A client states, I can't go to therapy every day. I can't miss ...

[krzymel]

A client states, I can't go to therapy every day. I can't miss that much work. They will fire me and then how will I provide for my family? Which is the most appropriate nursing diagnosis?
 
  A) Ineffective Role Performance
  B) Caregiver Role Strain
  C) Denial
  D) Interrupted Family Process

Question 2

The nurse is providing assistance to a family experiencing altered family function. Which intervention should the nurse utilize? Select all that apply.
 
  A) Assist the family to clarify the conflict.
  B) Correct misconceptions.
  C) Focus on facts, not feelings.
  D) Stress effective communication practices.
  E) Provide concrete feedback.

[Harbringer]

Answer to Question 1

Ans: A
Feedback:
The client is concerned about his ability to provide for his family. Ineffective Role Performance would be the most appropriate diagnosis. Caregiver Role Strain focuses on the caregiver. Denial is not a NANDA-approved nursing diagnosis. Interrupted Family Process would be applicable if the client did lose his job and was not able to provide for his family.

Answer to Question 2

Ans: A, B, D, E
Feedback:
Aim interventions at resolving family conflicts by first identifying the participants willingness to acknowledge a problem and to work on their ability to communicate. Stress effective communication practices. Allow each member to speak, listen, and express feelings as well as facts. Clarify the conflict with participants, help participants identify contributing factors, correct misconceptions, provide concrete feedback based on nursing observations, assist participants to develop solutions, and support decision making among participants.

[krzymel]

Excellent

[elyse44]

TYSM