Author Question: The home health nurse visits a family for the first time. She meets a 40-year old woman and her ... (Read 19 times)

swpotter12 · **on:** Jul 8, 2018

The home health nurse visits a family for the first time. She meets a 40-year old woman and her 75-year old father, a 12-year old girl, and a 16-year old boy. She does not understand the language they speak in the home.

The grandfather has limited mobility due to a stroke and appears confused. The nurse who learns to think family uses which of the following assessment practices?
1. Includes family members in client assessment.
2. Recognizes her own attitudes toward the family cultural practices.
3. Strives to understand the relationships of all family members and how each is affected by the client's illness.
4. Focuses her assessment on the grandfather because he is the only one who has an obvious illness.

Question 2

Which of the following situations reflects a time when doing for the family takes priority over being with the family?

1. At the end of the shift when the nurse knows she will be leaving the family
2. When the family needs to work through the answer rather than being provided an answer
3. When the family doesn't understand what is happening to their ill member
4. When the nurse wants to persuade the family of her point of view

Moriaki · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: 1, 2, 3
Rationale:
Family-focused nursing care means including all family members in the assessment of the client and striving to understand the family relationships and how each member might be affected by the client's illness. It is necessary to recognize family cultural practices and one's own attitude toward them.

Answer to Question 2

ANS: 3

Feedback
1 Change of shift is not an appropriate reason for the nurse to focus on doing for the patient and not be present with the patient.
2 The nurse can best help the family work through a difficult situation by being with them, listening to how they process information, and responding to questions as needed.
3 One of the best things the nurse can to do for the family when they don't understand what is happening to an ill member is to provide direct information.
4 Persuading the family of one's point of view as a nurse limits the establishment of a caring nurse-family relationship.