An infant has been admitted to the pediatric unit for observation. The admission assessment indicates the family is Cuban American
When assessing the family's interactions the nurse notes the mother does all the care of the child while the father seems detached from the infant. Which of the following would be the most appropriate nursing diagnosis in this situation? 1. Compromised family coping
2. Altered role functions
3. Risk for family violence
4. Readiness for enhanced family processes
4
Rationale 1: The family is operating and coping within the norm of its Cuban American culture; therefore, compromised family coping is not an appropriate nursing diagnosis for this infant and family.
Rationale 2: The role functions of the parents are not altered and are culturally appropriate with the mother being the infant's primary caretaker.
Rationale 3: The nurse must be cognizant of a client's cultural norms in order to accurately make assessments and determine real or potential problems. There is nothing to suggest a risk for family violence.
Rationale 4: The readiness for enhanced family processes is by definition a pattern of family functioning that is sufficient to support the well-being of family members and can be strengthened. Paternal and maternal attachment differs among cultures. In the Cuban American culture, the mother is the primary caregiver and bonds with the child earlier and continually, while the father remains detached from infant care and begins attachment behaviors only when the child is able to walk and communicate.
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