A nurse is using the family as context approach to provide care ...

[imanialler]

A nurse is using the family as context approach to provide care to a patient. What should the nurse do next?
 
  a. Assess family patterns versus individual characteristics.
  b. Assess how much the family provides the patient's basic needs.
  c. Use family as patient and family as context approaches simultaneously.
  d. Plan care to meet not only the patient's needs but those of the family as well.

Question 2

The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, I have no family.
 
  They're all gone. When asked, Who prepares your meals? the patient states, I do, or I go out. Which approach should the nurse use for this patient?
  a. Family as context
  b. Family as patient
  c. Family as system
  d. Family as caregiver

[underwood14]

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.

[imanialler]

TY

[underwood14]

You're welcome