A spouse brings the children in to visit their mother in the ...

[notis]

A spouse brings the children in to visit their mother in the hospital. The nurse asks how the family is doing. The husband states, None of her jobs are getting done, and I don't do those jobs, so the house and the kids are falling apart.
 
  How will the nurse interpret this finding?
  a. The family structure is resilient.
  b. The family structure is flexible.
  c. The family structure is hardy.
  d. The family structure is rigid.

Question 2

A nurse is using the RESPECT mnemonic to establish rapport, the R in RESPECT. Which actions should the nurse take? (Select all that apply.)
 
  a. Connect on a social level.
  b. Help the patient overcome barriers.
  c. Consciously attempt to suspend judgment.
  d. Stress that they will be working together to address problems.
  e. Know limitations in addressing medical issues across cultures.

[meltdown117]

Answer to Question 1

ANS: D
A rigid structure specifically dictates who is able to accomplish different tasks and also limits the number of persons outside the immediate family allowed to assume these tasks. Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events. An extremely flexible structure also presents problems for the family. There is sometimes an absence of stability that would otherwise lead to automatic action during a crisis or rapid change. Hardiness is the internal strength and durability of the family unit characterized by a sense of control over the outcome of life and an active, rather than passive, orientation in adapting to stressful events.

Answer to Question 2

ANS: A, C
The R in RESPECT stands for rapport and includes the following behaviors: connect on a social level; seek the patient's point of view; and consciously attempt to suspend judgment. The S stands for support and includes the behavior of helping the patient overcome barriers. The P stands for partnership and includes the following behaviors: be flexible with regard to issues of control and stress that you will be working together to address medical problems. The C stands for cultural competence and includes the behavior of knowing your limitations in addressing medical issues across cultures.