The nurse is caring for an elderly patient who has no apparent family. When questioned about his family and his definition of family, the patient states, "I have no family. They're all gone."
When asked, "Who prepares your meals?" he states, "I do, or I go out." Given the three different approaches to family nursing practice, which would be most appropriate for this patient?
a. Family as context
b. Family as patient
c. Family as system
d. Combination of "family as context" and "family as patient"
ANS: A
If only one family member receives nursing care, it is realistic and practical to view the "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 he has no family. The nurse should investigate further. However, at this time, family as patient, as system, or in a combination is not appropriate.
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