The nurse asks, "What has changed between you and your spouse since your child's head inju-ry?" Which of the following focuses of the family is being used?
a. The context
b. The client
c. A system
d. A component of society
ANS: C
When the family is viewed as a system, the focus is on the family as client, and the family is viewed as an interactional system in which the whole is more than the sum of its parts. The sys-tems approach to families always implies that when something happens to one family member, the other members of the family system also are affected, and vice versa. When the nurse views the family as client, the family is the primary focus and individual family members are secondary. The family as context serves as either a strength or a stressor to individual health and illness is-sues. The family as a component of society is seen as one of many institutions in society, along with health, education, religious, and financial institutions.
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The patient with HIV complains to the home health nurse that he has been having watery diarrhea for the last 10 days. Because the nurse suspects toxoplasmosis, a significant ques-tion for the nurse to ask would be:
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