Author Question: The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile ... (Read 47 times)

EAugust · **on:** Jun 27, 2018

The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car,which was totaled.

The nurse learns that the father lost his job three weeks ago and the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is
1. Compromised Family Coping relatedto the effects of multiple simultaneous stressors.
2. Impaired Social Interaction (parentand child) related to the lack of family or respite support.
3. Interrupted Family Processes relatedto child with significant disability requiring alteration in family functioning.
4. Risk for Caregiver Role Strain relatedto child with a newly acquired disability and the associated financial burden.

Question 2

A nurse is working with the family of a pediatric client. The nurse is planning to obtain an accurate amily assessment. The initial step would be to

1. establish a trusting relationship with the family.
2. select the most relevant familyassessment tool.
3. focus primarily upon the mother,while learning her greatest concern.
4. observe the family in the homesetting,since this step always proves indispensable.

karlss · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale:Compromised family coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. The spica cast may require alteration in family functioning;however, fractures are generally not considered a significant long-term disability.Lack of family members and lack of respite support was not mentioned in the scenario. Diagnosis

Answer to Question 2

Answer:1
Rationale:Establishment of a trusting relationship between the family and the nurse is the essential preliminary step in obtaining an accurate family assessment. There is benefit when the tool used matches the family's strengths and resources;however,selecting the most relevant family-assessment tool is not indispensable to accuracy in the assessment.Focusing primarily upon the mother while learning her greatest concern is counterproductive and prevents the nurse from acknowledging multiple perceptions held by the family's members.Observing the family in the home setting is only recommended in some cases.