A community health nurse visits a family with four children. The ...

[laurencescou]

A community health nurse visits a family with four children. The father behaves angrily, finds fault with a child, and asks twice, Why are you such a stupid kid? The wife says, I have difficulty disciplining the children. It's so frustrating.
 
  Which comments by the nurse will facilitate the interview with these parents? Select all that apply.
 
  a. Tell me how you punish your children.
  b. How do you stop your baby from crying?
  c. Caring for four small children must be difficult.
  d. Do you or your husband ever beat the children?
  e. Calling children stupid' injures their self-esteem.

Question 2

Which family scenario presents the greatest risk for family violence?
 
  a. An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3-year-old child
  b. A husband who finds employment 2 weeks after losing his previous job, a wife with stable employment, and a child doing well in school
  c. A single mother with an executive position, a talented child, and a widowed grandmother living in the home to provide child care
  d. A single homosexual male parent, an adolescent son who has just begun dating girls, and the father's unmarried sister who has come to visit for 2 weeks

[bobsmith]

Answer to Question 1

ANS: A, B, C
An interview with possible abusing individuals should be built on concern and carried out in a nonthreatening, nonjudgmental way. Empathic remarks are helpful in creating rapport. Questions requiring a descriptive response are less threatening and elicit more relevant information than questions that can be answered by yes or no.

Answer to Question 2

ANS: A
The family with an unemployed husband with low self-esteem, a newly unemployed wife, and a developmentally challenged young child has the greatest number of stressors. The other families described have fewer negative events occurring.

[laurencescou]

TYSM

[jomama]

Excellent