A nurse is working with a family that has the nursing diagnosis ...

[asan beg]

A nurse is working with a family that has the nursing diagnosis of altered family processes. When formulating goals, whom does the nurse include?
 
  A.
  Entire family
  B.
  No one else
  C.
  Parents
  D.
  Physician

Question 2

A nurse working with a pregnant woman who is a recent immigrant to the United States notes that her husband rarely accompanies her to prenatal visits, and when he does, he sits in the waiting room. What action by the nurse is best?
 
  A.
  Ask the patient what role men in her culture play in pregnancy.
  B.
  Ask the woman why her husband doesn't seem involved.
  C.
  Encourage the man to participate in order to support his wife.
  D.
  Research the couple's cultural background and health beliefs.

[LP]

Answer to Question 1

ANS: A
The most effective goals are those that include the entire family. The entire family agrees upon the goals and commits to working on them.

Answer to Question 2

ANS: A
Culture affects the roles family members assume during times of illness, pregnancy and childbirth, and death. The best option is to ask the woman what role men in her culture play during pregnancy and childbirth. This can open a discussion of how the woman is coping and if she is getting enough support, either from her mate or friends and family. Asking why the man doesn't seem involved is judgmental. Encouraging the man to participate may not be desired by the woman and may be seen as an intrusion by the man. The nurse could research the culture but this would not lead to a discussion until the next visit. It is also important to be aware that there are variations in how people of the same culture behave and believe.