The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled

Question

The nurse learns that the father lost his job three weeks ago and that the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is: 1. Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
2. Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
3. Impaired Social Interaction (parent and child) related to the lack of family or respite support.
4. Compromised Family Coping related to multiple simultaneous stressors.

Answer 1

4
Rationale 1: The spica cast might require alteration in family functioning; however, the situation describes no signs and symptoms to indicate this. In addition, fractures generally are not considered a significant long-term disability.
Rationale 2: The need for a spica cast is not considered a newly acquired disability. Nothing about the situation describes caregiver role strain.
Rationale 3: Lack of family members and lack of respite support were not mentioned in the scenario.
Rationale 4: The situation describes multiple changes, or stressors, in the family's situation that compromise family coping skills.
Global Rationale: