Different approaches may be taken to family nursing practice. When the nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient's family, what is the best approach for the nurse to
a. Family as context
b. Family as patient
c. Family as system
d. Patient as individual
ANS: C
The newest model, called family as system includes both relational and transactional concepts. If only one family member receives nursing care, it is realistic and practical to view the family as context. When all family members are involved in the daily care of one another, the family as patient is the best approach. Although theoretical and practical distinctions have been noted between family as context and family as patient, they are not necessarily mutually exclusive. Often, the nurse will use the two simultaneously, such as with the perspective of the family as system. Family nursing is based on the assumption that all people are members of some type of family form.
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