Author Question: During a home visit, the nurse observes children acting out, shouting, and hitting each other when ... (Read 72 times)

chads108 · **on:** Jun 25, 2018

During a home visit, the nurse observes children acting out, shouting, and hitting each other when taking a small amount of food out of the refrigerator.

The mother sits nearby yelling for the children to shut up while reaching for a cigarette. Which should the nurse consider as being helpful for this family situation?
Select all that apply.
A) Suggesting ways to improve the family's financial resources
B) Suggesting ways to improve the parent's behavior
C) Contacting the authorities because of child abuse
D) Making a list of community resources to help this family cope
E) Creating a genogram

Question 2

The nurse is caring for a client who is diagnosed with dysfunctional grieving after the loss of a child. Which treatment approaches are appropriate for the nurse to include in the plan of care for this client?

Select all that apply.
A) Antidepressants
B) Instruction about maladaptive dependence on the nurse
C) Talk therapies
D) Cognitive therapy
E) Anger management

Ksanderson1296 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B, D

Risk factors for family dysfunction may not always be evident. At times, the risk factors are masked by the absence of obvious problems. Stress can lead to many problems within a family, as the effects of unmanaged and unresolved stress can impact normal family functioning. Parental coping methods can also determine how their children will learn to handle stress, as children often model the actions of their parents. Stress in families results from numerous situations, including financial worry, job loss, marriage difficulties, and personal stress. Economic strain impacts individual well-being and physical health. Poverty-related stress can have a detrimental effect on the family unit by straining the parental relationship, leading to an increase in the stress level of any children in the family. Nurses can help alleviate some of this stress by facilitating connections with community resources that can help families meet their food, safety, and job-related needs. There is no evidence of child abuse. A genogram shows lines of birth descent through the generations and is part of the health history.

Answer to Question 2

Answer: A, C, D

The treatment for dysfunctional grieving is similar to the treatment for depression. Cognitive therapy, talk therapies, and antidepressants are all treatment options. The question does not indicate that the client has a problem with anger management or maladaptive dependence.