are members of some type of family form.
Answer to Question 2
D
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A The question, How easily do you fall asleep?, is directed at assessing the potential presence of insomnia.
B The question, Do you have vivid, lifelike dreams?, is directed at determining the potential presence of narcolepsy.
C The question, Do you ever experience loss of muscle control or falling?, is directed at determining the potential presence of narcolepsy.
D To assess for sleep apnea, the nurse may ask, Do you snore loudly? and Do you experience headaches after awakening? A positive response may indicate that the patient experiences sleep apnea.