The graduate nurse tells her preceptor that the newly admitted ...

[schs14]

The graduate nurse tells her preceptor that the newly admitted patient has a strange living arrangement, because she lives in a household that consists of two aunts, a grandparent, a niece, a nephew, and her best friend.
 
  What is the preceptor's best response?
  a. You are correct. That is a different type of household.
  b. That is an example of a family as defined by a different type of culture.
  c. This is considered an extended family and is not unusual.
  d. This is a type of blended family and statistics show an increase in these types of living arrangements.

Question 2

What are the best communication strategies that a nurse can use to encourage patients to share personal and sensitive information? Select all that apply.
 
  a. Be aware of your own biases and personal opinions with regard to the patient's information.
  b. Use very specific yes and no questions during the interview to keep the patient focused and attentive.
  c. Start an interview by asking very broad questions and then proceed to more specific questions.
  d. Avoid any questions related to cultural and gender-specific details about the person of family members.

[angrybirds13579]

Answer to Question 1

C
The description fits the definition for an extended family, which can consist of various biological relatives and also nonrelatives who live together or in close proximity. A blended family consists of two single parents who marry and raise their children together. Although extended family arrangements may occur in some cultures, this is not the best response to the nurse's interpretation of the family living arrangement.

Answer to Question 2

A, C
Psychosocial information is personal and sometimes sensitive. To encourage patients to share this information, the nurse will need to use good communication skills. For example, be aware of your own biases and discomforts that could influence your assessment, use active listening, proceed from general details and questions to specific details and questions, use an open and positive tone of voice, use open-ended questions (not yes and no questions), and be respectful and sensitive to cultural and gender-specific details. This does not mean you should avoid questions related to culture and gender.

[schs14]

Excellent

[bigsis44]

Gracias!