Answer to Question 1
ANS: B
When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family). Although the focus is on the individual's health status, the nurse assesses how much the family provides the individual's basic needs. Family patterns are in the realm of family as patient approach. Often, the nurse will use the two simultaneously (family as context and family as patient) with the approach of family as system. Family as patient involves planning to meet the needs of the patient and those of the family as well.
Answer to Question 2
ANS: A
If only one family member receives nursing care, it is realistic and practical to use the approach family as context. Although family nursing is based on the assumption that all people regardless of age are a member of some type of family form, the patient insists that there is no family. The nurse should investigate further. However, at this time, family as patient or as system is not appropriate. Family as caregiver is not an approach but rather is a term to describe a family member caring for another family member.
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