A nurse asked a family if they'd work with her to create a family genogram. The mother asked, "Why would you want to know so much about our family?" Which of the following would be the most appropriate response by the nurse?
a. "A genogram helps you see how some problems run in families. Your children will need to know this."
b. "If you're willing to share, we can discuss family history and possibly some hereditary health issues."
c. "Please be assured you don't have to answer any question you don't want to answer."
d. "Why would you want to keep your family members secret? Is there some problem?"
ANS: B
A genogram is an excellent opening to the discussion of family history and possible hereditary health problems. It may also point to a need for health education. Some families may be sensitive to the sharing of such information, but obviously any patient can answer with however much or little he or she wishes to share.
You might also like to view...
Family assessment is essential in order to meet family needs. Which of the following must be assessed first to assist the nurse in providing family-centered care?
a. Assessment of patient and family's developmental stages and needs b. Description of the patient's home environment c. Identification of immediate family, extended family, and decision makers d. Observation and assessment of how family members function with each other
When administering IV vancomycin, the nurse should:
a. monitor the client for ototoxicity. b. maintain the client on complete bed rest. c. infuse this drug over a minimum of one hour. d. infuse this agent as an IV bolus.
A client who had a wound on her left thigh developed a scar following healing. When would deep scarring most likely occur in the client?
A) Third-intention healing B) Electrical stimulation C) First-intention healing D) Antiseptic application
A critical judgment about individual, family, or community responses to actual and potential problems and life processes is a definition of
a. Nursing diagnosis b. Nursing intervention c. Client problem d. Evaluation