Author Question: The nurse is involved in crisis intervention with a family in which the father has just lost his job ... (Read 63 times)

cmoore54

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The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.
 
  The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child, who is having behavioural problems. How does the nurse help the family focus on their feelings? a. Pointing out the connection between the situation and their responses
  b. Encouraging the use of the family's usual coping skills
  c. Working on time-management skills
  d. Discussing past experiences

Question 2

When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family).
 
  Although the focus is on the individual's health status, the nurse should a. Assess how much the family provides the patient's basic needs.
  b. Assess family patterns versus individual characteristics.
  c. Maintain distinctions between family as patient and family as context.
  d. Plan care to meet not only the patient's needs, but those of his family as well.



Ahnyah

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Answer to Question 1

A
When using a crisis-intervention approach, the nurse helps the client make the mental connection between the stressful event and the client's reaction to it.
Because an individual's or family's usual coping strategies are ineffective in managing the stress of the precipitating event in a crisis situation, the use of new coping mechanisms is required.
Time-management skills will not help reduce the stress of the precipitating event in a crisis situa-tion.
What may have worked in past experiences will likely be ineffective in managing the stress of the precipitating event in a crisis situation.

Answer to Question 2

A
When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family). Although the focus is on the individual's health status, the nurse assesses how much the family provides the individual's basic needs. Family patterns are in the realm of family as patient. It is important to understand that although the nurse is able to make theoretical and practical distinctions between family as context and family as patient, they are not necessarily mutually exclusive. Often, the nurse will use the two simultaneously, as with the perspective of family as system. Family as patient involves planning to meet the needs of the patient and those of his family as well.



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