Author Question: A patient is dismissed from the hospital and is receiving nursing care at home to help in the ... (Read 78 times)

shofmannx20 · **on:** Jun 28, 2018

A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized and not

communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action by the nurse is best?
A.
Encourage family members to make to do lists and assign chores.
B.
Explain that changes in one person require changes in the others.
C.
Make a referral to a counselor or mental health nurse practitioner.
D.
Tell the family members that for the patient to recover, they have to assume his or her role.

Question 2

A nurse is working with a blended family of 1 year with five children aged 3, 7, 13 (twins), and 19. The parents seem overly stressed and anxious and do not seem to work well as a unit. What can the nurse conclude about this family?

A.
Communication problems are the core of the parents' stress.
B.
Economic stressors are impacting the parental dyad.
C.
The family is in too many developmental stages to master any of them.
D.
There are too many children to give each one adequate attention.

izzat · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Family systems theory recognizes that changes in one member of a family affect every other member of the family. In order for the family to function effectively, all members need to adapt to the major changes in one of the members. Making lists and assigning chores are simple tasks that might help with organization, but this does not go far enough in solving the problem. The family may or may not need a referral for counseling. Simply telling the family members a fact does not give them enough information to adapt.

Answer to Question 2

ANS: C
In family developmental theory, the age of the child determines the stage the family is in. If there is more than one child, the family is probably in multiple developmental stages at the same time. The family is probably in a combination of beginning families, preschool, school-aged and adolescent, and launching stages. The competing priorities of all of these stages pave the way for chaos. Without further information, the nurse cannot conclude that economic stressors or communication problems are the root cause of the issue. Simply concluding that the family has too many children is judgmental and does not leave any room for interventions.