Nokea
A nurse is engaged in developing a relationship with a family during a family assessment. Which of the following would be important? Select all that apply.
- A. Demonstrating culturally competent nursing skills
- B. Completing the assessment efficiently in the first meeting
- C. Identifying the family?s immediate needs
- D. Exhibiting a professional image
- E. Investigating the adherence to the medication regimen
Correct Answer: A,C,D
Rationale: Building a relationship involves culturally competent skills (A), identifying immediate needs (C), and maintaining professionalism (D) to establish trust. Completing the assessment in one meeting (B) is unrealistic, and medication adherence (E) is a specific intervention, not relationship-building.
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A nurse is working with a family and using the Calgary Family Model. Problems have been identified, and the family being in which stage of the model?
- A. Engagement
- B. Assessment
- C. Intervention
- D. Termination
Correct Answer: C
Rationale: In the Calgary Family Model, identifying problems marks the transition from assessment to the intervention stage, where the nurse collaborates with the family to address issues. Engagement initiates contact, assessment gathers data, and termination concludes the process.
A nurse is planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?
- A. Severity of the patient?s symptoms
- B. Barriers faced by the patient
- C. Stigma associated with the diagnosis
- D. Risk for relapse
Correct Answer: C
Rationale: Stigma associated with psychiatric disorders is a primary source of stress for families, impacting their social interactions and emotional well-being. Symptom severity, barriers, and relapse risk contribute but are secondary to the pervasive impact of stigma.
A nurse is assessing the communication patterns in the family. When observing the interaction, which of the following would be important to keep in mind? Select all that apply.
- A. Who sits next to who?
- B. Which topics are not addressed?
- C. Which situations are identified as stressful?
- D. Who makes the decisions for child care?
- E. How does the family handle conflict?
Correct Answer: A,B,C,D,E
Rationale: Assessing family communication involves observing seating arrangements (A), avoided topics (B), stressful situations (C), decision-making roles (D), and conflict management (E), as all provide insight into family dynamics and interaction patterns.
A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient?s family?
- A. Ineffective Family Therapeutic Regimen Management
- B. Compromised Family Coping
- C. Ineffective Denial
- D. Caregiver Role Strain
Correct Answer: B
Rationale: The father?s excessive drinking and unavailability indicate compromised family coping, as the family struggles to manage stress and support the adolescent?s needs. Ineffective therapeutic regimen management, denial, and caregiver role strain are less specific to the family?s overall coping deficit.
While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?
- A. Boundaries
- B. Emotional cutoff
- C. Sibling position
- D. Family projection process
Correct Answer: A
Rationale: Minuchin?s structural family therapy model focuses on assessing family boundaries (clear, rigid, or diffuse) to understand roles and interactions. Emotional cutoff, sibling position, and family projection process are concepts from Bowen?s theory, not Minuchin?s model.