The nurse assesses the communication in a family that includes a ...

[khang]

The nurse assesses the communication in a family that includes a single mother, a teenage son and daughter, and a grandmother. During the family interview, the daughter answers many questions while the son and mother are quiet and the grandmother is absen
 
  A.
  The communication patterns are healthy.
  B.
  The daughter may have a lot of power.
  C.
  The grandmother does not want to be involved.
  D.
  The grandmother may have little power.
  E.
  The mother and son may have a coalition.

Question 2

The clinic nurse keeps resource numbers and contacts for assistance with situations in which family members may potentially require assistance to restore balance and function to the family. These developmental crises may include which of the following sit
 
  A.
  Home fire requiring a lengthy hotel stay
  B.
  Hospitalization of a family member
  C.
  Identification of domestic violence
  D.
  Postpartum depression in a young family
  E.
  The anticipated birth of a new baby

[mjenn52]

Answer to Question 1

ANS: B, D, E
Communication theory asserts that patterns of communication within a family reveal much about the way the family functions, the structure of the family, the power base, decision making, affection, trust, and affiliation. Preliminary conclusions the nurse can make about this family are that the daughter may have a lot of power because she answers many questions without input from anyone else, the grandmother may not have much power because she is not even present, and the mother and son may have a coalition opposed to the daughter. The nurse will need to confirm these conclusions with further assessment. These communication patterns are not healthy. The nurse should not assume that the grandmother does not want to be involved but should assess the reason for her absence.

Answer to Question 2

ANS: A, B, C, D
Sometimes families are in special need of nursing intervention due to situational or developmental crises that go beyond the family's internal resources. Developmental crises occur as part of expected growth events that can take place during any developmental stage of the family or its individual members and include such situations as being displaced, hospitalization of a family member, domestic violence, and serious depression. Childbirth is a normal event that does not generally require special nursing intervention unless complications occur.

[khang]

Gracias!

[meganmoser117]

Excellent