Author Question: A 24-year-old couple with two young children tell the nurse in the pediatric department that they ... (Read 79 times)

APUS57 · **on:** Jul 23, 2018

A 24-year-old couple with two young children tell the nurse in the pediatric department that they have been struggling with raising them.

They state, We just don't know what we are doing sometimes and feel we are not always making good decisions for our children. It is time we sit down and figure this out. The nurse arrives at a nursing diagnosis of Family Processes: Readiness for Enhanced Parenting. Which nursing intervention(s) are most appropriate for this family? Select all that apply.
a. Collaborate with family in problem solving and decision making
b. Assign specific roles for each family member.
c. Encourage family members to verbalize concerns, fears, and perceptions.
d. Obtain a comprehensive family health assessment.

Question 2

The study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care. How are genomics and the use of a genogram helpful in personalizing a patient plan of care?
Select all that apply.

a. Assists in identifying at-risk individuals for certain conditions enabling better preventative care
b. Helps to more accurately detect illness, even before symptoms appear
c. Provides understanding of how people may respond differently to certain drugs and treatments
d. Increases the trust a patient and family have in the healthcare professionals

sarah_brady415 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, C
The most appropriate interventions for this family are to collaborate with them in problem-solving and decision making and to encourage each member to verbalize his concerns, fears, and perceptions. Roles for each member should not be assigned by the nurse, as this should be a collaborative process between the nurse and family. Obtaining a comprehensive health history is not indicated at this time, as there are no health issues identified and a health history is usually only relevant for a family assessment if it affects an individual family member.
Although it is not given as an option, conducting a comprehensive family assessment may be indicated. That would include identifying data; family composition; family history and developmental stage; environmental data; family structure; family function; health beliefs, values, and behaviors; family stressors and coping; and abuse and violence within the family.

Answer to Question 2

A, B, C
Genomics can be used to personalize a patient's plan of care by identifying at-risk individuals for certain conditions so more effective preventive care can be provided, more accurately detecting illness, even before symptoms appear, tailoring healthcare to the individual while reducing a trial-and-error approach, evaluating a person's response to the care, and helping to understand how people respond differently to particular drugs and medical treatments. There is no evidence to support that the use of genomics and genograms has any effect on trust. Many individuals and families have an intense skepticism or mistrust of medical care and hospitals based on their own health belief systems or on past experiences with medical care and hospitals.