The nurse has been assigned as a home health nurse for a child ...

[Jkov05]

The nurse has been assigned as a home health nurse for a child who is technology dependent. The nurse recognizes that the family's background differs widely from the nurse's own. The nurse believes some of their lifestyle choices are less than ideal.
 
  What nursing intervention is most appropriate to institute?
  a. Change the family.
  b. Respect the differences.
  c. Assess why the family is different.
  d. Determine whether the family is dysfunctional.

Question 2

A child with a serious chronic illness will soon go home. The case manager requests that the family provide total care for the child for a couple of days while the child is still hospitalized. How should the request be viewed?
 
  a. Improper because of legal issues
  b. Supportive because families are usually eager to get involved
  c. Unacceptable because the family will have to assume the care soon enough
  d. Important because it can be beneficial to the transition from hospital to home

[Cheesycrackers]

Answer to Question 1

ANS: B
Respect for varied family structures and for racial, ethnic, cultural, and socioeconomic diversity among families is essential in home care. The nurse must assess and respect the family's background and lifestyle choices. It is not appropriate to attempt to change the family. The nurse is a guest in the home and care of the child. The family and the values held by the cultural group prevail. The nurse may assess why the family is different to help the nurse and other health professionals understand the differences. It is not appropriate to determine whether the family is dysfunctional.

Answer to Question 2

ANS: D
This type of groundwork is essential for the family. Adequate family training and preparation will assist in the child's transition home. The nursing staff in the hospital is responsible for the child's care. The family will provide the care with assistance as needed. Although parents are eager to be involved, the purpose of this intervention is the development of family competency and confidence that they are capable. Arrangements for respite care are important for the family both during hospitalizations and while the child is at home.

[Jkov05]

TYSM

[abro1885]

Excellent