Answer to Question 1
1
Rationale: Caring for an older adult at home can be difficult and time consuming as well as physically, emotionally, and financially burdensome. Ongoing, accumulated stress can lead to violence. Knowing where to go in the community for assistance with caring can bring significant relief and, as a result, reduce violence. Focusing on legal consequences and asking abusers to come forward may place families on the defensive. Victims may not be in a position physically or cognitively to report to their abuse to the nurse. The goal in this case is family violence prevention rather than seeking treatment.
Answer to Question 2
4
Rationale: When people feel confident to deal with stress and the situation, their behavior is task-oriented. This young mother lacks the confidence to deal with a new experience. She is unprepared to accept a new role as a mother and has little emotional support from her own parent. While the teen attempts to take on the task of nurturing her newborn, other factors in the environment pose obstacles to her success. The diagnosis of Anxiety related to lack of knowledge and inexperience does not capture the obstacles to role performance in the teen's environment. There is no data to support a diagnosis of Impaired Social Interaction, Ineffective Family Coping, or Ongoing Dysfunctional Communication.