Author Question: The nurse has been working with a family at the community health office and is concerned about signs ... (Read 41 times)

mrsjacobs44 · **on:** Jul 23, 2018

The nurse has been working with a family at the community health office and is concerned about signs of family violence. Which finding should the nurse identify as most concerning?

1. The baby always seems to have a cold.
2. One of the children never speaks and seems on guard when in the presence of a parent.
3. The family's clothes are relatively clean, but the children usually have some kind of dirt stain on their shirts or pants.
4. The family does not have a regular physician.

Question 2

A nurse is conducting a family assessment and is focusing, for the moment, on the family members' communication patterns. Which observation indicates that there are existing or potential problems with family communication?

1. All members are participating in the discussion equally, some quite vocally.
2. The verbal communication is congruent with the nonverbal messages.
3. A few of the members just sit and listen.
4. Disagreements are not addressed among members; rather, they are ignored by the person who does the most talking.

anoriega3 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The baby may have an untreated condition, but chronic cold symptoms are not evidence of abuse.
Rationale 2: A child who doesn't speak and is watchful when parents are near would be a significant indicator of a possible abuse situation.
Rationale 3: Dirty clothes or clothes not meeting the nurse's standards are not signs of abusemaybe for this family, appearance is not a high priority.
Rationale 4: Not having a regular physician would be a concern for health promotion and maintenance, but not for abuse.

Answer to Question 2

Correct Answer: 4
Rationale 1: Even though some members are more vocal, at least all are participating in the discussion.
Rationale 2: Nonverbal communication is important because it gives valuable clues about what people are feeling. Even though some members are more vocal, at least all are participating in the discussion. Verbal communication should be congruent with nonverbal cues.
Rationale 3: Listening is an art, and not all members of a family need to speak in the same setting.
Rationale 4: This option describes an authoritarian setting where other members may be cautious in expressing their feelings because of power struggles, hostility, or anger. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, and how well the members listen to one another and encourage the participation of others.