Author Question: The nurse has formulated a nursing diagnosis of interrupted family processes for the family of a ... (Read 76 times)

Engineer · **on:** Jul 22, 2018

The nurse has formulated a nursing diagnosis of interrupted family processes for the family of a child who sustained a brain injury during an automobile accident.

Which of the following interventions planned by the nurse would have the highest priority? 1. Teach the family the importance of using seatbelts
2. Refer the family to support services in the community
3. Encourage the family to ask questions and express feelings
4. Explain rules for visiting in the intensive care unit

Question 2

A client who is attending a 12-step program asks the nurse what the most important initial goal of attending the meetings is. Which of the following is the best response by the nurse?

1. Learn problem-solving
2. Take a moral inventory of self
3. Overcome denial
4. Make amends to people they have hurt

dpost18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Encourage the family to ask questions and express feelings

Rationale:
While families may need education about seatbelts and sources of support, it is not the optimal time to implement such teaching at this point in the crisis. It is optimal to find out what the family's perception is of what is going on and what they feel their needs are. The best way to determine this is to encourage them to ask questions and express their feelings. Timelines for visitation are appropriate but are not the priority.

Answer to Question 2

3. Overcome denial

Rationale:
The initial outcome for clients in substance abuse programs is to overcome denial. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how abuse has impacted their life. Learning problem-solving is a later outcome for a substance abuse program. Taking a moral inventory and making amends are the fourth and eighth steps of Alcoholics Anonymous and would not be initial outcomes.