Author Question: As a nurse advocate for the reduction of family elder abuse, a nurse: 1. Locates community ... (Read 33 times)

Garrulous · **on:** Jul 19, 2018

As a nurse advocate for the reduction of family elder abuse, a nurse:

1. Locates community resources for families.
2. Educates the public about legal consequences of violent acts.
3. Helps abused victims make it to the hospital for treatment.
4. Encourages abusers to come forward to talk about their issues.

Question 2

A community health nurse meets with a 15-year-old single mother to teach a tube-feeding technique to her infant. The teen's mother is present.

The nurse notes that the young mother is hesitant to try the feeding technique and does not ask questions. During the feeding, the teen mother almost drops the feeding tube and is scolded by her mother for being clumsy. Based on this initial information, which nursing diagnosis is most appropriate? 1. Anxiety related to lack of knowledge and inexperience
2. Ineffective Family Coping related to conflicted daughterparent relationship and dysfunctional communication
3. Social Interaction Impaired related to paternal interference
4. Self-Esteem (Low) Situational, related to lack of experience, criticism, and role uncertainty

epscape · **Reply #1 on:** Jul 19, 2018

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.