The nurse plans to use a group approach when conducting a ...

[clippers!]

The nurse plans to use a group approach when conducting a teaching session for adolescents about dealing with stress. A group approach works well with adolescents because:
 
  1. Problem-solving is less focused in groups.
  2. Peer support and values are important elements to an adolescent.
  3. Confidentiality is not an issue.
  4. The nurse therapist is the authority figure for the group.

Question 2

A nurse is meeting with a Cuban family in which the wife abuses alcohol. During the family assessment meeting, the nurse observes that the husband speaks for the wife and other family members when the nurse is directing questions towards them.
 
  The husband says, I am responsible for my family. What cultural values should the nurse consider when planning care for this client? 1. Health care decisions will involve the entire family.
  2. Health care decisions may be made by the husband.
  3. Health care decisions may have to be made when the client's husband is not present.
  4. Health care decisions will involve the wife only.

[mtmmmmmk]

Answer to Question 1

2
Rationale: It is usually more effective to work with adolescents in a group. Because the values, acceptance, and recognition of peers are so important during adolescence, the group can provide support for dealing with problem-solving and affecting change. Client confidentiality is always an issue. The role of the nurse is that of a facilitator, not an authority figure.

Answer to Question 2

2
Rationale: In some Hispanic families, health care decisions may involve the head of the household who decides what is best for the family. If decisions are made without the husband's knowledge and input, it is doubtful that they will succeed.