The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, "I have no family
They're all gone." When asked, "Who prepares your meals?" the patient states, "I do, or I go out." Which approach should the nurse use for this patient?
a. Family as context
b. Family as patient
c. Family as system
d. Family as caregiver
ANS: A
If only one family member receives nursing care, it is realistic and practical to use the approach "family as context." Although family nursing is based on the assumption that all people regardless of age are a member of some type of family form, the patient insists that there is no family. The nurse should investigate further. However, at this time, family as patient or as system is not appropriate. Family as caregiver is not an approach but rather is a term to describe a family member caring for another family member.
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An 11-month-old hospitalized boy is restrained because he is receiving intravenous (IV) fluids. His grandmother has come to stay with him for the afternoon and asks the nurse if the restraints can be removed. What nurse's response is best?
a. "Restraints need to be kept on all the time." b. "That is fine as long as you are with him." c. "That is fine if we have his parents' consent." d. "The restraints can be off only when the nursing staff is present."
Concerning the functioning of the renal system in newborns, nurses should be aware that:
1. the physician should be notified if the newborn has not voided in 24 hours. 2. breastfed infants will likely void more often during the first days after birth. 3. brick dust or blood on a diaper is always cause to notify the physician. 4. weight loss from fluid loss and other normal factors should be made up in 4 to 7 days.
A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. Which action best implements family-centered care?
1. Telling the family what must be done for the family's health 2. Assuming the role of an expert professional to direct the health care 3. Intervening for the child and family as a unit 4. Conferring with the family in deciding which healthcare option will be chosen
A nurse is conducting an assessment of a patient's social network. Which of the following would the nurse assess? Select all that apply
A) "How big is your network of contacts?" B) "What benefits do you receive from these people?" C) "Who is responsible for providing the support?" D) "Do any of the members know one another?" E) "What services do you think might be helpful?"