The home health nurse visits a family for the first time. She meets a 40-year old woman and her 75-year old father, a 12-year old girl, and a 16-year old boy. She does not understand the language they speak in the home
The grandfather has limited mobility due to a stroke and appears confused. The nurse who learns to "think family" uses which of the following assessment practices?
1. Includes family members in client assessment.
2. Recognizes her own attitudes toward the family cultural practices.
3. Strives to understand the relationships of all family members and how each is affected by the client's illness.
4. Focuses her assessment on the grandfather because he is the only one who has an obvious illness.
ANS: 1, 2, 3
Rationale:
Family-focused nursing care means including all family members in the assessment of the client and striving to understand the family relationships and how each member might be affected by the client's illness. It is necessary to recognize family cultural practices and one's own attitude toward them.
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