An older male patient is admitted to the hospital for treatment of a chronic disease
The spouse is at the bedside for most hours of the day, and the patient's children come to visit every day after work to discuss activities and ask for advice. What should the nurse realize about the social organization of this family?
a. The male patient is the head of the household.
b. The spouse does not trust health care providers.
c. The children want to learn everything before the patient dies.
d. The children are concerned that the patient is not receiving adequate care.
ANS: A
A. Family organization includes the perceived head of the household, gender roles, and roles of the elderly and extended family members. Because the spouse stays at the bedside and the children visit every day to discuss events and ask advice, this household is most likely patriarchal. B. There is no evidence to suggest that the spouse does not trust health care providers. C. Although the patient has a chronic disease, there is no evidence to suggest that death is imminent. D. There is no evidence to support that the children are concerned that the patient is not receiving adequate care.
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