This topic contains a solution. Click here to go to the answer

Author Question: The nurse is working with a wife who is caring for her chronically ill husband who requires ... (Read 83 times)

tichca

  • Hero Member
  • *****
  • Posts: 554
The nurse is working with a wife who is caring for her chronically ill husband who requires around-the-clock care. The nurse notices that the wife often speaks to her husband sharply.
 
  The bed linens are soiled with food and the patient has a strong body odor. Both the house and the wife are unkempt. When encouraged to talk, the wife says, I just drag around. I can't make myself do anything. I'm so tired of it all. What nursing diagnosis best fits these defining characteristics?
  a. Dysfunctional Family Processes
  b. Caregiver Role Strain
  c. Defensive coping
  d. Impaired Verbal Communication

Question 2

The nursing student is caring for a seriously ill child on the pediatric unit. There are many family members present, including parents, aunts, and uncles.
 
  The student tells the primary nurse, Every time I go into the room, everyone is shouting at each other, they shout at me, and they ask me the same questions over and over. What is the most appropriate response by the nurse?
  a. This is unacceptable and disruptive behavior. Let them know that if this behavior continues, we may need to call security.
  b. Families experience a range of emotions when caring for an ill member. Sometimes these are normal reactions, so you need not take it personally.
  c. There may be too many people in the room. You might consider limiting their visiting time.
  d. I believe this family is of Italian descent. Don't worry about it; it may just be their culture.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

rachel

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

B
The defining characteristics best fit a nursing diagnosis of Caregiver Role Strain. The caregiver exhibits dysfunctional communication (speaking sharply), is not performing well in the caregiver role (soiled bed linens, patient's body odor), and is experiencing and expressing depressive symptoms. Dysfunctional Family Processes usually include denial of problems, resistance to change, and a series of crises; depression is not a symptom. Defensive coping is more about a falsely positive self-evaluation; this woman does not seem defensive, but admits she is having difficulty. Although the wife's communication may sound angry, her verbal communication is not really impaired. Impaired Verbal Communication is characterized by difficulty in receiving, processing, and/or using words to communicate. Furthermore, a diagnosis of Impaired Verbal Communication would not address the wife's depression and inability to provide satisfactory care.

Answer to Question 2

B
When a family member is ill or hospitalized, the other family members experience a range of emotionsespecially when the illness is severe or of sudden onset. Family members may display signs of stress in a variety of ways, for example, by arguing with each other or with healthcare providers, in insisting on immediate care for their loved one, by being critical of the care provided, or by frequently asking that information be repeated. These are normal reactions; do not take them personally. Limiting visiting hours is not always beneficial, especially when dealing with children. There are times to call security if the behavior escalates and begins to affect other patients and families. In this instance, citing a cultural connection is inappropriate as it reflects stereotyping and is judgmental.




tichca

  • Member
  • Posts: 554
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


juliaf

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

For a complete list of videos, visit our video library